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Dose dependent neuroprotection of the noble gas argon after cardiac arrest in rats is not mediated by KATP—Channel opening
Authors:Anne Brücken  Pinar Kurnaz  Christian Bleilevens  Matthias Derwall  Joachim Weis  Kay Nolte  Rolf Rossaint  Michael Fries
Institution:1. Department of Anaesthesiology, University Hospital RWTH Aachen, Aachen, Germany;2. Institute for Neuropathology; University Hospital RWTH Aachen, Aachen, Germany
Abstract:

Purpose

Argon at a dosage of 70% is neuroprotective when given 1 h after cardiac arrest (CA) in rats. In a rodent model, we investigated if the neuroprotective effects of argon are dose dependent and mediated by adenosine triphosphate dependent potassium (KATP) channels.

Methods

Forty-seven male Sprague-Dawley rats were subjected to 7 min of CA and 3 min of cardiopulmonary resuscitation (CPR). In protocol I animals were randomized to receive either 70% or 40% argon ventilation 1 h after successful CPR or no argon-treatment. Animals of the second protocol also received 1 h of 70% argon ventilation or no argon treatment but were randomized to a group receiving the KATP channel blocker 5-hydroxydecanoate (5-HD). For all animals a neurological deficit score (NDS) was calculated daily for seven days following the experiment before the animals were killed and the brains harvested for histopathological analyses.

Results

All animals survived. Control animals exhibited severe neurologic dysfunction at all points in time as measured with the NDS. Argon treated animals showed significant improvements in the NDS through all postoperative days in a dose dependent fashion. This was paralleled by a significant reduction in the neuronal damage index in the neocortex and the hippocampal CA 3/4 region. Administration of 5-HD neither abolished the positive effects on functional recovery nor on histopathologic changes observed in the argon group.

Conclusion

Our study demonstrates a dose dependent neuroprotective effect of argon administration in this rodent model, which is not mediated via ATP dependent potassium channels.
Keywords:Cardiopulmonary resuscitation  Hypoxia-ischaemia  Brain  Reperfusion injury  Argon  Neuroprotective agents
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