Nuglisch J, Karkoutly C, Mennel H D, Rossberg C, Krieglstein J
Institut für Pharmakologie und Toxikologie, Philipps-Universität, Marburg, F.R.G.
J Cereb Blood Flow Metab. 1990 Sep;10(5):654-9. doi: 10.1038/jcbfm.1990.118.
The purpose of the present study was to investigate the neuroprotective action of nimodipine. Furthermore, the influence of nimodipine on postischemic local CBF (LCBF) was examined. Forebrain ischemia of the rat was performed for 10 min by bilateral carotid clamping, administration of trimethaphan, and blood withdrawal to obtain an MABP of 40 mm Hg. LCBF was measured after 10 min of postischemic recirculation by injecting [14C]iodoantipyrine in saline solution. Nimodipine (0.1, 0.3, and 1.0 mg/kg) was suspended in miglyol oil and applied orally 60 min prior to ischemia. Histological evaluation was performed 7 days after ischemia. Hippocampal neuronal damage was determined as the percentage of necrotic neurons. After preischemic application of nimodipine, neuronal damage was significantly reduced in the hippocampal CA1 subfield. Postischemic LCBF was not affected by treatment with nimodipine. These findings show that nimodipine is able to protect neurons against ischemic damage. The neuroprotective effect of nimodipine was not mediated by a postischemic cerebral vasodilation, but by a direct action on the neurons.
本研究旨在探讨尼莫地平的神经保护作用。此外,还研究了尼莫地平对缺血后局部脑血流量(LCBF)的影响。通过双侧颈动脉夹闭、给予三甲噻方以及放血使平均动脉压(MABP)达到40 mmHg,对大鼠进行10分钟的前脑缺血。缺血后再灌注10分钟时,通过向盐溶液中注射[14C]碘安替比林来测量LCBF。将尼莫地平(0.1、0.3和1.0 mg/kg)悬浮于Miglyol油中,在缺血前60分钟口服给药。缺血7天后进行组织学评估。海马神经元损伤以坏死神经元的百分比来确定。缺血前应用尼莫地平后,海马CA1亚区的神经元损伤明显减轻。尼莫地平治疗对缺血后LCBF无影响。这些发现表明,尼莫地平能够保护神经元免受缺血损伤。尼莫地平的神经保护作用不是通过缺血后脑血管舒张介导的,而是通过对神经元的直接作用实现的。