Stroke, Vol 25, 2047-2053, Copyright © 1994 by American Heart Association
DS Baskin, MA Widmayer, JL Browning, ML Heizer and WK Schmidt
BACKGROUND AND PURPOSE: The purpose of this study was to determine the
therapeutic efficacy of three kappa-opioid agonists used for delayed
treatment of experimental focal cerebral ischemia. METHODS: Forty
halothane-anesthetized cats underwent permanent occlusion of the right
intracranial internal carotid, middle cerebral, and anterior cerebral
arteries via a transorbital, microsurgical approach. Six hours after
occlusion, animals received a blinded bolus injection, and a subcutaneous
osmotic pump was implanted to provide continuous release for 7 days. The
injection and pump contained either saline or one of three kappa-agonists:
dynorphin (1-13), U-50,488, or DuP E3800. Survival, neurological function,
tissue damage, and brain weight were assessed. RESULTS: As a group,
kappa-agonist-treated animals had higher survival (P < .02), less tissue
damage (P < .02), and lower brain weight (P < .05) than saline
controls. U-50,488 more effectively improved survival (P < .03) than
dynorphin (P < .07) or E3800 (P < .07). Each of the three kappa
compounds improved tissue damage (dynorphin, P < .02; U-50,488, P <
.05; E3800, P < .05). Greater improvement in neurological function was
seen after treatment with dynorphin (P < .05) than with U-50,488 (P <
.6) or E3800 (P < .7). The only significant reduction in brain weight
was seen after dynorphin treatment (P < .01). CONCLUSIONS: Compounds
that act at the kappa subclass of opiate receptors are effective in
increasing survival, improving neurological function, and decreasing tissue
damage and edema in a cat model of focal cerebral ischemia. The current
study provides support for the benefits of treatment of acute
cerebrovascular ischemia with kappa-opioid agonists. The agents may prove
to be of superior clinical utility because of efficacy even when
administered 6 hours after the onset of stroke.
ARTICLES
Evaluation of delayed treatment of focal cerebral ischemia with three selective kappa-opioid agonists in cats
Department of Surgery, Veterans Affairs Medical Center, Houston, Tex.
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