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Inhibition of the Na+ -K+ -2Cl- -cotransporter in choroid plexus attenuates traumatic brain injury-induced brain edema and neuronal damage.

Abstract
The present study was aimed to elucidate the possible role of Na+ -K+ -2Cl- -cotransporter (NKCC1) on traumatic brain injury-induced brain edema, cerebral contusion and neuronal death by using traumatic brain injury animal model. Contusion volume was verified by 2,3,5,-triphenyltetrazolium chloride monohydrate staining. NKCC1 mRNA expression was detected by RT-PCR and the protein expression of NKCC1 was measured by Western blot. We found that the expression of NKCC1 RNA and protein were up-regulated in choroid plexus apical membrane from 2 h after traumatic brain injury, peaked at 8 h, and lasted for 24 h. Rats in the experimental group displayed severe brain edema (water content: 81.45 +/- 0.32% compared with 78.38 +/- 0.62% of sham group) and contusion volume significantly increased 8 h after traumatic brain injury (864.14 +/- 28.07 mm3). Administration of the NKCC1 inhibitor bumetanide (15 mg/kg, I.V.) significantly attenuated the contusion volume (464.03 +/- 23.62 mm3) and brain edema (water content: 79.12 +/- 0.28%) after traumatic brain injury. Our study demonstrates that NKCC1 contributes to traumatic brain injury-induced brain edema and neuronal damage.
AuthorsKwok-Tung Lu, Chang-Yen Wu, Nai-Chi Cheng, Yu-Yuan Peter Wo, Jen-Tsung Yang, Hao-Han Yen, Yi-Ling Yang
JournalEuropean journal of pharmacology (Eur J Pharmacol) Vol. 548 Issue 1-3 Pg. 99-105 (Oct 24 2006) ISSN: 0014-2999 [Print] Netherlands
PMID16962576 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Diuretics
  • Neuroprotective Agents
  • Slc12a2 protein, rat
  • Sodium Potassium Chloride Symporter Inhibitors
  • Sodium-Potassium-Chloride Symporters
  • Solute Carrier Family 12, Member 2
  • Bumetanide
  • RNA
Topics
  • Animals
  • Brain Edema (drug therapy, metabolism, pathology)
  • Brain Injuries (drug therapy, metabolism, pathology)
  • Bumetanide (pharmacology)
  • Choroid Plexus (drug effects, metabolism, pathology)
  • Diuretics (pharmacology)
  • Male
  • Neurons (drug effects, metabolism, pathology)
  • Neuroprotective Agents (pharmacology)
  • RNA (biosynthesis)
  • Rats
  • Rats, Wistar
  • Sodium Potassium Chloride Symporter Inhibitors (pharmacology)
  • Sodium-Potassium-Chloride Symporters (biosynthesis)
  • Solute Carrier Family 12, Member 2

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