Stroke, Vol 21, 808-811, Copyright © 1990 by American Heart Association
A Slivka, D Silbersweig and W Pulsinelli
Changes in the concentrations of carnitine, long-chain acylcoenzyme A, and
long-chain acylcarnitine in ischemic myocardium parallel those in ischemic
brain. Since carnitine treatment reverses these changes and improves
function in ischemic hearts, we examined whether carnitine given to rats
before focal cerebral ischemia (produced by tandem right common carotid
artery and middle cerebral artery occlusion) alters infarct volume in four
separate experiments. Mannitol was used to control for the osmotic effect
of carnitine on brain edema in one experiment. While carnitine was found to
significantly decrease infarct volume compared with saline in one
experiment (p less than 0.05, Student's t test), this result could not be
replicated in the subsequent three experiments. Because the positive
treatment effect was not reproducible despite similar experimental
conditions, the result of the first experiment was attributed to a type I
error. Mannitol also showed no significant effect on infarct volume. This
study emphasizes the need for concurrent controls with each group of
treated animals and the need for replicating the results of a single
experiment when testing for drug efficacy in animal models of focal
cerebral ischemia.
ARTICLES
Carnitine treatment for stroke in rats
Department of Neurology, Cornell University Medical College, New York, New York.
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