Neuroprotective Effects of l-Carnitine and Vitamin E Alone or in Combination Against Ischemia-Reperfusion Injury in Rats

Neurological injury because of transient cerebral ischemia is a potential complication of cardiovascular surgery. In this study, the neuroprotective effects of l-carnitine, vitamin E, and the combination of these agents on ischemia/reperfusion (I/R) injury were determined in a rat model of transient...

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Veröffentlicht in:The Journal of surgical research 2006-03, Vol.131 (1), p.124-130
Hauptverfasser: Onem, Gokhan, Aral, Erinc, Enli, Yasar, Oguz, Emin Oguzhan, Coskun, Erdal, Aybek, Hulya, Ozcan, Ali Vefa, Sacar, Mustafa, Bir, Levent Sinan, Baltalarli, Ahmet, Baycu, Cengiz
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container_end_page 130
container_issue 1
container_start_page 124
container_title The Journal of surgical research
container_volume 131
creator Onem, Gokhan
Aral, Erinc
Enli, Yasar
Oguz, Emin Oguzhan
Coskun, Erdal
Aybek, Hulya
Ozcan, Ali Vefa
Sacar, Mustafa
Bir, Levent Sinan
Baltalarli, Ahmet
Baycu, Cengiz
description Neurological injury because of transient cerebral ischemia is a potential complication of cardiovascular surgery. In this study, the neuroprotective effects of l-carnitine, vitamin E, and the combination of these agents on ischemia/reperfusion (I/R) injury were determined in a rat model of transient global cerebral I/R. Rats were pretreated with l-carnitine (100 mg/kg, i.v.) and vitamin E (50 mg/kg, i. v.), alone or in combination and then subjected to cerebral I/R induced by a four-vessel-occlusion technique for a duration of 15 min followed by 15 min of reperfusion. Malondialdehyde (MDA) levels, superoxide dismutase (SOD) activity, and glutathione (GSH) levels were measured in the cerebral tissues. Histopathological examinations were also carried out under light and electron microscopy. The results showed that I/R elevated MDA levels, which were accompanied by a reduction in SOD activities and GSH levels. Surviving neurons was markedly decreased in CA1 and CA3 subfield of hippocampus in I/R animals. l-carnitine, vitamin E, and their combination restored MDA levels and SOD activities, with a tendency to increase surviving neurons in CA1 and CA3 subfield. Combined treatment of l-carnitine and vitamin E had better GSH levels than individual treatment of these agents. The results suggest that l-carnitine has a potent neuroprotective effect against cerebral-I/R-induced injury in rat brain that is comparable to that of vitamin E. However, the combined use of l-carnitine and vitamin E does not further protect from neuronal injury, although it provides an increase in GSH levels.
doi_str_mv 10.1016/j.jss.2005.12.017
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Surviving neurons was markedly decreased in CA1 and CA3 subfield of hippocampus in I/R animals. l-carnitine, vitamin E, and their combination restored MDA levels and SOD activities, with a tendency to increase surviving neurons in CA1 and CA3 subfield. Combined treatment of l-carnitine and vitamin E had better GSH levels than individual treatment of these agents. The results suggest that l-carnitine has a potent neuroprotective effect against cerebral-I/R-induced injury in rat brain that is comparable to that of vitamin E. 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subjects Animals
Antioxidants - pharmacology
Biological and medical sciences
Brain - pathology
Brain Diseases - etiology
Brain Diseases - prevention & control
Brain Ischemia
Carnitine - pharmacology
cerebral ischemia/reperfusion
cerebral protection
Drug Therapy, Combination
General aspects
Glutathione - analysis
Infusions, Intravenous
l-carnitine
Male
Malondialdehyde - analysis
Medical sciences
rat
Rats
Rats, Wistar
Reperfusion Injury - complications
Reperfusion Injury - prevention & control
Superoxide Dismutase - analysis
Vitamin B Complex - pharmacology
vitamin E
Vitamin E - pharmacology
title Neuroprotective Effects of l-Carnitine and Vitamin E Alone or in Combination Against Ischemia-Reperfusion Injury in Rats
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