Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport

Background and purpose:: Cytidine-5′-diphosphocholine (citicoline or CDP-choline), an intermediate in the biosynthesis of phosphatidylcholine, has shown beneficial effects in a number of CNS injury models including cerebral ischemia. Citicoline is the only neuroprotectant that has proved efficacy in...

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Main Authors: Olivia Hurtado, María A. Moro, Antonio Cárdenas, Verónica Sánchez, Paz Fernández-Tomé, Juan C. Leza, Pedro Lorenzo, Julio J. Secades, Rafael Lozano, Antoni Dávalos, José Castillo, Ignacio Lizasoain
Format: Article
Language:English
Published: Elsevier 2005-03-01
Series:Neurobiology of Disease
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0969996104002426
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author Olivia Hurtado
María A. Moro
Antonio Cárdenas
Verónica Sánchez
Paz Fernández-Tomé
Juan C. Leza
Pedro Lorenzo
Julio J. Secades
Rafael Lozano
Antoni Dávalos
José Castillo
Ignacio Lizasoain
author_facet Olivia Hurtado
María A. Moro
Antonio Cárdenas
Verónica Sánchez
Paz Fernández-Tomé
Juan C. Leza
Pedro Lorenzo
Julio J. Secades
Rafael Lozano
Antoni Dávalos
José Castillo
Ignacio Lizasoain
author_sort Olivia Hurtado
collection DOAJ
description Background and purpose:: Cytidine-5′-diphosphocholine (citicoline or CDP-choline), an intermediate in the biosynthesis of phosphatidylcholine, has shown beneficial effects in a number of CNS injury models including cerebral ischemia. Citicoline is the only neuroprotectant that has proved efficacy in patients with moderate to severe stroke. However, the precise mechanism by which citicoline is neuroprotective is not fully known. The present study was designed to search for mechanisms of citicoline neuroprotective properties using in vivo and in vitro models of brain ischemia. Methods:: Focal brain ischemia was produced in male adult Fischer rats by occluding both the common carotid and middle cerebral arteries. Brain glutamate levels were determined at fixed intervals after occlusion. Animals were then sacrificed, and infarct volume and brain ATP levels were measured. As in vitro model of ischemia, rat cultured cortical neurones or astrocytes, isolated or in co-culture, were exposed to oxygen–glucose deprivation (OGD) either in the absence or in the presence of citicoline (1–100 μM). Viability was studied by measuring LDH release. Glutamate release and uptake, and ATP levels were also determined. Results:: Citicoline (0.5, 1 and 2 g/kg i.p. administered 1 h before the occlusion) produced a reduction of the infarct size measured at striatum (18, 27 and 42% inhibition, respectively, n = 8, P < 0.05 vs. ischemia), effect that correlated with the inhibition caused by citicoline on ischemia-induced increase in glutamate concentrations after the onset of the ischemia. Citicoline also inhibited ischemia-induced decrease in cortical and striatal ATP levels. Incubation of cultured rat cortical neurones with citicoline (10 and 100 μM) prevented OGD-induced LDH and glutamate release and caused a recovery in ATP levels after OGD, confirming our previous results. In addition, citicoline (100 μM) caused an increase in glutamate uptake and in EAAT2 glutamate transporter membrane expression in cultured rat astrocytes. Conclusions:: Our present findings show novel mechanisms for the neuroprotective effects of citicoline, which cooperate to decrease brain glutamate release after ischemia.
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spelling doaj.art-a935beda8aba49cb8f2d500ef6365b322022-12-21T23:03:47ZengElsevierNeurobiology of Disease1095-953X2005-03-01182336345Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transportOlivia Hurtado0María A. Moro1Antonio Cárdenas2Verónica Sánchez3Paz Fernández-Tomé4Juan C. Leza5Pedro Lorenzo6Julio J. Secades7Rafael Lozano8Antoni Dávalos9José Castillo10Ignacio Lizasoain11Departamento de Farmacología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), 28040 Madrid, SpainDepartamento de Farmacología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), 28040 Madrid, SpainInstituto de Farmacología y Toxicología, UCM-CSIC, Madrid, SpainDepartamento de Farmacología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), 28040 Madrid, SpainInstituto de Farmacología y Toxicología, UCM-CSIC, Madrid, SpainDepartamento de Farmacología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), 28040 Madrid, SpainDepartamento de Farmacología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), 28040 Madrid, SpainDepartamento Médico, Grupo Ferrer SA, Barcelona, SpainDepartamento Médico, Grupo Ferrer SA, Barcelona, SpainServicio de Neurología, Hospital Doctor Josep Trueta, Girona, SpainServicio de Neurología, Hospital Clínico Universitario de Santiago, Santiago de Compostela, SpainDepartamento de Farmacología, Facultad de Medicina, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain; Corresponding author. Fax: +34 91 3941478.Background and purpose:: Cytidine-5′-diphosphocholine (citicoline or CDP-choline), an intermediate in the biosynthesis of phosphatidylcholine, has shown beneficial effects in a number of CNS injury models including cerebral ischemia. Citicoline is the only neuroprotectant that has proved efficacy in patients with moderate to severe stroke. However, the precise mechanism by which citicoline is neuroprotective is not fully known. The present study was designed to search for mechanisms of citicoline neuroprotective properties using in vivo and in vitro models of brain ischemia. Methods:: Focal brain ischemia was produced in male adult Fischer rats by occluding both the common carotid and middle cerebral arteries. Brain glutamate levels were determined at fixed intervals after occlusion. Animals were then sacrificed, and infarct volume and brain ATP levels were measured. As in vitro model of ischemia, rat cultured cortical neurones or astrocytes, isolated or in co-culture, were exposed to oxygen–glucose deprivation (OGD) either in the absence or in the presence of citicoline (1–100 μM). Viability was studied by measuring LDH release. Glutamate release and uptake, and ATP levels were also determined. Results:: Citicoline (0.5, 1 and 2 g/kg i.p. administered 1 h before the occlusion) produced a reduction of the infarct size measured at striatum (18, 27 and 42% inhibition, respectively, n = 8, P < 0.05 vs. ischemia), effect that correlated with the inhibition caused by citicoline on ischemia-induced increase in glutamate concentrations after the onset of the ischemia. Citicoline also inhibited ischemia-induced decrease in cortical and striatal ATP levels. Incubation of cultured rat cortical neurones with citicoline (10 and 100 μM) prevented OGD-induced LDH and glutamate release and caused a recovery in ATP levels after OGD, confirming our previous results. In addition, citicoline (100 μM) caused an increase in glutamate uptake and in EAAT2 glutamate transporter membrane expression in cultured rat astrocytes. Conclusions:: Our present findings show novel mechanisms for the neuroprotective effects of citicoline, which cooperate to decrease brain glutamate release after ischemia.http://www.sciencedirect.com/science/article/pii/S0969996104002426AstrocytesATPCerebral infarctionMiddle cerebral artery occlusionNeuronesOGD
spellingShingle Olivia Hurtado
María A. Moro
Antonio Cárdenas
Verónica Sánchez
Paz Fernández-Tomé
Juan C. Leza
Pedro Lorenzo
Julio J. Secades
Rafael Lozano
Antoni Dávalos
José Castillo
Ignacio Lizasoain
Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport
Neurobiology of Disease
Astrocytes
ATP
Cerebral infarction
Middle cerebral artery occlusion
Neurones
OGD
title Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport
title_full Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport
title_fullStr Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport
title_full_unstemmed Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport
title_short Neuroprotection afforded by prior citicoline administration in experimental brain ischemia: effects on glutamate transport
title_sort neuroprotection afforded by prior citicoline administration in experimental brain ischemia effects on glutamate transport
topic Astrocytes
ATP
Cerebral infarction
Middle cerebral artery occlusion
Neurones
OGD
url http://www.sciencedirect.com/science/article/pii/S0969996104002426
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