Neuroprotection by inhaled nitric oxide in a murine stroke model is concentration and duration dependent

Yong-Sheng Li1, Benjamin Shemmer, Eric Stone

  • 1Department of Neurology, New York University School of Medicine, 550 1st Avenue New York, NY 10016, USA.

Brain Research
|March 12, 2013
PubMed

Insights

Inhaled nitric oxide (iNO) shows neuroprotective effects against stroke in mice, with optimal benefits seen at specific concentrations and durations. The study highlights iNO

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cardiovascular Research

Background:

  • Ischemia/reperfusion (I/R) injury affects multiple organs, including the brain.
  • Inhaled nitric oxide (iNO) has demonstrated protective effects against I/R injury in various organ systems.

Purpose of the Study:

  • To investigate the neuroprotective potential of inhaled nitric oxide (iNO) in a mouse model of transient focal cerebral ischemia.
  • To determine the optimal concentration and duration of iNO administration for reducing brain injury.

Main Methods:

  • Male Swiss Webster mice underwent transient focal cerebral ischemia via middle cerebral artery occlusion (1 hour) followed by reperfusion (47 hours).
  • Mice were exposed to varying concentrations (10-80 ppm) and durations (5-24 hours) of iNO immediately after occlusion.
  • Infarct volume, blood flow, and inflammatory markers were assessed.

Main Results:

  • Efficacy of iNO was dependent on both concentration and duration, with a U-shaped dose-response curve observed.
  • Optimal neuroprotection was achieved with 8-16 hours of iNO at 20-60 ppm, showing reduced infarct volume.
  • Higher concentrations (80 ppm) or prolonged durations (24 hours) diminished or abolished the beneficial effects.
  • iNO was detected in the brain, and 8-hour administration improved recovery from subarachnoid hemorrhage and reduced inflammation.

Conclusions:

  • Inhaled nitric oxide exhibits neuroprotective properties in focal cerebral ischemia, but its efficacy is critically dependent on precise concentration and duration.
  • The findings suggest that enhanced blood flow during reperfusion may mediate iNO's protective effects.
  • Further research into optimizing iNO therapy could be beneficial for treating ischemic stroke and related conditions.

Related Concept Videos