title: Alpha lipoic acid alleviates oxidative stress and preserves blood brain permeability in rats with subarachnoid hemorrhage.
abstract: The neuroprotective effect of alpha lipoic acid (ALA; 100 mg/kg, po), a dithiol antioxidant, on experimentally induced subarachnoid hemorrhage (SAH) was assessed in Wistar albino rats. Neurological examination scores recorded at the 48th h of SAH induction were increased in SAH groups, which were accompanied with significant increases in the formation of reactive oxygen species, DNA fragmentation ratios, malondialdehyde levels and myeloperoxidase activity, while significant decreases in the brain glutathione content and Na(+), K(+)-ATPase activity were observed. On the other hand, ALA treatment reversed all these biochemical indices as well as SAH-induced histopathological alterations. Increased brain edema, impaired blood-brain-barrier permeability and neurological scores were also improved by ALA treatment. The results demonstrate that ALA exerts neuroprotective effects via the enhancement of endogenous antioxidant enzyme activity, the inhibition of neutrophil accumulation and free radical generation, suggesting a therapeutic potential in reducing secondary injury after SAH in patients.
authors.affiliation: Department of Neurosurgery, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Erşahin
authors.forename: Hale Z
authors.initials: HZ
authors.lastname: Toklu
authors.forename: Sule
authors.initials: S
authors.lastname: Cetinel
authors.forename: Meral
authors.initials: M
authors.lastname: Yüksel
authors.forename: Can
authors.initials: C
authors.lastname: Erzik
authors.forename: M Zafer
authors.initials: MZ
authors.lastname: Berkman
authors.forename: Berrak C
authors.initials: BC
authors.lastname: Yeğen
authors.forename: Göksel
authors.initials: G
authors.lastname: Sener
mesh_terms: D000818:Animals; D000975:Antioxidants / Q000494:pharmacology*; D001488:Basilar Artery / Q000502:physiology; D001522:Behavior, Animal / Q000187:drug effects; D001812:Blood-Brain Barrier / Q000187:drug effects* / Q000473:pathology*; D001929:Brain Edema / Q000473:pathology / Q000517:prevention & control; D053938:DNA Fragmentation; D005070:Evans Blue; D005978:Glutathione / Q000378:metabolism; D049449:Luminescence; D008297:Male; D008315:Malondialdehyde / Q000378:metabolism; D018696:Neuroprotective Agents / Q000494:pharmacology; D018384:Oxidative Stress / Q000187:drug effects*; D010539:Permeability / Q000187:drug effects; D009195:Peroxidase / Q000378:metabolism; D051381:Rats; D017208:Rats, Wistar; D013345:Subarachnoid Hemorrhage / Q000378:metabolism* / Q000473:pathology*; D008063:Thioctic Acid / Q000494:pharmacology*; D020301:Vasospasm, Intracranial / Q000378:metabolism / Q000473:pathology
chemical_list: D000975:Antioxidants; D018696:Neuroprotective Agents; D005070:Evans Blue; D008315:Malondialdehyde; D008063:Thioctic Acid; D009195:Peroxidase; D005978:Glutathione