Document Detail

Role of ferrous iron chelator 2,2'-dipyridyl in preventing delayed vasospasm in a primate model of subarachnoid hemorrhage.
MedLine Citation:
PMID:  9452239     Owner:  NLM     Status:  MEDLINE    
OBJECT: Oxyhemoglobin (HbO2) causes vasospasm after subarachnoid hemorrhage (SAH). The most likely spasmogenic component of HbO2 is iron. Various iron chelators, such as deferoxamine, have prevented vasospasm in vivo with limited success. However, only chelators of iron in the ferric state have been studied in animal models of vasospasm after SAH. Because free radical formation requires the ferrous (Fe++) moiety and Fe++ is a potent binder of the vasodilator nitric oxide, the authors hypothesized that iron in the ferrous state causes vasospasm and that chelators of Fe++, such as 2,2'-dipyridyl, may prevent vasospasm. This study was undertaken to investigate the influence of 2,2'-dipyridyl on vasospasm after induction of SAH in a primate model. METHODS: Twelve cynomolgus monkeys were randomly divided into two groups and then both groups underwent placement of an arterial autologous blood clot in the subarachnoid space around the right middle cerebral artery (MCA). The five animals in the control group received intravenously administered saline and the seven treated animals received intravenously administered chelator (2,2'-dipyridyl) for 14 days. Sequential arteriography for assessment of MCA diameter was performed before and on the 7th day after SAH. CONCLUSIONS: Prevention of cerebral vasospasm by means of treatment with continuous intravenous administration of 2,2'-dipyridyl is reported in a primate model of SAH. This result provides insight into the possible mechanism of delayed vasospasm after aneurysmal SAH and provides a potential preventive therapy for it.
L L Horky; R M Pluta; R J Boock; E H Oldfield
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  88     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-02-12     Completed Date:  1998-02-12     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  298-303     Citation Subset:  AIM; IM    
Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA.
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MeSH Terms
2,2'-Dipyridyl / adverse effects,  therapeutic use*
Cerebral Angiography
Ferrous Compounds / antagonists & inhibitors*
Injections, Intravenous
Iron Chelating Agents / adverse effects,  therapeutic use*
Ischemic Attack, Transient / prevention & control*,  radiography
Liver / drug effects,  pathology
Macaca fascicularis
Subarachnoid Hemorrhage / drug therapy*
Time Factors
Transferrin / analysis
Reg. No./Substance:
0/Ferrous Compounds; 0/Iron Chelating Agents; 11096-37-0/Transferrin; 366-18-7/2,2'-Dipyridyl

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

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