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Neuronal brain injury after cerebral ischemic stroke is ameliorated after subsequent administration of (R)-ketamine, but not (S)-ketamine.

Abstract
Although stroke is the most common acute cerebrovascular disease, there are no currently effective therapeutic drugs for ischemic stroke. (R,S)-ketamine has been shown to protect against brain injury in rodents after middle cerebral artery occlusion (MCAO). Interestingly, we reported that (R)-ketamine has greater beneficial effects than (S)-ketamine in animal models of depression and Parkinson's disease. This study was undertaken whether two enantiomers of ketamine show neuroprotective effects in MCAO model. MCAO-induced brain injury and behavioral abnormalities in mice was attenuated by subsequent administration of (R)-ketamine (10 mg/kg, twice, 1 and 24 h after MCAO), but not (S)-ketamine (10 mg/kg, twice, 1 and 24 h after MCAO). Furthermore, the treatment with (R)-ketamine (10 mg/kg, twice, 30 min before and 24 h after MCAO) significantly protected against brain injury and behavioral abnormalities in mice after MCAO. These findings suggest that (R)-ketamine can protect against neuronal injury and behavioral abnormalities in mice after MCAO. Therefore, it is likely that (R)-ketamine could represent a therapeutic drug for ischemic stroke.
AuthorsZhongwei Xiong, Lijia Chang, Youge Qu, Yaoyu Pu, Siming Wang, Yuko Fujita, Tamaki Ishima, Jincao Chen, Kenji Hashimoto
JournalPharmacology, biochemistry, and behavior (Pharmacol Biochem Behav) Vol. 191 Pg. 172904 (04 2020) ISSN: 1873-5177 [Electronic] United States
PMID32156500 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2020 Elsevier Inc. All rights reserved.
Chemical References
  • Neuroprotective Agents
  • Ketamine
Topics
  • Animals
  • Behavior, Animal (drug effects)
  • Brain Injuries (drug therapy, etiology)
  • Disease Models, Animal
  • Infarction, Middle Cerebral Artery (complications)
  • Ischemic Stroke (complications)
  • Ketamine (administration & dosage, chemistry)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neuroprotective Agents (administration & dosage)
  • Stereoisomerism
  • Treatment Outcome

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