title: Developmental neurotoxicity of ketamine: morphometric confirmation, exposure parameters, and multiple fluorescent labeling of apoptotic neurons.
abstract: Ketamine is a widely used pediatric anesthetic recently reported (C. Ikonomidou et al., 1999, Science 283, 70-74) to enhance neuronal death in neonatal rats. To confirm and extend these results, we treated four groups of PND 7 rats with seven sc doses, one every 90 min, of either saline, 10 mg/kg ketamine, 20 mg/kg ketamine, or a single dose of 20 mg/kg ketamine. The repeated doses of 20 mg/kg ketamine increased the number of silver-positive (degenerating) neurons in the dorsolateral thalamus to a degree comparable to previous results (Ikonomidou et al., 1999, Science 283, 70-74), i.e., 28-fold vs. 31-fold respectively. However, blood levels of ketamine immediately after the repeated 20 mg/kg doses were about 14 micrograms/ml, about seven-fold greater than anesthetic blood levels in humans (J. M. Malinovsky et al., 1996, Br. J. Anaesth. 77, 203-207; R. A. Mueller and R. Hunt, 1998, Pharmacol. Biochem. Behav. 60, 15-22). Levels of ketamine in blood following exposure to the multiple 10 mg/kg doses of ketamine or to a single 20 mg/kg dose ranged around 2-5 micrograms/ml; although these blood levels are close to an anesthetic level in humans, they failed to produce neurodegeneration. To investigate the mode of ketamine-induced neuronal death, coronal sections were stained with both Fluoro-Jade B (a green fluorescent stain selective for neurodegeneration) and DAPI (a blue DNA stain), as well as for caspase-3 (using an antisera labeled red with rhodamine). These histochemical results confirmed the developmental neurotoxicity of ketamine, demonstrated that Fluoro-Jade B (FJ-B), like silver methods, successfully stained degenerating neurons in neonatal rats, and indicated that ketamine acts by increasing the rate of neuronal apoptosis.
authors.affiliation: Division of Neurotoxicology, NCTR/FDA, Jefferson, Arkansas 72079, USA. AScallet@nctr.fda.gov
authors.forename: A C
authors.initials: AC
authors.lastname: Scallet
authors.forename: L C
authors.initials: LC
authors.lastname: Schmued
authors.forename: W
authors.initials: W
authors.lastname: Slikker
authors.forename: N
authors.initials: N
authors.lastname: Grunberg
authors.forename: P J
authors.initials: PJ
authors.lastname: Faustino
authors.forename: H
authors.initials: H
authors.lastname: Davis
authors.forename: D
authors.initials: D
authors.lastname: Lester
authors.forename: P S
authors.initials: PS
authors.lastname: Pine
authors.forename: F
authors.initials: F
authors.lastname: Sistare
authors.forename: J P
authors.initials: JP
authors.lastname: Hanig
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D017209:Apoptosis / Q000187:drug effects*; D001921:Brain / Q000473:pathology; D001923:Brain Chemistry / Q000187:drug effects; D004305:Dose-Response Relationship, Drug; D018691:Excitatory Amino Acid Antagonists / Q000097:blood / Q000633:toxicity*; D005260:Female; D005452:Fluoresceins; D005456:Fluorescent Dyes; D007649:Ketamine / Q000097:blood / Q000633:toxicity*; D008297:Male; D009420:Nervous System / Q000187:drug effects / Q000254:growth & development* / Q000473:pathology*; D009474:Neurons / Q000187:drug effects / Q000473:pathology*; D020258:Neurotoxicity Syndromes / Q000473:pathology*; D009930:Organic Chemicals; D051381:Rats; D017207:Rats, Sprague-Dawley; D016622:Silver Staining; D013788:Thalamus / Q000473:pathology
chemical_list: D018691:Excitatory Amino Acid Antagonists; D005452:Fluoresceins; D005456:Fluorescent Dyes; D009930:Organic Chemicals; C435731:fluoro jade; D007649:Ketamine