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Journal ArticleDOI

Effects of the 21-aminosteroid U74006F on experimental head injury in mice

Edward D. Hall, +3 more
- 01 Mar 1988 - 
- Vol. 68, Iss: 3, pp 456-461
TLDR
It is demonstrated that early treatment after severe concussive head injury with a potent inhibitor of iron-dependent lipid peroxidation can significantly benefit the injured brain in mice and promote both early neurological recovery and long-term survival.
Abstract
✓ The ability of a novel non-glucocorticoid 21-aminosteroid U74006F to inhibit lipid peroxidation of central nervous system tissue in vitro and to enhance the early neurological recovery and survival of mice after a severe concussive head injury is described. In the in vitro studies, U74006F was found to be an extremely potent inhibitor of lipid peroxidation in an assay system where the glucocorticoid steroid methylprednisolone and the non-glucocortoid steroids U72099E and U75718A were almost completely ineffective. In the head-injury studies, unanesthetized male CF-1 mice were subjected to a 900 gm-cm closed head injury produced by a 50-gm weight being dropped 18 cm. This concussive injury resulted in immediate unconsciousness (loss of righting reflex) in all animals and death in approximately 30%. Survivors received a tail vein injection of either vehicle or U74006F (0.001 to 30 mg/kg) within 5 minutes postinjury. Their neurological status was evaluated 1 hour later using a grip test. The grip-test scor...

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Citations
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Book ChapterDOI

Role of free radicals and catalytic metal ions in human disease: an overview.

TL;DR: The chapter discusses the metabolism of transition metals, such as iron and copper, and the chelation therapy that is an approach to site-specific antioxidant protection.
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Reactive Oxygen Species and the Central Nervous System

TL;DR: The nature of antioxidants is discussed, it being suggested that antioxidant enzymes and chelators of transition metal ions may be more generally useful protective agents than chain‐breaking antioxidants.
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Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition

TL;DR: The scope and purpose of this work is to synthesize the available evidence and to translate it into recommendations, so that these recommendations be used by others to develop treatment protocols, which necessarily need to incorporate consensus and clinical judgment in areas where current evidence is lacking or insufficient.
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Strategies of antioxidant defense

TL;DR: Cellular protection against the deleterious effects of reactive oxidants generated in aerobic metabolism, called oxidative stress, is organized at multiple levels.
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Reactive oxygen species in living systems: source, biochemistry, and role in human disease.

TL;DR: These various principles will be illustrated by considering several thiol compounds by scavenging biologically important reactive oxygen species by preventing their formation, or by repairing the damage they do.
References
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Journal ArticleDOI

The involvement of iron in lipid peroxidation. Importance of ferric to ferrous ratios in initiation.

TL;DR: The data suggest that the absolute ratio of Fe3+ to Fe2+ was the primary determining factor for the initiation of lipid peroxidation reactions.
Journal ArticleDOI

Novel 21-amino steroids as potent inhibitors of iron-dependent lipid peroxidation.

TL;DR: Two representative compounds from a novel chemical series of potent inhibitors of lipid peroxidation are described and one of the compounds, U74500A, may act as a membrane localized chelator of iron.
Journal ArticleDOI

Effect of high-dose corticosteroid therapy on blood flow, evoked potentials, and extracellular calcium in experimental spinal injury

TL;DR: High-dose methylprednisolone administered 45 minutes after severe contusion injury to cat spinal cords, rapidly reverses the typical posttraumatic ischemia that occurs in spinal injuries and suggests that high-dose corticosteroid treatment causes local vasodilation of spinal cord blood vessels.
Journal ArticleDOI

Effects of intravenous methylprednisolone on spinal cord lipid peroxidation and (Na + + K+)-ATPase activity Dose-response analysis during 1st hour after contusion injury in the cat

TL;DR: The injury-induced increase in fluorescence and cyclic GMP content in the contused spinal segment at 1 hour was completely prevented by the administration of 15 or 30 mg/kg of methylprednisolone at 30 minutes after injury.
Journal ArticleDOI

A pharmacological analysis of the pathophysiological mechanisms of posttraumatic spinal cord ischemia

TL;DR: A hypothesis is presented concerning the pathogenesis of posttraumatic central nervous system ischemia which integrates an injury-induced rise in intracellular Ca++, the increased synthesis of vasoactive prostanoids, and progressive microvascular lipid peroxidation.
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