Document Detail


Effects of propofol, midazolam and thiopental sodium on outcome and amino acids accumulation in focal cerebral ischemia-reperfusion in rats.
MedLine Citation:
PMID:  12775250     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effects of propofol, midazolam and thiopental sodium on outcomes and amino acid accumulation in focal cerebral ischemia-reperfusion in rats. METHODS: Male Sprague Dawley (SD) rats were scheduled to undergo 3-hour middle cerebral artery occlusion by intraluminal suture and 24-hour reperfusion. Neurologic outcomes were scored on a 0-5 grading scale. Infarct volume was shown with triphenyltetrazolium chloride staining and measured by an image analysis system. Concentrations of various amino acids (aspartate, glutamate, glycine, taurine, and gama-aminobutyric acid) were measured after 3 hours of reperfusion using high performance liquid chromatography. Propofol, midazolam and thiopental sodium were given intraperitoneally at the beginning of reperfusion. RESULTS: Both propofol and midazolam attenuated neurological deficits and reduced infarct and edema volumes. Propofol showed better neurological protection than midazolam while thiopental sodium did not exhibit any protective effect. Both propofol and midazolam decreased excitatory amino acids accumulation, while propofol increased gama-aminobutyric acid accumulation in ischemic areas in reperfusion. CONCLUSION: Propofol and midazolam, but not thiopental sodium, may provide protective effects against reperfusion induced injury in rats subjected to focal cerebral ischemia. This neurological protection may be due to the acceleration of excitatory amino acids elimination in reperfusion.
Authors:
Lianhua Chen; Qinyan Gong; Changsi Xiao
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  116     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-05-30     Completed Date:  2003-06-12     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  292-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, The Ophlhalmology and Otorhinlaryngology Hospital, Fudan University, Shanghai 200031, China. chenlianhua@citiz.net
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MeSH Terms
Descriptor/Qualifier:
Adenosine Triphosphate / metabolism
Animals
Brain / metabolism*
Brain Edema / drug therapy
Brain Ischemia / metabolism*
Excitatory Amino Acids / metabolism*
Male
Midazolam / pharmacology*
Myocardial Infarction / drug therapy
Neuroprotective Agents / pharmacology*
Propofol / pharmacology*
Rats
Rats, Sprague-Dawley
Reperfusion Injury / prevention & control*
Thiopental / pharmacology*
Chemical
Reg. No./Substance:
0/Excitatory Amino Acids; 0/Neuroprotective Agents; 2078-54-8/Propofol; 56-65-5/Adenosine Triphosphate; 59467-70-8/Midazolam; 76-75-5/Thiopental

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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