Stroke, Vol 23, 861-864, Copyright © 1992 by American Heart Association
SE Smith and BS Meldrum
BACKGROUND AND PURPOSE: Cerebroprotection after the administration of N-
methyl-D-aspartate antagonists has been well documented. The present study
sought to determine whether a cerebroprotective effect could be achieved
with the administration of a non-N-methyl-D-aspartate antagonist, GYKI
52466 (1-(4-aminophenyl)-4-methyl-7,8-methylene-dioxy- 5H-2,3-benzodiazep
ine hydrochloride; molecular weight, 330) after middle cerebral artery
occlusion in the rat. METHODS: Neurological deficit and infarct volume 24
hours after permanent left middle cerebral artery occlusion in Fischer rats
(n = 7-13 per group per dose) were studied. Cerebral infarcts was
visualized by the lack of reduction of 2,3,5-triphenyltetrazolium chloride.
RESULTS: GYKI 52466 (10 mg.kg-1 i.p. at 0, 2, 4 hours) after middle
cerebral artery occlusion had no effect on infarct volume. GYKI 52466 (10
mg.kg-1 i.v. for 5 minutes followed by 15 mg.kg-1.hr-1 i.v. for 2 hours
immediately after middle cerebral artery occlusion reduced cortical infarct
volume by 68% (from 69 mm3 in vehicle-treated to 22 mm3 in GYKI
52466-treated animals; p less than 0.05). A 1-hour delay before initiation
of drug infusion resulted in a 48% reduction in cortical infarct volume
(from 60 mm3 vehicle-treated rats to 31 mm3 in GYKI 52466-treated rats; p
less than 0.05). A 2-hour delay before initiation of drug infusion had no
effect on cortical infarct volume. Neurological deficits (with blinded
assessment after 24 hours) were improved after immediate treatment and
after delayed treatment (1 or 2 hours). CONCLUSIONS: The cerebroprotective
effect of GYKI 52466 in the rat suggests a possible therapeutic role for
non-N-methyl-D-aspartate antagonists given shortly after the onset of
stroke.
ARTICLES
Cerebroprotective effect of a non-N-methyl-D-aspartate antagonist, GYKI 52466, after focal ischemia in the rat
Department of Neurology, Institute of Psychiatry, Denmark Hill, UK.
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