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Br J Anaesth ; 108(5): 807-14, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22362669

RESUMO

BACKGROUND: Ketamine is increasingly popular in clinical practice and its combination with α(2)-agonists can provide good anaesthetic stability. Little is known about the effects of this combination in the brain. Therefore, we investigated the effects of different concentrations of ketamine combined with medetomidine on cognition and its potential apoptotic neurodegenerative effect in adult mice. METHODS: Seventy-eight C57BL/6 adult mice were divided into six different groups (saline solution, 1 mg kg(-1) medetomidine, 25 mg kg(-1) ketamine+1 mg kg(-1) medetomidine, 75 mg kg(-1) ketamine+1 mg kg(-1) medetomidine, 25 mg kg(-1) ketamine, and 75 mg kg(-1) ketamine). Eight animals per group were tested in the T-maze, vertical pole, and open-field test. Five animals per group were used for histopathological [haematoxylin and eosin (HE) staining] and immunohistochemical analyses [caspase-3 activation and expression of neurotrophin brain-derived neurotrophic factor (BDNF)]. Cells showing clear HE staining and positive immunoreactions for caspase-3 and BDNF in the retrosplenial cortex, visual cortex, pyramidal cell layer of the cornu Ammonis 1 and cornu Ammonis 3 areas of the hippocampus, and in the granular layer of the dentate gyrus were counted. RESULTS: There were no differences between groups regarding the number of dead cells and cells showing positive immunoreactions in the different areas of the brain studied. Similarly, no differences were detected in the number of trials to complete the T-maze task. Nevertheless, α(2)-agonist decreased hyperlocomotion caused by ketamine in the open field. CONCLUSIONS: Neither apoptotic neurodegeneration nor alterations in spatial memory were observed with different concentrations of ketamine combined with medetomidine in adult mice.


Assuntos
Anestésicos Dissociativos/toxicidade , Hipnóticos e Sedativos/toxicidade , Ketamina/toxicidade , Medetomidina/toxicidade , Transtornos da Memória/induzido quimicamente , Doenças Neurodegenerativas/induzido quimicamente , Anestésicos Combinados/administração & dosagem , Anestésicos Combinados/toxicidade , Anestésicos Dissociativos/administração & dosagem , Animais , Apoptose/efeitos dos fármacos , Comportamento Animal/efeitos dos fármacos , Encéfalo/patologia , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Hemodinâmica/efeitos dos fármacos , Hipnóticos e Sedativos/administração & dosagem , Ketamina/administração & dosagem , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Medetomidina/administração & dosagem , Transtornos da Memória/patologia , Camundongos , Camundongos Endogâmicos C57BL , Doenças Neurodegenerativas/patologia , Oxigênio/sangue
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