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Protein kinase C-inhibition reduces critical weight loss and improves functional outcome after experimental subarachnoid haemorrhage

Bömers, Jesper P. ; Holm, Anja ; Kazantzi, Spyridoula ; Edvinsson, Lars LU ; Mathiesen, Tiit I. and Haanes, Kristian A. (2024) In Journal of Stroke and Cerebrovascular Diseases 33(7).
Abstract

Objectives: Subarachnoid haemorrhage (SAH) carries a high burden of morbidity and mortality. One in three patients develop vasospasm, which is associated with Delayed Cerebral Ischemia. The pathophysiology includes vasoconstrictor receptor upregulation in cerebral arteries. The protein kinase C – inhibitor RO-31-7549 reduces the expression of several vasoconstrictor receptors and normalizes cerebral blood flow in experimental SAH but functional and behavioural effects are unknown. This study was undertaken to analyse functional outcomes up to 14 days after experimental SAH. Materials and methods: 54 male rats were randomised to experimental SAH or sham, using the pre-chiasmatic, single injection model, and subsequent treatment or... (More)

Objectives: Subarachnoid haemorrhage (SAH) carries a high burden of morbidity and mortality. One in three patients develop vasospasm, which is associated with Delayed Cerebral Ischemia. The pathophysiology includes vasoconstrictor receptor upregulation in cerebral arteries. The protein kinase C – inhibitor RO-31-7549 reduces the expression of several vasoconstrictor receptors and normalizes cerebral blood flow in experimental SAH but functional and behavioural effects are unknown. This study was undertaken to analyse functional outcomes up to 14 days after experimental SAH. Materials and methods: 54 male rats were randomised to experimental SAH or sham, using the pre-chiasmatic, single injection model, and subsequent treatment or vehicle. 42 remained for final analysis. The animals were euthanized on day 14 or when reaching a humane endpoint. The primary endpoint was overall survival, defined as either spontaneous mortality or when reaching a predefined humane endpoint. The secondary outcomes were differences in the rotating pole test, weight, open field test, novel object recognition and qPCR of selected inflammatory markers. Results: In the vehicle group 6/15 rats reached the humane endpoint of >20 % weight loss compared to 1/14 in the treatment group. This resulted in a significant reduced risk of early euthanasia due to >20 % weight loss of HR 0.15 (0.03–0.66, p = 0.04). Furthermore, the treatment group did significantly better on the rotating pole test, RR 0.64 (0.47–0.91, p = 0.02). Conclusion: RO-31-7549 improved outcomes in terms >20 % weight loss and rotating pole performance after experimental SAH and could be investigated.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
early brain injury, In vivo, PKC-inhibitor, Rodent, Subarachnoid hemorrhage
in
Journal of Stroke and Cerebrovascular Diseases
volume
33
issue
7
article number
107728
publisher
Elsevier
external identifiers
  • pmid:38643942
  • scopus:85192462237
ISSN
1052-3057
DOI
10.1016/j.jstrokecerebrovasdis.2024.107728
language
English
LU publication?
yes
id
c63ff473-8470-4474-bd08-1429b3105456
date added to LUP
2025-01-08 15:48:35
date last changed
2025-07-24 08:20:06
@article{c63ff473-8470-4474-bd08-1429b3105456,
  abstract     = {{<p>Objectives: Subarachnoid haemorrhage (SAH) carries a high burden of morbidity and mortality. One in three patients develop vasospasm, which is associated with Delayed Cerebral Ischemia. The pathophysiology includes vasoconstrictor receptor upregulation in cerebral arteries. The protein kinase C – inhibitor RO-31-7549 reduces the expression of several vasoconstrictor receptors and normalizes cerebral blood flow in experimental SAH but functional and behavioural effects are unknown. This study was undertaken to analyse functional outcomes up to 14 days after experimental SAH. Materials and methods: 54 male rats were randomised to experimental SAH or sham, using the pre-chiasmatic, single injection model, and subsequent treatment or vehicle. 42 remained for final analysis. The animals were euthanized on day 14 or when reaching a humane endpoint. The primary endpoint was overall survival, defined as either spontaneous mortality or when reaching a predefined humane endpoint. The secondary outcomes were differences in the rotating pole test, weight, open field test, novel object recognition and qPCR of selected inflammatory markers. Results: In the vehicle group 6/15 rats reached the humane endpoint of &gt;20 % weight loss compared to 1/14 in the treatment group. This resulted in a significant reduced risk of early euthanasia due to &gt;20 % weight loss of HR 0.15 (0.03–0.66, p = 0.04). Furthermore, the treatment group did significantly better on the rotating pole test, RR 0.64 (0.47–0.91, p = 0.02). Conclusion: RO-31-7549 improved outcomes in terms &gt;20 % weight loss and rotating pole performance after experimental SAH and could be investigated.</p>}},
  author       = {{Bömers, Jesper P. and Holm, Anja and Kazantzi, Spyridoula and Edvinsson, Lars and Mathiesen, Tiit I. and Haanes, Kristian A.}},
  issn         = {{1052-3057}},
  keywords     = {{early brain injury; In vivo; PKC-inhibitor; Rodent; Subarachnoid hemorrhage}},
  language     = {{eng}},
  number       = {{7}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Stroke and Cerebrovascular Diseases}},
  title        = {{Protein kinase C-inhibition reduces critical weight loss and improves functional outcome after experimental subarachnoid haemorrhage}},
  url          = {{http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2024.107728}},
  doi          = {{10.1016/j.jstrokecerebrovasdis.2024.107728}},
  volume       = {{33}},
  year         = {{2024}},
}