Stroke, Vol 24, 1063-1067, Copyright © 1993 by American Heart Association
MJ Leach, JH Swan, D Eisenthal, M Dopson and M Nobbs
BACKGROUND AND PURPOSE: The excitatory amino acid neurotransmitter
glutamate is involved in excitotoxic brain injury and neurodegeneration
after cerebral ischemia. Therefore, compounds that block the release of
glutamate may be useful as cerebroprotective agents. The purpose of this
study was to evaluate the cerebroprotective properties of a glutamate
release inhibitor, BW619C89. METHODS: In the studies reported here, the
effect of BW619C89 [4-amino-2-(4-methyl-1-piperazinyl)-5-
(2,3,5-trichlorophenyl)pyrimidine] on neurotransmitter release (endogenous
amino acids, gamma-aminobutyric acid, and acetylcholine) from slices of rat
brain cerebral cortex in vitro has been determined. The neuroprotective
efficacy of BW619C89 has been evaluated using the middle cerebral artery
occlusion model of focal cerebral ischemia in the Fischer 344 rat. RESULTS:
In the in vitro studies, BW619C89 inhibited veratrine- (but not potassium-)
evoked release of both endogenous glutamate and aspartate from rat cerebral
cortex slices with IC50 values of approximately 5 microM. BW619C89 was
approximately 10- fold less potent to inhibit veratrine-evoked
3H-gamma-aminobutyric acid release (IC50 = 51 microM), fourfold less potent
to inhibit 3H- acetylcholine release (IC50 = 21 microM), and at 10 microM
had only weak activity at excitatory amino acid (N-methyl-D-aspartate,
kainate, and alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid)
binding sites. When administered intravenously to Fischer 344 rats 5
minutes after permanent middle cerebral artery occlusion, BW619C89 produced
marked reductions of both total (cortex and basal ganglia) and cortical
infarct volumes. Cortical infarct size was reduced by 20% at a dose of
BW619C89 of 5 mg/kg (n = 6, not significant); 43% at 10 mg/kg (n = 8, P
< .01); 59% at 20 mg/kg (n = 8, P < .001); 61% at 30 mg/kg (n = 8, P
< .001), and 53% at 40 mg/kg (n = 8, P < .001). BW619C89 at doses of
20 and 30 mg/kg also significantly reduced noncortical (basal ganglia)
infarct volumes, demonstrating that a proportion of this tissue also
appears to be salvageable. Behavioral effects observed were dose related,
generally minor, and at doses of 20 mg/kg IV and above consisted of body
tremor and mild ataxia lasting approximately 2 hours. CONCLUSIONS: These
results suggest that glutamate release inhibitors such as BW619C89 may
provide an alternative to excitatory amino acid receptor antagonists in the
treatment of focal cerebral ischemia and stroke.
ARTICLES
BW619C89, a glutamate release inhibitor, protects against focal cerebral ischemic damage
Department of Pharmacology, Wellcome Research Laboratories, Beckenham, Kent, England, UK.
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