Stroke, Vol 22, 1048-1052, Copyright © 1991 by American Heart Association
JA Clemens, PP Ho and JA Panetta
Several feasible mechanisms have been proposed as sources of neuronal
damage from ischemia and subsequent reperfusion. Included among these are
oxidative damage caused by free radical production and lipid peroxidation
and products derived from phospholipid breakdown. A series of
4-thiazolidinone compounds represented by LY178002 (5-[3,5-bis(1,1-
dimethylethyl)-4-hydroxyphenyl]methylene-4-thiazolidinon e) have been
described as inhibitors of multiple enzymes in the arachidonic acid
cascade, including fatty acid cyclooxygenase, 5-lipoxygenase, and
phospholipase A2. Accordingly, we evaluated LY178002 in a four-vessel
occlusion model of global forebrain ischemia with reperfusion. A 2-hour
pretreatment of 11 male Wistar rats with 150 mg/kg LY178002 significantly
protected against striatal (p = 0.0007) and hippocampal CA1 (p = 0.006)
damage after 30 minutes of global ischemia. Similar protection was observed
for the striatum (p = 0.005) and hippocampal CA1 layer (p = 0.025) after
pretreatment of 13 rats with 50 mg/kg LY178002. We further evaluated
LY178002 as a possible inhibitor of lipid peroxidation because part of its
chemical structure incorporates the aromatic backbone of the known
antioxidant butylated hydroxytoluene. We found LY178002 to be a potent
inhibitor of iron- dependent lipid peroxidation. Few substances possessing
a single pharmacological activity have been found to be of significant
therapeutic benefit in global ischemia of 30 minutes' duration because the
mechanisms that lead to cell death in response to ischemia are likely to be
multifactorial. Thus, the efficacy of LY178002 in this model may be due to
its ability to inhibit multiple sources of damage.
ARTICLES
LY178002 reduces rat brain damage after transient global forebrain ischemia
Lilly Research Laboratories, Eli Lilly and Co., Indiannapolis, Ind 46285.
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