Propofol and
ketamine may provide certain degree of neuroprotection, but the underlying mechanism remains unclear to date. The
cAMP response element-binding protein (CREB) was proposed that its phosphorylation at Ser133 (P-CREB) constituted a convergence point involved in neuroprotection. The purpose of this study was to determine whether different dosages of
propofol and
ketamine could provide neuroprotection against permanent
middle cerebral artery occlusion (MCAO)-induced ischemic
injuries and the involvement of P-CREB. Eighty adult male BALB/c mice that underwent 6 h MCAO were randomly divided into eight groups:
Sham-operation; MCAO + saline; MCAO + 25, 50, 100 mg/kg
propofol; and MCAO + 25, 50, 100 mg/kg
ketamine (
intraperitoneal injection 30 min following MCAO). We found that 50, 100 (not 25) mg/kg
propofol, and 25 (not 50 and 100) mg/kg
ketamine could significantly reduce the
infarct volume,
edema ratio and neurological deficit (n = 10 per group) as well as inhibit the decrease of P-CREB level in peri-
infarct region when compared with that of MCAO + saline group (n = 6 per group). In addition, the results of double-labeled immunofluorescent staining showed that P-CREB co-localized with neuron-specific marker, NeuN, in the peri-
infarct region of 50 mg/kg
propofol and 25 mg/kg
ketamine treated 6 h MCAO mice (n = 4 per group). These results suggested that inhibition of neuron-specific P-CREB dephosphorylation in the peri-
infarct region is involved in high dose
propofol and low dose
ketamine-induced neuroprotection of 6 h MCAO mice.