Ketamine ameliorates oxidative stress-induced apoptosis in experimental traumatic brain injury via the Nrf2 pathway

Jinwei Liang1, Shanhu Wu1, Wenxi Xie1

  • 1Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, People's Republic of China.

Abstract

Insights

Ketamine demonstrates neuroprotective effects against traumatic brain injury (TBI) by reducing oxidative stress and apoptosis. This study highlights ketamine

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cellular Biology

Background:

  • Ketamine is a known neuroprotective agent, but its mechanism in treating traumatic brain injury (TBI) requires further elucidation.
  • Oxidative stress, cellular dysfunction, and apoptosis are key pathological features of TBI.

Purpose of the Study:

  • To investigate the neuroprotective effects of ketamine in TBI models.
  • To explore the role of the nuclear factor erythroid 2-related factor 2 (Nrf2) pathway in ketamine's TBI treatment mechanism.

Main Methods:

  • A weight drop model was used to induce TBI in male wild-type mice.
  • Mice were divided into sham, TBI, and TBI + ketamine/vehicle groups, with ketamine administered via intraperitoneal injection.
  • Brain tissue was collected 24 hours post-injury for analysis.

Main Results:

  • Ketamine treatment significantly reduced neurological deficits, brain water content, and neuronal apoptosis in TBI mice.
  • Ketamine administration restored levels of oxidative stress markers (MDA, GPx, SOD) and increased Nrf2 protein expression.
  • The expression of Nrf2 downstream targets (hemeoxygenase-1, quinine oxidoreductase-1) was upregulated by ketamine.

Conclusions:

  • Ketamine effectively attenuates oxidative stress and apoptosis, thereby exerting neuroprotective effects post-TBI.
  • Ketamine shows potential as a therapeutic agent for treating traumatic brain injury.

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