Fakharaldeen Zainab, Al-Mudhafar Ahmed, Radhi Ali, Hadi Najah
DEPARTMENT OF PHARMACOLOGY AND THERAPEUTICS, FACULTY OF MEDICINE, UNIVERSITY OF KUFA, NAJAF, IRAQ.
AL-HAKEEM HOSPITAL, AL-NAJAF AL-ASHRAF, NAJAF, IRAQ.
Wiad Lek. 2022;75(12):3094-3101. doi: 10.36740/WLek202212134.
The aim: To see whether nimodipine had neuroprotective effects in cerebral ischemia/reperfusion injury.
Materials and methods: A total of 28 adult male Sprauge-dawley rats weighting 200-300 g were distributed randomly into 4 groups (7 animals in each group): sham (neck dissection without bilateral common carotid artery occlusion), control (bilateral common carotid artery occlusion for 30 minutes and reperfusion for 1 hour), vehicle (7 days of daily carboxymethylcellulose by oral gavage followed by bilateral carotid artery occlusion and reperfusion), and nimodipine-treated rats (7 days of 3 mg/kg/day of oral Azelnidipine pretreatment then bilateral common carotid artery occlusion and reperfusion). Besides assessment of histological changes and brain infarct volume, the brain tissues were sectioned to estimate NF-κB p65, IL-6, IL-10, TNF-α, ICAM-1 and total anti-oxidant capacity.
Results: Cerebral NF-κB p65, IL-6, IL-10, TNF-α, ICAM-1, in addition to cerebral infarct size were markedly increased in control and vehicle related to sham rats, while total anti-oxidant capacity was considerably decreased. Treatment with nimodipine resulted in remarkable increment of total anti-oxidant capacity, while NF-κB p65, IL-6, TNF-α, and ICAM-1 showed great reduction. Cerebral IL-10 levels didn't change by nimodipine treatment. Histologically, control and vehicle rats showed severe brain ischemic changes which is dramatically reduced by nimodipine treatment.
Conclusions: Our study results revealed that nimodipine can greatly decrease cerebral infarct size and reduce histological ischemic injury in male rats subjected to cerebral ischemia/ reperfusion. The neuroprotective actions of nimodipine possibly originated from its anti-inflammatory and antioxidative effects. Nimodipine protection was unrelated to IL-10.
观察尼莫地平在脑缺血/再灌注损伤中是否具有神经保护作用。
材料与方法:将28只体重200 - 300克的成年雄性Sprauge - dawley大鼠随机分为4组(每组7只):假手术组(仅颈部解剖,不进行双侧颈总动脉闭塞)、对照组(双侧颈总动脉闭塞30分钟,再灌注1小时)、载体组(每日经口灌胃羧甲基纤维素7天,随后进行双侧颈动脉闭塞和再灌注)以及尼莫地平治疗组(每日口服阿折地平3mg/kg预处理7天,然后进行双侧颈总动脉闭塞和再灌注)。除评估组织学变化和脑梗死体积外,将脑组织切片以评估核因子κB p65、白细胞介素 - 6、白细胞介素 - 10、肿瘤坏死因子 - α、细胞间黏附分子 - 1和总抗氧化能力。
结果:与假手术组大鼠相比,对照组和载体组大鼠的脑核因子κB p65、白细胞介素 - 6、白细胞介素 - 10、肿瘤坏死因子 - α、细胞间黏附分子 - 1以及脑梗死面积均显著增加,而总抗氧化能力则显著降低。尼莫地平治疗导致总抗氧化能力显著增加,而核因子κB p65、白细胞介素 - 6、肿瘤坏死因子 - α和细胞间黏附分子 - 1则显著降低。尼莫地平治疗后,脑白细胞介素 - 10水平未发生变化。组织学上,对照组和载体组大鼠表现出严重的脑缺血变化,而尼莫地平治疗可使其显著减轻。
结论:我们的研究结果表明,尼莫地平可显著减小雄性大鼠脑缺血/再灌注后的脑梗死面积,并减轻组织学缺血损伤。尼莫地平的神经保护作用可能源于其抗炎和抗氧化作用。尼莫地平的保护作用与白细胞介素 - 10无关。