The Effect of Blood Glutamate Scavengers Oxaloacetate and Pyruvate on Neurological Outcome in a Rat Model of Subarachnoid Hemorrhage

被引：50

作者：

Boyko, Matthew ^{[1
]}

Melamed, Israel ^{[2
]}

Gruenbaum, Benjamin Fredrick ^{[1
]}

Gruenbaum, Shaun Evan ^{[3
]}

Ohayon, Sharon ^{[1
]}

Leibowitz, Akiva ^{[1
]}

Brotfain, Evgeny ^{[1
]}

Shapira, Yoram ^{[1
]}

Zlotnik, Alexander ^{[1
]}

机构：

[1] Ben Gurion Univ Negev, Dept Anesthesiol & Crit Care, Soroka Med Ctr, Fac Hlth Sci, IL-84005 Beer Sheva, Israel

[2] Ben Gurion Univ Negev, Dept Neurosurg, Soroka Med Ctr, Fac Hlth Sci, IL-84005 Beer Sheva, Israel

[3] Yale Univ, Dept Anesthesiol, Sch Med, New Haven, CT 06520 USA

来源：

NEUROTHERAPEUTICS | 2012年 / 9卷 / 03期

关键词：

Glutamate; Neurological outcome; Scavengers; Subarachnoid hemorrhage; Oxaloacetate; Pyruvate; TRAUMATIC BRAIN-INJURY; EXCITATORY AMINO-ACIDS; BARRIER PERMEABILITY CHANGES; ACUTE ISCHEMIC-STROKE; CLOSED-HEAD INJURY; CEREBROSPINAL-FLUID; CLINICAL-TRIALS; CEREBRAL VASOSPASM; EXCESS GLUTAMATE; PLASMA GLUTAMATE;

D O I：

10.1007/s13311-012-0129-6

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Blood glutamate scavengers have been shown to effectively reduce blood glutamate concentrations and improve neurological outcome after traumatic brain injury and stroke in rats. This study investigates the efficacy of blood glutamate scavengers oxaloacetate and pyruvate in the treatment of subarachnoid hemorrhage (SAH) in rats. Isotonic saline, 250 mg/kg oxaloacetate, or 125 mg/kg pyruvate was injected intravenously in 60 rats, 60 minutes after induction of SAH at a rate of 0.1 ml/100 g/min for 30 minutes. There were 20 additional rats that were used as a sham-operated group. Blood samples were collected at baseline and 90 minutes after SAH. Neurological performance was assessed at 24 h after SAH. In half of the rats, glutamate concentrations in the cerebrospinal fluid were measured 24 h after SAH. For the remaining half, the blood brain barrier permeability in the frontal and parieto-occipital lobes was measured 48 h after SAH. Blood glutamate levels were reduced in rats treated with oxaloacetate or pyruvate at 90 minutes after SAH (p < 0.001). Cerebrospinal fluid glutamate was reduced in rats treated with pyruvate (p < 0.05). Neurological performance was significantly improved in rats treated with oxaloacetate (p < 0.05) or pyruvate (p < 0.01). The breakdown of the blood brain barrier was reduced in the frontal lobe in rats treated with pyruvate (p < 0.05) and in the parieto-occipital lobes in rats treated with either pyruvate (p < 0.01) or oxaloacetate (p < 0.01). This study demonstrates the effectiveness of blood glutamate scavengers oxaloacetate and pyruvate as a therapeutic neuroprotective strategy in a rat model of SAH.

引用

页码：649 / 657

页数：9

共 75 条

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