Kuru Bektaşoğlu Pınar, Koyuncuoğlu Türkan, Özaydın Dilan, Kandemir Cansu, Akakın Dilek, Yüksel Meral, Gürer Bora, Çelikoğlu Erhan, Yeğen Berrak Ç
Sivas Numune Hospital, Department of Neurosurgery, Sivas, Turkey.
Biruni University Faculty of Medicine, Department of Physiology, Istanbul, Turkey.
Injury. 2023 Apr;54(4):1065-1070. doi: 10.1016/j.injury.2023.02.025. Epub 2023 Feb 12.
Trauma-induced primary damage is followed by secondary damage, exacerbating traumatic brain injury (TBI). Dexpanthenol has been shown to protect tissues against oxidative damage in various inflammation models. This study aimed to investigate possible antioxidant and neuroprotective effects of dexpanthenol in TBI. Wistar albino male rats were randomly assigned to control (n = 16), trauma (n = 16) and dexpanthenol (500 mg/kg; n = 14) groups. TBI was induced under anesthesia by dropping a 300 g weight from 70-cm height onto the skulls of the rats. Twenty-four hours after the trauma, the rats were decapitated and myeloperoxidase (MPO) levels, luminol- and lucigenin-enhanced chemiluminescence (CL), malondialdehyde (MDA) levels, superoxide dismutase (SOD) levels, and catalase (CAT) and caspase-3 activities were measured in brain tissues. Following transcardiac paraformaldehyde perfusion, histopathological damage was graded on hematoxylin-eosin-stained brain tissues. In the trauma group, MPO level, caspase-3 activity and luminol-lucigenin CL levels were elevated (p < 0.05-0.001) when compared to controls; meanwhile in the dexpanthenol group these increases were not seen (p < 0.05-0.001) and MDA levels were decreased (p < 0.05). Decreased SOD and CAT activities (p < 0.01) in the vehicle-treated TBI group were increased above control levels in the dexpanthenol group (p < 0.05-0.001). in the dexpanthenol group there was relatively less neuronal damage observed microscopically in the cortices after TBI. Dexpanthenol reduced oxidative damage, suppressed apoptosis by stimulating antioxidant systems and alleviated brain damage caused by TBI. Further experimental and clinical investigations are needed to confirm that dexpanthenol can be administered in the early stages of TBI.
创伤引起的原发性损伤之后会继发损伤,从而加重创伤性脑损伤(TBI)。在各种炎症模型中,已证明泛醇可保护组织免受氧化损伤。本研究旨在探讨泛醇在TBI中可能的抗氧化和神经保护作用。将Wistar白化雄性大鼠随机分为对照组(n = 16)、创伤组(n = 16)和泛醇组(500 mg/kg;n = 14)。在麻醉状态下,通过将一个300 g的重物从70 cm高度 dropped到大鼠颅骨上诱导TBI。创伤后24小时,将大鼠断头,测量脑组织中的髓过氧化物酶(MPO)水平、鲁米诺和光泽精增强的化学发光(CL)、丙二醛(MDA)水平、超氧化物歧化酶(SOD)水平以及过氧化氢酶(CAT)和半胱天冬酶-3活性。经心脏灌注多聚甲醛后,对苏木精-伊红染色的脑组织进行组织病理学损伤分级。与对照组相比,创伤组的MPO水平、半胱天冬酶-3活性和鲁米诺-光泽精CL水平升高(p < 0.05 - 0.001);同时,在泛醇组中未见这些升高(p < 0.05 - 0.001),且MDA水平降低(p < 0.05)。在接受载体治疗的TBI组中降低的SOD和CAT活性(p < 0.01)在泛醇组中升高至高于对照组水平(p < 0.05 - 0.001)。在泛醇组中,TBI后在显微镜下观察到皮质中的神经元损伤相对较少。泛醇减少了氧化损伤,通过刺激抗氧化系统抑制了细胞凋亡,并减轻了TBI引起的脑损伤。需要进一步的实验和临床研究来证实泛醇可在TBI的早期阶段给药。 (注:原文中“dropping a 300 g weight from 70-cm height onto the skulls of the rats”中“dropping”一词原译文未翻译完整,推测可能是“掉落”之意,已补充完整,但不确定是否完全符合原意。)