Sugita Y, Kondo T, Kanazawa A, Itou T, Mizuno Y
Department of Neurology, Kohnodai Hospital, Ichikawa, Japan.
No To Shinkei. 1993 Apr;45(4):325-31.
Cerebrolysin (FPF1070) is an extract from pig brain obtained after enzymic digestion, containing free amino acids (85%) and low-molecular weight amino acid sequences (15%). We studied FPF 1070 to determine its ability to protect against delayed neuronal death in the gerbil when administered before and after ischemia. Transient forebrain ischemia was produced by occluding both common carotid arteries. Morphological changes in the CA1 sector of the hippocampus were evaluated 4 days after 5 min. occlusion. The formation of hydroxyl radicals in the postischemic (15 min. occlusion) reperfused (2 min.) brain was measured with HPLC using salicylate (SA). SA reacts with hydroxyl radicals and yields 2,3- and 2,5-dihydroxybenzoic acid (2,3- and 2,5-DHBA), which can be detected by HPLC-ECD. Gerbils treated with FPF 1070 revealed significant protection of CA1 neurons when it was applied 2 hrs before the occlusion. In contrast, no clear beneficial effects were observed when FPF 1070 was administered immediately after the recirculation. Concentrations of 2,3- and 2,5-DHBA after reperfusion increased significantly compared to the basal levels both in the hippocampus and cerebral cortex. The 2,5-DHBA contents in the postischemic reperfused brain was significantly reduced when FPF 1070 was administered 2 hr. before the occlusion. The administration of dimethylsulfoxide (DMSO), a hydroxyl radical scavenger, prevented ischemia-reperfusion-induced delayed neuronal death, and significantly reduced the 2,5-DHBA content after reperfusion. The results indicated that hydroxyl radicals are produced in the postischemic-reperfused brain and that hydroxyl radical scavenging action of FPF 1070 played an important role in preventing delayed neuronal death.
脑蛋白水解物(FPF1070)是猪脑经酶解后得到的提取物,含有游离氨基酸(85%)和低分子量氨基酸序列(15%)。我们研究了FPF1070在缺血前后给药时对沙鼠延迟性神经元死亡的保护能力。通过阻断双侧颈总动脉造成短暂性前脑缺血。在闭塞5分钟后4天评估海马CA1区的形态学变化。使用水杨酸(SA)通过高效液相色谱法测量缺血后(闭塞15分钟)再灌注(2分钟)脑内羟基自由基的形成。SA与羟基自由基反应生成2,3-和2,5-二羟基苯甲酸(2,3-和2,5-DHBA),可通过高效液相色谱电化学检测法检测。在闭塞前2小时应用FPF1070的沙鼠,CA1神经元得到了显著保护。相比之下,再灌注后立即给予FPF1070未观察到明显的有益效果。再灌注后海马和大脑皮质中2,3-和2,5-DHBA的浓度与基础水平相比显著增加。在闭塞前2小时给予FPF1070时,缺血再灌注后脑内2,5-DHBA的含量显著降低。给予羟基自由基清除剂二甲基亚砜(DMSO)可预防缺血再灌注诱导的延迟性神经元死亡,并显著降低再灌注后2,5-DHBA的含量。结果表明,缺血再灌注后脑内会产生羟基自由基,FPF1070的羟基自由基清除作用在预防延迟性神经元死亡中起重要作用。