Neuroprotection of Dexmedetomidine against Cerebral Ischemia-Reperfusion Injury in Rats: Involved in Inhibition of NF-κB and Inflammation Response.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.4062/biomolther.2015.180
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Lijun WANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Haiyan LIU
			        		
			        		;
		        		
		        		
		        		
			        		Ligong ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Gongming WANG
			        		
			        		;
		        		
		        		
		        		
			        		Mengyuan ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Yonghui YU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Departments of Pediatrics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Cerebral ischemia-reperfusion;
			        		
			        		
			        		
				        		Dexmedetomidine;
			        		
			        		
			        		
				        		Inflammation;
			        		
			        		
			        		
				        		Inducible nitric oxide synthase;
			        		
			        		
			        		
				        		Cyclooxygenase-2;
			        		
			        		
			        		
				        		Nuclear factor-κB
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Animals;
				        		
			        		
				        		
					        		Brain Edema;
				        		
			        		
				        		
					        		CA1 Region, Hippocampal;
				        		
			        		
				        		
					        		Cyclooxygenase 2;
				        		
			        		
				        		
					        		Cytokines;
				        		
			        		
				        		
					        		Dexmedetomidine*;
				        		
			        		
				        		
					        		Heart;
				        		
			        		
				        		
					        		Hippocampus;
				        		
			        		
				        		
					        		Infarction, Middle Cerebral Artery;
				        		
			        		
				        		
					        		Inflammation*;
				        		
			        		
				        		
					        		Interleukin-6;
				        		
			        		
				        		
					        		Kidney;
				        		
			        		
				        		
					        		Neuroprotection*;
				        		
			        		
				        		
					        		Nitric Oxide Synthase Type II;
				        		
			        		
				        		
					        		Rats*;
				        		
			        		
				        		
					        		Rats, Sprague-Dawley;
				        		
			        		
				        		
					        		Reperfusion;
				        		
			        		
				        		
					        		Reperfusion Injury*;
				        		
			        		
				        		
					        		RNA, Messenger
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Biomolecules & Therapeutics
	            		
	            		 2017;25(4):383-389
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Dexmedetomidine is an α2-adrenergic receptor agonist that exhibits a protective effect on ischemia-reperfusion injury of the heart, kidney, and other organs. In the present study, we examined the neuroprotective action and potential mechanisms of dexmedetomidine against ischemia-reperfusion induced cerebral injury. Transient focal cerebral ischemia-reperfusion injury was induced in Sprague-Dawley rats by middle cerebral artery occlusion. After the ischemic insult, animals then received intravenous dexmedetomidine of 1 μg/kg load dose, followed by 0.05 μg/kg/min infusion for 2 h. After 24 h of reperfusion, neurological function, brain edema, and the morphology of the hippocampal CA1 region were evaluated. The levels and mRNA expressions of interleukin-1β, interleukin-6 and tumor nevrosis factor-α as well as the protein expression of inducible nitric oxide synthase, cyclooxygenase-2, nuclear factor-κBp65, inhibitor of κBα and phosphorylated of κBα in hippocampus were assessed. We found that dexmedetomidine reduced focal cerebral ischemia-reperfusion injury in rats by inhibiting the expression and release of inflammatory cytokines and mediators. Inhibition of the nuclear factor-κB pathway may be a mechanism underlying the neuroprotective action of dexmedetomidine against focal cerebral I/R injury.