Memantine Alleviates Brain Injury and Neurobehavioral Deficits after Experimental Subarachnoid Hemorrhage
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  • 作者:Chih-Yuan Huang ; Liang-Chao Wang ; Hao-Kuang Wang ; Chia-Hsin Pan…
  • 关键词:Blood–brain barrier ; Memantine ; Neuroprotection ; Nitric oxide synthase ; Subarachnoid hemorrhage
  • 刊名:Molecular Neurobiology
  • 出版年:2015
  • 出版时间:June 2015
  • 年:2015
  • 卷:51
  • 期:3
  • 页码:1038-1052
  • 全文大小:6,934 KB
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    22.Lin KY, Cherng C
  • 作者单位:Chih-Yuan Huang (1) (2)
    Liang-Chao Wang (1) (2)
    Hao-Kuang Wang (1) (3)
    Chia-Hsin Pan (1)
    Ya-Yun Cheng (1)
    Yan-Shen Shan (1) (2)
    Chung-Ching Chio (1) (4)
    Kuen-Jer Tsai (1) (5)

    1. Institute of Clinical Medicine, National Cheng Kung University, Tainan, 704, Taiwan
    2. Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan
    3. Department of Neurosurgery, E-Da Hospital, Kaohsiung, Taiwan
    4. Department of Neurosurgery, Chi Mei Medical Center, Tainan, Taiwan
    5. Center of Clinical Medicine, National Cheng Kung University Hospital, Tainan, Taiwan
  • 刊物主题:Neurosciences; Neurobiology; Cell Biology; Neurology;
  • 出版者:Springer US
  • ISSN:1559-1182
文摘
Subarachnoid hemorrhage (SAH) causes brain injury via glutamate excitotoxicity, which leads to an excessive Ca2+ influx and this starts an apoptotic cascade. Memantine has been proven to reduce brain injury in several types of brain insults. This study investigated the neuro-protective potential of memantine after SAH and explored the underlying mechanisms. An endovascular perforation rat model of SAH was used and Sprague–Dawley rats were randomized into sham surgery, SAH-?vehicle, and SAH-?memantine groups. The effects of memantine on SAH were evaluated by assessing the neuro-behavioral functions, blood–brain barrier (BBB) permeability and neuronal cell preservation. The mechanisms of action of memantine, with its N-methyl-d-aspartate (NMDA) antagonistic characteristics on nitric oxide synthase (NOS) expression and peroxynitrite formation, were also investigated. The apoptotic cascade after SAH was suppressed by memantine. Neuronal NOS (nNOS) expression, peroxynitrite formation, and subsequent oxidative/nitrosative stress were also reduced. Memantine effectively preserved BBB integrity, rescued neuronal injury, and improved neurological outcome in experimental SAH. Memantine has neuro-protective potential in experimental SAH and may help combat SAH-induced brain damage in the future.

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