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2005 ; 9
(1
): R18-23
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Effect of magnesium sulfate administration on blood-brain barrier in a rat model
of intraperitoneal sepsis: a randomized controlled experimental study
#MMPMID15693962
Esen F
; Erdem T
; Aktan D
; Orhan M
; Kaya M
; Eraksoy H
; Cakar N
; Telci L
Crit Care
2005[Feb]; 9
(1
): R18-23
PMID15693962
show ga
INTRODUCTION: Permeability changes in the blood-brain barrier (BBB) and their
possible contribution to brain edema formation have a crucial role in the
pathophysiology of septic encephalopathy. Magnesium sulfate has been shown to
have a protective effect on BBB integrity in multiple experimental models. In
this study we determine whether magnesium sulfate administration could have any
protective effects on BBB derangement in a rat model of sepsis. METHODS: This
randomized controlled experimental study was performed on adult male
Sprague-Dawley rats. Intraperitoneal sepsis was induced by using the infected
fibrin-thrombin clot model. To examine the effect of magnesium in septic and
sham-operated rats, a dose of 750 micromol/kg magnesium sulfate was given
intramuscularly immediately after surgery. Control groups for both infected and
sham-operated rats were injected with equal volume of saline. Those rats
surviving for 24 hours were anesthetized and decapitated for the investigation of
brain tissue specific gravity and BBB integrity by the spectrophotometric assay
of Evans blue dye extravasations. Another set of experiments was performed for
hemodynamic measurements and plasma magnesium level analysis. Rats were allocated
into four parallel groups undergoing identical procedures. RESULTS: Sepsis
significantly increased BBB permeability to Evans blue. The dye content of each
hemisphere was significantly lower in the magnesium-treated septic rats (left
hemisphere, 0.00218 +/- 0.0005; right hemisphere, 0.00199 +/- 0.0007 [all results
are means +/- standard deviation]) than in control septic animals (left
hemisphere, 0.00466 +/- 0.0002; right hemisphere, 0.00641 +/- 0.0003). In septic
animals treated with magnesium sulfate, specific gravity was higher (left
hemisphere, 1.0438 +/- 0.0007; right hemisphere, 1.0439 +/- 0.0004) than in the
untreated septic animals (left hemisphere, 1.0429 +/- 0.0009; right hemisphere,
1.0424 +/- 0.0012), indicating less edema formation with the administration of
magnesium. A significant decrease in plasma magnesium levels was observed 24
hours after the induction of sepsis. The dose of magnesium that we used
maintained the baseline plasma magnesium levels in magnesium-treated septic rats.
CONCLUSIONS: Magnesium administration attenuated the increased BBB permeability
defect and caused a reduction in brain edema formation in our rat model of
intraperitoneal sepsis.
|Animals
[MESH]
|Anticonvulsants/pharmacokinetics/*pharmacology/therapeutic use
[MESH]
|Blood Pressure/drug effects
[MESH]
|Blood-Brain Barrier/*drug effects
[MESH]
|Brain Edema/etiology/*metabolism/prevention & control
[MESH]
|Cell Membrane Permeability
[MESH]
|Magnesium Sulfate/pharmacokinetics/*pharmacology/therapeutic use
[MESH]