Opioid neurotoxicity: fentanyl-induced exacerbation of cerebral ischemia in rats
We tested the hypothesis that fentanyl would worsen ischemia-induced brain damage. In two sequential protocols forty rats were physiologically monitored and controlled. In protocol 1, rats were randomized ( n=10/group) to 30 min of control (N 2O plus 0.4% halothane), low dose fentanyl (loading dose...
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Published in | Brain research Vol. 818; no. 2; pp. 326 - 334 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
London
Elsevier B.V
13.02.1999
Amsterdam Elsevier New York, NY |
Subjects | |
Online Access | Get full text |
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Summary: | We tested the hypothesis that fentanyl would worsen ischemia-induced brain damage. In two sequential protocols forty rats were physiologically monitored and controlled. In protocol 1, rats were randomized (
n=10/group) to 30 min of control (N
2O plus 0.4% halothane), low dose fentanyl (loading dose [LD] 50 μg kg
−1, maintenance dose [MD] 2 μg kg
−1 min
−1), or high-dose fentanyl (LD 800 μg kg
−1, MD 32 μg kg
−1 min
−1). After 15 min of fentanyl or sham infusion trimethaphan 0.5 mg was given i.v. and 3 min later bilateral carotid artery occlusion and blood withdrawal-induced hypotension were maintained for 12 min. At 18 h postischemia rats underwent cerebral perfusion fixation. Brain areas were graded from 0 (normal) to 5. In addition to analysis of specific regions, neuropathologic scores were also summated over all brain regions and analyzed to compute a summed neuropathologic score. In protocol 2, five control and five high-dose fentanyl rats were treated identically except that post-ischemic oxygenation was maintained for 6 h and cerebral perfusion-fixation was performed 6 h post-ischemia. Only the caudate/putamen was examined in protocol 2. Fentanyl worsened lesions in both fentanyl groups' summed neuropathologic scores (
P=0.002) in protocol 1 and specifically, in the caudate/putamen (
P<0.01) in both protocols. Fentanyl in both high and low doses can exacerbate incomplete forebrain ischemia in rats. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
ISSN: | 0006-8993 1872-6240 |
DOI: | 10.1016/S0006-8993(98)01228-1 |