Protective role of EGb 761 on cerebral ischemic damage, comparison with mannitol and U74389F

Amaç: Mannitol, EGb 761 (Ginkgo biloba extract) ve U74389F (lazaroid) .in antiödematöz etksini karşılaştırmak amacıyla bu çalışma dizayn edildi. Gereç ve yöntem: Herbirinde 10'ar rat olmak üzere 4 grup oluşturuldu. Izotonik NaCl uygulanan kontrol grubu, EGb uygulanan grup, U74389F uygulanan grup ve Mannitol uygulanan grup. Tüm gruplarda bilateral arteria karotis kommunislerin oklüzyonu ile serebral iskemi oluşturuldu. Her gruba ilgili olduğu ilaç uygulandı. Beyinler çıkartılarak beyin su miktarları belirlendi. Bulgular: Beyin su miktarı EGb 761, mannitol, ve U74389F uygulanan gruplarda kontrol grubuna göre anlamlı olarak azaldı (p

EGb 761'in mannitol ve U74389F ile karşılaştırılmalı olarak serebral iskemi üzerine koruyucu rolü

Aim: We designed an experimental study to compare the antiedematous effect of three different kind drugs which were Mannitol, EGb 761 (Ginkgo biloba extract) and U74389F (lazaroid). Materials and Methods: Forty rats were assigned into four groups (n=10, for each) as following: Control (saline) group, EGb 761 treatment group, U74389F treatment group, and mannitol treatment group. In all groups, cerebral ischemia was induced by bilateral common carotid artery occlusion. The agents were applied to appropriate groups. The brains were removed and brain water content was determined. Results: The brain water content significantly decreased in EGb 761, mannitol, and U74389F treated groups when compared to control group (p<0.001). On the other hand, the water content was higher in U74389F treated group, comparing with EGb 761 and mannitol groups. Conclusion: These results indicate that EGb 761, U74389F and mannitol are effective treatment agents in the experimental brain ischemia in rats. Among these agents EGb 761 and mannitol showed the best and the same effect.

___

  • 1. Klatzo I. Presidential address. Neuropathological aspects of brain edema. J Neuropathol Exp Neurol 1967; 26: 1-4.
  • 2. Schimid-Elsaesser R, Zausinger S, Hungerhaber E, Baethmann A, Reulen HJ. Neuroprotective properties of a novel antioxidant (U-101033E) with improved blood-brain barrier permeability in focal cerebral ischemia. Acta Neurochir Suppl (Wien) 1997; 70: 176-8.
  • 3. Hansen AJ, Zeuthen T. Extracellular ion concentrations during spreading depression and ischemia in the rat brain cortex. Acta Physiol Scand 1981; 113: 437-45.
  • 4. Gillbe CE, Sage FJ, Gutteridge JM. Commentary: mannitol: molecule magnifique or a case of radical misinterpretation. Free Radic Res 1996; 24(1): 1-7.
  • 5. Otsubo K, Katayama Y, Kashiwagi F, Muramatsu H, Terashi A. Comparison of the effects of glycerol, mannitol, and urea on ischemic hippocampal damage in gerbils. Acta Neurochir 1994; 60: 321-4.
  • 6. Czernicki Z, Kuroiwa T, Ohno K, Endo S, Ho U. Effect of acetazolamide on early ischemic cerebral edema in gerbils. Acta Neurochir 1994; 60: 329-31.
  • 7. Hall ED, Braughler JM, Yonkers PA, Smith SL, Linseman KL, Means ED, Scherch HM, Von Voigtlander PF, Lahti RA, Jacobsen EJ. U-78517F: a potent inhibitor of lipid peroxidation with activity in experimental brain injury and ischemia. J Pharmacol Exp Ther 1991; 258: 688-94.
  • 8. Kashiwagi F, Katayama Y, Igarashi H, Iida S, Muramatsu H, Terashi A. Effect of a new calcium antagonist (SM-6586) on experimental cerebral ischemia. Acta Neurochir 1994; 60: 289-92.
  • 9. Schilling L, Wahl M. Effects of antihistaminics on experimental brain edema. Acta Neurochir 1994; 60: 79-82.
  • 10. Uyama O, Matsuyama T, Michishita H, Nakamura H, Sugita M. Protective effects of human recombinant superoxide dismutase on transient ischemic injury of CA1 neurons in gerbils. Stroke 1992; 23: 75-81.
  • 11. DeFeudis FV. Ginkgo biloba Extract (EGb 761): pharmacological activities and clinical applications. Elsevier, Paris,1991; 187.
  • 12. US Department of Health and Human Services. The guide for the care and use of laboratory animals. Publication No. (NIH) 86-23, revised 1985. Washington, DC: DHHS.
  • 13. Karcher L, Zagermann P, Krieglstein J. Effect of an extract of Ginkgo biloba on rat brain energy metabolismin hypoxia. Naunyn-Schmiedeberg's Arch Pharmacol 1984; 327: 31-35.
  • 14. Otani M, Chatterjee SS, Gabara B, Kreutzberg GW. Effect of an extract of Ginkgo biloba on triethyltin-induced cerebral edema. Acta Neuropathol. 1986; 69:54-65.
  • 15. Beck T, Abdel-Dahman MM, Bielenberg GW, Oberpichler H, Krieglstein J. Comparative study on the effects of two extract fractions of Ginkgo biloba on local cerebral blood flow and on brain energy metabolism in the rat under hypoxia. In: Pharmacology of Cerebral Ischemia (Krieglstein J, ed) Elsevier, Amsterdam, 1986; 345-350.
  • 16. Shin MS, Angel MF, Im MJ, Manson PN. Effects of 21-aminosteroid U74389F on skin flap survival after secondary ischemia. Plast Reconstr Surg 1994; 94: 661-6.
  • 17. Kirino T. Delayed neuronal death in the gerbil hippocampus following ischemia. Brain Res 1982; 239: 57-69.
  • 18. Simon RP, Swan JH, Griffiths T, Meldrum BS. Blockade of N-methil-D-aspartate receptors may protect against ischemic damage in the brain. Science 1984; 226: 850-2.
  • 19. Simon RP, Griffiths T, Evans MC, Swan JH, Meldrum BS. Calcium overload in selective vulnerable neurons of the hippocampus during and after ischemia. J Cereb Blood Flow Metab 1984; 4: 350-1.
  • 20. Pellegrini-Giampietro DE, Cherici G, Alesiani M, Carla V, Moroni F. Excitatory amino acid release and free radical formation may cooperate in the genesis of ischemia-induced neuronal damage. J Neurosci 1990; 10: 1035-41.
  • 21. Ikeda Y, Long DM. The molecular basis of brain injury and brain edema: the role of oxygen free radicals. Neurosurg 1990; 27: 1-11.
  • 22. Braquet P, Hosford D. Ethopharmacology and the development of natural PAF antagonists as therapeutic agents. J Ethopharmacol 1991; 32: 135-9.
  • 23. Bayar MA, Erdem Y, Ozturk K, Bescalti O, Caydere M, Yucel D, Buharali Z, Ustun H. The effect of EGb-761 on morphologic vasospasm in canine basilar artery after subarachnoid hemorrhage. J Cardiovasc Pharmacol 2003; 42(3):395-402.
  • 24. Sasaki Y, Noguchi T, Yamamoto E, Giddings JC, Ikeda K, Yamori Y, Yamamoto J. Effects of Ginkgo biloba extract (EGb 761) on cerebral thrombosis and blood pressure in stroke-prone spontaneously hypertensive rats. Clin Exp Pharmacol Physiol 2002; 29(11): 963-7.
  • 25. Rabin O, Drieu K, Grange E, Chang MC, Rapoport SI, Purdon AD. Effects of EGb 761 on fatty acid reincorporation during reperfusion following ischemia in the brain of the awake gerbil. Mol Chem Neuropathol 1998; 34(1): 79-101.
  • 26. Drieu K, Vranckx R, Benassayad C, Haourigi M, Hassid J, Yoa RG, Rapin JR, Nunez EA. Effect of the extract of Ginkgo biloba (EGb 761) on the circulating and cellular profiles of polyunsaturated fatty acids: correlation with the anti-oxidant properties of the extract. Prostaglandins Leukot Essent Fatty Acids. 2000; 63(5): 293-300.
  • 27. Pietri S, Maurelli E, Drieu K, Culcasi M. Cardioprotective and anti-oxidant effects of the terpenoid constituents of Ginkgo biloba extract (EGb 761).J Mol Cell Cardiol 1997; 29(2): 733-42.
  • 28. Oberpichler H, Beck T, Abdel-Rahman MM, Bielenberg GW, Krieglstein J. Effects of Ginkgo biloba constituents related to protection against brain damage caused by hypoxia. Pharmacol Res Commun. 1988; 20: 349-68.
  • 29. Oberpichler H, Sauer D, Rossberg C, Mennel HD, Krieglstein J. PAF-antagonist ginkgolide B reduces postischemic neuronal damage in rat brain hippocampus.J Cereb Blood Flow Metab. 1990; 10: 133-5.
  • 30. Sancesario G, Kreutzberg GW. Stimulation of astrocytes affects cytotoxic brain edema. Acta Neuropathol 1986;72: 3-14.
  • 31. Albers GW, Goldberg MP, Choi DW. N-Methyl-D-Aspartate antagonists: ready for clinical trial in brain ischaemia. Ann Neurol 1989;25:398-403.
  • 32. Brehm L, Jorgensen FS, Hansen JJ, Krogsgaard-Larsen P. Agonists and antagonists for central glutamic acid reseptors. Drug News Perspect . 1989; 1: 138-44.
  • 33. Khalil A, Fortun A, Hebert S, Jay-Gerin JP, El Abbouyi A, Wallach J, Fulop T. Novel 21-aminosteroid U-74389G inhibits low-density lipoprotein peroxidation induced by .OH and O2 -Free radicals. Life Sci 1998;63(9): 769-79.
  • 34. Kuwaki K, Komatsu K, Sohma H, Abe T. Lazaroid U74389G ameliorates ischemia-reperfusion injury in the rat lung transplant model. Ann Thorac Cardiovasc Surg 1999; 5(1): 11-17.
  • 35. Kabadere S, Oztopcu P, Korkmaz S, Erol K, Uyar R.MgSO4 and lazaroid (U-83836E) partially protects glioma cells against glutamate toxicity in vitro. Acta Neurobiol Exp (Wars) 2004; 64(4): 461-6.
  • 36. Clement HW, Grote C, Heiser P, Wesemann W. Effect of lazaroid pretreatment on dopamine-induced impairment of the rat nigrostriatal system. J Neural Transm 2002;109(5-6): 673-82.
  • 37. Halliwell B. Role of free radicals in the neurodegenerative diseases: therapeutic implications for antioxidant treatment. Drugs Aging 2001; 18(9): 685-716.
  • 38. Schmid-Elsaesser R, Hungerhuber E, Zausinger S, Baethmann A, Reulen HJ. Neuroprotective efficacy of combination therapy with two different antioxidants in rats subjected to transient focal ischemia. Brain Res 1999; 816(2): 471-9.
  • 39. Tseng MT, Chan SA, Reid K, Lyer V. Post-ischemic treatment with a lazaroid (U74389G) prevents transient global ischemic damage in rat hippocampus. Neurol Res 1997; 19(4): 431-4.
  • 40. Hall ED. Effects of the 21-aminosteroid U74006F on posttraumatic spinal cord ischemia in cats. J Neurosurg 1988; 68: 462-5.
  • 41. Hartwell RC, Sutton LN. Mannitol, intracranial pressure, and vasogenic edema. Neurosurg 1993; 32: 444-540.
  • 42. MacGovern GJ, Bolling SF, Casale AS. The mechanism of mannitol in reducing ischemic injury: hyper-osmolarity or hydroxyl scavenger. Circulation 1984; 70 (Suppl): 191-5.
  • 43. Nath F, Galbraith S. The effect of mannitol on cerebral white matter water content. J Neurosurg 1986; 65: 41-3.
  • 44. Muizelaar JP, Wei EP, Kontos HA, Becker DP. Mannitol causes compensatory cerebral vasoconstriction and vasodilatation in response to blood viscosity changes. J Neurosurg 1983; 59: 822-8.
  • 45. Dosesso JM, Scialli AR, Goeringer GC. D-mannitol,a specific hydroxyl free radical scavenger, reduces the developmental toxicity of hydroxyurea in rabbits. Teratology 1994; 49(4): 248-59.
  • 46. Patro BS, Bauri AK, Mishra S, Chattopadhyay S. Antioxidant activity of Myristica malabarica extracts and their constituents. J Agric Food Chem 2005; 53(17):6912-8.
  • 47.Verrax J, Delvaux M, Beghein N, Taper H, Gallez B, Buc Calderon P. Enhancement of quinone redox cycling by ascorbate induces a caspase-3 independent cell death in human leukaemia cells. An in vitro comparative study. Free Radic Res 2005;39: 649-57.
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1300-7416
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1994
  • Yayıncı: SDÜ Basımevi / Isparta