Small Molecule Selectin Inhibitor in Global Cerebral Ischemia and Controlled Hemorrhagic Shock

BACKGROUND:The clinical and experimental management of stroke has not reached the therapeutic success seen in other medical conditions associated with ischemia/reperfusion. In this work, we investigated the effect of a small molecule selectin inhibitor TBC-1269, in animals subjected to global cerebr...

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Veröffentlicht in:The Journal of trauma, injury, infection, and critical care injury, infection, and critical care, 2008-09, Vol.65 (3), p.678-684
Hauptverfasser: Anaya-Prado, Roberto, Pérez-Gomez, Nahum, Toledo-Pereyra, Luis H., Walsh, John, Jordan, Jackie, Ward, Peter A.
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container_issue 3
container_start_page 678
container_title The Journal of trauma, injury, infection, and critical care
container_volume 65
creator Anaya-Prado, Roberto
Pérez-Gomez, Nahum
Toledo-Pereyra, Luis H.
Walsh, John
Jordan, Jackie
Ward, Peter A.
description BACKGROUND:The clinical and experimental management of stroke has not reached the therapeutic success seen in other medical conditions associated with ischemia/reperfusion. In this work, we investigated the effect of a small molecule selectin inhibitor TBC-1269, in animals subjected to global cerebral ischemia (GCI) and controlled hemorrhagic shock (CHS). METHODS:Forty-eight male Sprague-Dawley rats weighting between 275 g and 300 g were subjected to a model of GCI and CHS. Three groups of animals were included in this study (n = 16 per group)sham/saline (group 1); GCI/CHS/Saline (group 2); GCI/CHS/TBC-1269 (group 3). Experimental design consisted of bilateral carotid artery occlusion for 20 minutes, and the development of CHS until a mean arterial pressure of 50 mm Hg was reached. At 20 minutes, clamps were released, and resuscitation was achieved with normal saline, and the end point was to attain a mean arterial pressure of 80 mm Hg. Treatment at the beginning of resuscitation included either normal saline (groups 1 and 2) or TBC-1269 (25 mg/kg, group 3). The following indices were evaluatedbrain tissue myeloperoxidase, average numbers of ischemic neurons, and 7-day survival. RESULTS:Brain myeloperoxidase was decreased in animals treated with TBC-1269, although this difference was not statistically significant. Treated animals demonstrated a significant smaller amount of ischemic neurons than the controls. Survival was also improved from 40% in controls to 80% with TBC-1269 treatment. This difference was statistically significant. CONCLUSION:The use of a small molecule selectin inhibitor, TBC-1269, had a protective effect in this model of GCI and CHS, as evidenced by decreased numbers of ischemic neurons and improved survival rates.
doi_str_mv 10.1097/TA.0b013e3181843f3a
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In this work, we investigated the effect of a small molecule selectin inhibitor TBC-1269, in animals subjected to global cerebral ischemia (GCI) and controlled hemorrhagic shock (CHS). METHODS:Forty-eight male Sprague-Dawley rats weighting between 275 g and 300 g were subjected to a model of GCI and CHS. Three groups of animals were included in this study (n = 16 per group)sham/saline (group 1); GCI/CHS/Saline (group 2); GCI/CHS/TBC-1269 (group 3). Experimental design consisted of bilateral carotid artery occlusion for 20 minutes, and the development of CHS until a mean arterial pressure of 50 mm Hg was reached. At 20 minutes, clamps were released, and resuscitation was achieved with normal saline, and the end point was to attain a mean arterial pressure of 80 mm Hg. Treatment at the beginning of resuscitation included either normal saline (groups 1 and 2) or TBC-1269 (25 mg/kg, group 3). The following indices were evaluatedbrain tissue myeloperoxidase, average numbers of ischemic neurons, and 7-day survival. RESULTS:Brain myeloperoxidase was decreased in animals treated with TBC-1269, although this difference was not statistically significant. Treated animals demonstrated a significant smaller amount of ischemic neurons than the controls. Survival was also improved from 40% in controls to 80% with TBC-1269 treatment. This difference was statistically significant. 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Coronary intensive care ; Intensive care medicine ; Male ; Mannose - analogs &amp; derivatives ; Mannosides - therapeutic use ; Medical sciences ; Neurology ; Neutrophil Infiltration ; Peroxidase - metabolism ; Rats ; Rats, Sprague-Dawley ; Shock, Hemorrhagic - drug therapy ; Shock, Hemorrhagic - enzymology ; Shock, Hemorrhagic - pathology ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>The Journal of trauma, injury, infection, and critical care, 2008-09, Vol.65 (3), p.678-684</ispartof><rights>2008 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2008 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4484-5a3d4ca4624c1058341c366de0419baefd837a67b3c50f627ffc993a202cd5fd3</citedby><cites>FETCH-LOGICAL-c4484-5a3d4ca4624c1058341c366de0419baefd837a67b3c50f627ffc993a202cd5fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20683197$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18784584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anaya-Prado, Roberto</creatorcontrib><creatorcontrib>Pérez-Gomez, Nahum</creatorcontrib><creatorcontrib>Toledo-Pereyra, Luis H.</creatorcontrib><creatorcontrib>Walsh, John</creatorcontrib><creatorcontrib>Jordan, Jackie</creatorcontrib><creatorcontrib>Ward, Peter A.</creatorcontrib><title>Small Molecule Selectin Inhibitor in Global Cerebral Ischemia and Controlled Hemorrhagic Shock</title><title>The Journal of trauma, injury, infection, and critical care</title><addtitle>J Trauma</addtitle><description>BACKGROUND:The clinical and experimental management of stroke has not reached the therapeutic success seen in other medical conditions associated with ischemia/reperfusion. In this work, we investigated the effect of a small molecule selectin inhibitor TBC-1269, in animals subjected to global cerebral ischemia (GCI) and controlled hemorrhagic shock (CHS). METHODS:Forty-eight male Sprague-Dawley rats weighting between 275 g and 300 g were subjected to a model of GCI and CHS. Three groups of animals were included in this study (n = 16 per group)sham/saline (group 1); GCI/CHS/Saline (group 2); GCI/CHS/TBC-1269 (group 3). Experimental design consisted of bilateral carotid artery occlusion for 20 minutes, and the development of CHS until a mean arterial pressure of 50 mm Hg was reached. At 20 minutes, clamps were released, and resuscitation was achieved with normal saline, and the end point was to attain a mean arterial pressure of 80 mm Hg. Treatment at the beginning of resuscitation included either normal saline (groups 1 and 2) or TBC-1269 (25 mg/kg, group 3). The following indices were evaluatedbrain tissue myeloperoxidase, average numbers of ischemic neurons, and 7-day survival. RESULTS:Brain myeloperoxidase was decreased in animals treated with TBC-1269, although this difference was not statistically significant. Treated animals demonstrated a significant smaller amount of ischemic neurons than the controls. Survival was also improved from 40% in controls to 80% with TBC-1269 treatment. This difference was statistically significant. CONCLUSION:The use of a small molecule selectin inhibitor, TBC-1269, had a protective effect in this model of GCI and CHS, as evidenced by decreased numbers of ischemic neurons and improved survival rates.</description><subject>Anesthesia. Intensive care medicine. Transfusions. 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In this work, we investigated the effect of a small molecule selectin inhibitor TBC-1269, in animals subjected to global cerebral ischemia (GCI) and controlled hemorrhagic shock (CHS). METHODS:Forty-eight male Sprague-Dawley rats weighting between 275 g and 300 g were subjected to a model of GCI and CHS. Three groups of animals were included in this study (n = 16 per group)sham/saline (group 1); GCI/CHS/Saline (group 2); GCI/CHS/TBC-1269 (group 3). Experimental design consisted of bilateral carotid artery occlusion for 20 minutes, and the development of CHS until a mean arterial pressure of 50 mm Hg was reached. At 20 minutes, clamps were released, and resuscitation was achieved with normal saline, and the end point was to attain a mean arterial pressure of 80 mm Hg. Treatment at the beginning of resuscitation included either normal saline (groups 1 and 2) or TBC-1269 (25 mg/kg, group 3). The following indices were evaluatedbrain tissue myeloperoxidase, average numbers of ischemic neurons, and 7-day survival. RESULTS:Brain myeloperoxidase was decreased in animals treated with TBC-1269, although this difference was not statistically significant. Treated animals demonstrated a significant smaller amount of ischemic neurons than the controls. Survival was also improved from 40% in controls to 80% with TBC-1269 treatment. This difference was statistically significant. CONCLUSION:The use of a small molecule selectin inhibitor, TBC-1269, had a protective effect in this model of GCI and CHS, as evidenced by decreased numbers of ischemic neurons and improved survival rates.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>18784584</pmid><doi>10.1097/TA.0b013e3181843f3a</doi><tpages>7</tpages></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Biphenyl Compounds - therapeutic use
Brain Ischemia - drug therapy
Brain Ischemia - enzymology
Brain Ischemia - pathology
Cell Adhesion Molecules - antagonists & inhibitors
Disease Models, Animal
Diseases of the osteoarticular system
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Intensive care medicine
Male
Mannose - analogs & derivatives
Mannosides - therapeutic use
Medical sciences
Neurology
Neutrophil Infiltration
Peroxidase - metabolism
Rats
Rats, Sprague-Dawley
Shock, Hemorrhagic - drug therapy
Shock, Hemorrhagic - enzymology
Shock, Hemorrhagic - pathology
Vascular diseases and vascular malformations of the nervous system
title Small Molecule Selectin Inhibitor in Global Cerebral Ischemia and Controlled Hemorrhagic Shock
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