Abstract | BACKGROUND AND PURPOSE:
Kappa-opioid receptors (KOR) have been implicated in neuroprotection from ischemic neuronal injury. We tested the effects of a selective and specific KOR agonist, BRL 52537 hydrochloride [(+/-)-1-(3,4-dichlorophenyl)acetyl-2-(1-pyrrolidinyl) methylpiperidine], on infarct volume and nitric oxide production after transient focal ischemia in the rat. METHODS: With the use of the intraluminal filament technique, halothane-anesthetized male Wistar rats (weight, 250 to 300 g) were subjected to 2 hours of focal cerebral ischemia confirmed by Doppler flowmetry. In a blinded randomized fashion, rats were treated with intravenous saline or 1 mg/kg per hour BRL 52537 infusion, initiated 15 minutes before occlusion and maintained until 2 hours of reperfusion. In a second experiment, rats were treated during reperfusion with saline or 1 mg/kg per hour BRL 52537, initiated at onset of reperfusion and continued for 22 hours. In a final experiment, in vivo striatal nitric oxide production was estimated via microdialysis by quantification of citrulline recovery after labeled arginine infusion in striatum of intravenous BRL 52537- or saline-treated rats. RESULTS: In rats treated with BRL 52537 during ischemia and early reperfusion, infarct volume was significantly attenuated in cortex (16+/-6% versus 40+/-7% of ipsilateral cortex in saline group) and in caudoputamen (30+/-8% versus 66+/-6% of ipsilateral caudoputamen in saline group). Infarct volume was also reduced by treatment administered only during reperfusion in cortex (19+/-8% in BRL 52537 group [n=10] versus 38+/-6% in saline group) and in caudoputamen (35+/-9% versus 66+/-4% in saline group). BRL 52537 treatment markedly attenuated NO production in ischemic striatum compared with saline-treated controls. CONCLUSIONS: These data demonstrate that (1) the selective KOR agonist BRL 52537 provides significant neuroprotection from focal cerebral ischemia when given as a pretreatment or as a posttreatment and (2) attenuation of ischemia-evoked nitric oxide production in vivo may represent one mechanism of ischemic neuroprotection.
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Authors | Toru Goyagi, Thomas J K Toung, Jeffrey R Kirsch, Richard J Traystman, Raymond C Koehler, Patricia D Hurn, Anish Bhardwaj |
Journal | Stroke
(Stroke)
Vol. 34
Issue 6
Pg. 1533-8
(Jun 2003)
ISSN: 1524-4628 [Electronic] United States |
PMID | 12738895
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- 1-(3,4-dichlorophenyl)acetyl-2-(1-pyrrolidinyl)methylpiperidine
- Neuroprotective Agents
- Piperidines
- Pyrrolidines
- Receptors, Opioid, kappa
- Citrulline
- Nitric Oxide
- Arginine
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Topics |
- Animals
- Arginine
(administration & dosage, metabolism)
- Cerebral Infarction
(pathology, prevention & control)
- Citrulline
(analysis, biosynthesis)
- Corpus Striatum
(blood supply, drug effects, metabolism)
- Disease Models, Animal
- Ischemic Attack, Transient
(drug therapy, metabolism, pathology)
- Male
- Microdialysis
- Neuroprotective Agents
(pharmacology)
- Nitric Oxide
(metabolism)
- Piperidines
(pharmacology)
- Pyrrolidines
(pharmacology)
- Rats
- Rats, Wistar
- Receptors, Opioid, kappa
(agonists)
- Treatment Outcome
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