Argon Inhalation for 24 Hours After Onset of Permanent Focal Cerebral Ischemia in Rats Provides Neuroprotection and Improves Neurologic Outcome

Autor: Wei Yang, Dennis A. Turner, Dongmei Chu, Huaxin Sheng, Ulrike Hoffmann, Jennifer A. Creed, Litao Li, Yu-Mi Ryang, David S. Warner, Shuang Ma
Rok vydání: 2019
Předmět:
Zdroj: Crit Care Med
ISSN: 1530-0293
Popis: OBJECTIVES: We tested the hypothesis that prolonged inhalation of 70% argon for 24 hours after in-vivo permanent or temporary stroke provides neuroprotection, and improves neurologic outcome and overall recovery after 7 days. DESIGN: Controlled, randomized, double-blinded laboratory study SETTING: Animal research laboratories SUBJECTS: Adult Wistar male rats (n=110) INTERVENTIONS: Rats were subjected to permanent or temporary focal cerebral ischemia via middle cerebral artery occlusion, followed by inhalation of 70% argon or nitrogen in 30% oxygen for 24 hours. On postoperative day 7, a 48-point neuroscore and histologic lesion size were assessed. MEASUREMENTS AND MAIN RESULTS: After argon inhalation for 24 hours immediately following severe permanent ischemia induction, neurologic outcome (neuroscore, p=0.034), overall recovery (body weight, p=0.02), and infarct volume (total infarct volume p=0.0001, cortical infarct volume p=0.0003, subcortical infarct volume p=0.0001) were significantly improved. When 24-hour argon treatment was delayed for 2 hours after permanent stroke induction, or until after post-ischemic reperfusion treatment, neurologic outcomes remained significantly improved (neuroscore, p=0.043 and p=0.014, respectively), as was overall recovery (body weight, p=0.015), compared to nitrogen treatment. However, infarct volume and 7-day mortality were not significantly reduced when argon treatment was delayed. CONCLUSIONS: Neurologic outcome (neuroscore), overall recovery (body weight), and infarct volumes were significantly improved after 24-hour inhalation of 70% argon administered immediately after severe permanent stroke induction. Neurologic outcome and overall recovery were also significantly improved even when argon treatment was delayed for 2 hours or until after reperfusion.
Databáze: OpenAIRE