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Cerebroprotective properties of SM-20220, a potent Na(+)/H(+) exchange inhibitor, in transient cerebral ischemia in rats.

Abstract
The aim of this study was to investigate the contribution of the Na(+)/H(+) exchanger to cerebral ischemia using SM-20220 (N-(aminoiminomethyl)-1-methyl-1H-indole-2-carboxamide methanesulfonate), a newly synthesized compound. In in vitro experiments, we evaluated the inhibitory effect of SM-20220 on the Na(+)/H(+) exchanger in cultured neurons and glial cells. The IC(50) of SM-20220 in neurons and glial cells was 5 nM and 20 nM, respectively. To examine the in vivo effects of SM-20220 on brain injury, we used a transient middle cerebral artery occlusion model in rats. SM-20220 given intravenously 1 h after occlusion significantly reduced the extent of cerebral edema, Na(+) content and infarcted area in a dose-dependent manner. The results of the present study suggest that the Na(+)/H(+) exchanger is involved in the aggravation of brain edema and infarction, and its inhibitor may exert protective effects on post-ischemic brain damage.
AuthorsY Kuribayashi, N Itoh, M Kitano, N Ohashi
JournalEuropean journal of pharmacology (Eur J Pharmacol) Vol. 383 Issue 2 Pg. 163-8 (Oct 27 1999) ISSN: 0014-2999 [Print] Netherlands
PMID10585530 (Publication Type: Journal Article)
Chemical References
  • Amides
  • Enzyme Inhibitors
  • Indoles
  • Neuroprotective Agents
  • SM 20220
  • Sodium-Hydrogen Exchangers
  • Sodium
Topics
  • Amides (therapeutic use)
  • Animals
  • Body Water (metabolism)
  • Brain Edema (metabolism, prevention & control)
  • Cells, Cultured
  • Cerebral Infarction (metabolism, prevention & control)
  • Enzyme Inhibitors (therapeutic use)
  • Hydrogen-Ion Concentration
  • Indoles (therapeutic use)
  • Ischemic Attack, Transient (drug therapy, enzymology)
  • Male
  • Neuroglia (drug effects, enzymology)
  • Neurons (drug effects, enzymology)
  • Neuroprotective Agents (therapeutic use)
  • Rats
  • Rats, Sprague-Dawley
  • Rats, Wistar
  • Sodium (metabolism)
  • Sodium-Hydrogen Exchangers (antagonists & inhibitors, metabolism)

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