Mannitol but not dantrolene prevents myocardial dysfunction following intra-cranial hypertension in rats

S R R Hall1, L Wang, B Milne

  • 1Department of Anesthesiology, Queen's University, Kingston, Ontario, Canada.

Insights

Intracranial hypertension causes cardiac issues, but 15% mannitol effectively prevents circulatory collapse in rats. Dantrolene alone did not protect against these cardiac complications.

Area of Science:

  • Cardiology
  • Neuroscience
  • Pharmacology

Background:

  • Intracranial hypertension can lead to cardiac complications, potentially due to disrupted intracellular calcium (Ca2+) homeostasis.
  • Understanding the mechanisms behind these cardiac issues is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the effects of dantrolene, a sarcoplasmic reticulum (SR) Ca2+ release blocker, on myocardial dysfunction in rats with induced intracranial hypertension.
  • To compare the efficacy of dantrolene, mannitol, and Pentaspan in mitigating these complications.

Main Methods:

  • Rats were anesthetized and pre-treated with dantrolene (with or without 15% mannitol), 3% or 15% mannitol alone, or Pentaspan.
  • Intracranial hypertension was induced using subdural balloon inflation.
  • Hemodynamic function, TnI cleavage, and lipid peroxidation were assessed.

Main Results:

  • Dantrolene combined with 15% mannitol, or 15% mannitol alone, prevented the hyperdynamic response and circulatory collapse seen with 3% mannitol or Pentaspan.
  • Hemodynamic function was preserved regardless of TnI cleavage in the mannitol-treated groups.
  • Only high-dose 15% mannitol significantly reduced cardiac lipid peroxidation.

Conclusions:

  • 15% mannitol effectively attenuates cardiopulmonary complications associated with intracranial hypertension in rats.
  • Dantrolene alone showed no protective effect, suggesting its mechanism is not solely responsible for preventing these cardiac issues.
  • Mannitol's protective effects may be linked to its free radical scavenging properties and reduction of oxidative stress.