Hernández de G María M, Garay F José L, Loureiro Nelson E
Invest Clin. 2015 Dec;56(4):377-88.
Valproic acid, apart from being known as an anti-epileptic drug, has been proposed in the past few years, as a neuroprotective agent. The purpose of this study was to investigate firstly, if valproic acid protects the neurons from the damage produced by oxidative stress induced by ischemia-reperfusion in the brain of healthy rats, under the transitory occlusion of the right middle cerebral artery. Secondly it was studied if this antiepileptic drug induces changes on the expression of Bcl-2 and activated caspase-3 as a possible mechanism of action on apoptosis. The neurological evaluation of the animals that were subject to ischemia-reperfusion and received valproic acid was better than the ones who didn’t receive it. On another subject, the levels of malondialdehyde on the right cerebral hemisphere in the rats treated with valproic acid were below the levels of the control group in the same hemisphere, whereas the amount of carbonylated proteins was reduced by 67% compared to the control group. Besides, it was found by western blot, that in homogenized brain tissue of the animals under ischemia-reperfusion which received valproic acid, there was a rise on the density of the bands corresponding to Bcl-2, and a reduction of activated 3-capase in comparison to the ones who were not treated with the antiepileptic drug. It’s concluded that the treatment with valproic acid prevented the neurological deficit in healthy rats under Ischemia-reperfusion, blocking the effect of free radicals on lipids and proteins of the affected brain cortex, and it is suggested that the same drug intervenes on apoptosis induced during this type of damage, being able to be a therapeutic alternative in the treatment of cerebral ischemia.
丙戊酸,除了作为一种抗癫痫药物为人所知外,在过去几年中还被提议作为一种神经保护剂。本研究的目的首先是调查在右大脑中动脉短暂闭塞的情况下,丙戊酸是否能保护健康大鼠大脑中的神经元免受缺血再灌注诱导的氧化应激所产生的损伤。其次,研究这种抗癫痫药物是否会诱导Bcl-2和活化的半胱天冬酶-3表达的变化,作为其对细胞凋亡可能的作用机制。接受缺血再灌注并给予丙戊酸的动物的神经学评估结果优于未接受该药物的动物。另一方面,用丙戊酸治疗的大鼠右大脑半球的丙二醛水平低于同一半球的对照组水平,而羰基化蛋白质的量与对照组相比减少了67%。此外,通过蛋白质印迹法发现,在接受丙戊酸的缺血再灌注动物的脑组织匀浆中,与未用该抗癫痫药物治疗的动物相比,对应于Bcl-2的条带密度增加,活化的半胱天冬酶-3减少。得出的结论是,丙戊酸治疗可预防缺血再灌注状态下健康大鼠的神经功能缺损,阻断自由基对受影响大脑皮层脂质和蛋白质的作用,并且表明该药物可干预此类损伤期间诱导的细胞凋亡,有望成为治疗脑缺血的一种治疗选择。