Efficacy and safety profile of the carotenoid trans sodium crocetinate administered to rabbits following multiple infarct ischemic strokes: A combination therapy study with tissue plasminogen activator

作者: Paul A. Lapchak

DOI: 10.1016/J.BRAINRES.2009.10.067

关键词: Tissue plasminogen activatorToxicityCombination therapyStrokeUrologyMedicineIntracerebral hemorrhageEmbolizationPathologyT-plasminogen activatorIschemiaDevelopmental biologyGeneral NeuroscienceMolecular biologyClinical neurology

摘要: Abstract Trans sodium crocetinate (TSC) is a synthetic small-molecule antioxidant that has the ability to enhance oxygen diffusion hypoxic tissue. Because TSC promising drug candidate treat acute ischemic stroke (AIS), we tested hypothesis may be neuroprotective following cerebral ischemia using rabbit small clot embolic model (RSCEM) clinical rating scores as endpoint. or saline was administered IV injection of blood clots into brain vasculature. Behavior measured 24 h embolization in order calculate effective dose (P 50 ) produces neurological deficits 50% rabbits. A treatment considered beneficial if it significantly increases P compared control. (0.25 mg/kg) given 5 60 min ( p values by 104% and 181%; but not when 3 post-embolization (48% increase,  > 0.05). tPA (3.3 mg/kg) produced significant increase 1, embolization. In combination studies, 1 either embolization, group were increased 291% 140%, respectively. addition, plus value 90%. There no effects  > 0.05) alone with on intracerebral hemorrhage incidence. This study suggests used for AIS before concomitant improve therapeutic window therapy up Moreover, appears can tPA, since did result any change

参考文章(65)
Timothy Ingall, Stroke--incidence, mortality, morbidity and risk. Journal of insurance medicine (New York). ,vol. 36, pp. 143- 152 ,(2004)
Jason Sheehan, Jonathan Sherman, Christopher Cifarelli, Jay Jagannathan, Kasandra Dassoulas, Claire Olson, Jessica Rainey, Shaojie Han, Effect of trans sodium crocetinate on brain tumor oxgenation: Laboratory investigation Journal of Neurosurgery. ,vol. 111, pp. 226- 229 ,(2009) , 10.3171/2009.3.JNS081339
Amanda K Stennett, John L Gainer, TSC for hemorrhagic shock: Effects on cytokines and blood pressure Shock. ,vol. 22, pp. 569- 574 ,(2004) , 10.1097/01.SHK.0000144133.21524.1E
Takenori Yamaguchi, Keiji Sano, Kintomo Takakura, Isamu Saito, Yukito Shinohara, Takao Asano, Hajime Yasuhara, Ebselen in Acute Ischemic Stroke A Placebo-Controlled, Double-blind Clinical Trial Stroke. ,vol. 29, pp. 12- 17 ,(1998) , 10.1161/01.STR.29.1.12
Carol Shin, Steven Hassid, Patrick D. Lyden, Catherine Jackson-Friedman, Synergistic Combinatorial Stroke Therapy: A Quantal Bioassay of a GABA Agonist and a Glutamate Antagonist Experimental Neurology. ,vol. 163, pp. 477- 489 ,(2000) , 10.1006/EXNR.2000.7394
Paul A. Lapchak, Jiandong Wei, Justin A. Zivin, Transcranial Infrared Laser Therapy Improves Clinical Rating Scores After Embolic Strokes in Rabbits Stroke. ,vol. 35, pp. 1985- 1988 ,(2004) , 10.1161/01.STR.0000131808.69640.B7
James W. Roy, Matthew C. Graham, Adam M. Griffin, John L. Gainer, A novel fluid resuscitation therapy for hemorrhagic shock. Shock. ,vol. 10, pp. 213- 217 ,(1998) , 10.1097/00024382-199809000-00010
Satoshi SUDA, Hironaka IGARASHI, Yasushi ARAI, Jyun ANDOU, Tetsuro CHISHIKI, Yasuo KATAYAMA, Effect of edaravone, a free radical scavenger, on ischemic cerebral edema assessed by magnetic resonance imaging. Neurologia Medico-chirurgica. ,vol. 47, pp. 197- 202 ,(2007) , 10.2176/NMC.47.197
John L Gainer, Trans-sodium crocetinate for treating hypoxia/ischemia. Expert Opinion on Investigational Drugs. ,vol. 17, pp. 917- 924 ,(2008) , 10.1517/13543784.17.6.917