Effects of intravenous dimethyl sulfoxide on ischemia evolution in a rat permanent occlusion model
Department of Neurology
Animals; Behavior, Animal; Blood Pressure; Body Temperature; Brain; Brain Ischemia; Cerebrovascular Circulation; Diffusion Magnetic Resonance Imaging; Dimethyl Sulfoxide; Disease Progression; Functional Laterality; Heart Rate; Infarction, Middle Cerebral Artery; Injections, Intravenous; Male; *Neuroprotective Agents; Rats; Rats, Inbred WKY
Nervous System Diseases | Neurology
Dimethyl sulfoxide (DMSO) has a variety of biological actions that suggest efficacy as a neuroprotectant. We (1) tested the neuroprotective potential of DMSO at different time windows on infarct size using 2,3,5-triphenyltetrazolium staining and (2) investigated the effects of DMSO on ischemia evolution using quantitative diffusion and perfusion imaging in a permanent middle cerebral artery occlusion (MCAO) model in rats. In experiment 1, DMSO treatment (1.5 g/kg intravenously over 3 h) reduced infarct volume 24 h after MCAO by 65% (P<0.00001) when initiated 20 h before MCAO, by 44% (P=0.0006) when initiated 1 h after MCAO, and by 17% (P=0.11) when started 2 h after MCAO. Significant infarct reduction was also observed after a 3-day survival in animals treated 1 h after MCAO (P=0.005). In experiment 2, treatment was initiated 1 h after MCAO and maps for cerebral blood flow (CBF) and apparent diffusion coefficient (ADC) were acquired before treatment and then every 30 mins up to 4 h. Cerebral blood flow characteristics and CBF-derived lesion volumes did not differ between treated and untreated animals, whereas the ADC-derived lesion volume essentially stopped progressing during DMSO treatment, resulting in a persistent diffusion/perfusion mismatch. This effect was mainly observed in the cortex. Our data suggest that DMSO represents an interesting candidate for acute stroke treatment.
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Citation: J Cereb Blood Flow Metab. 2005 Aug;25(8):968-77. Link to article on publisher's site