Abstract

Nimodipine is a Ca2+-channel antagonist mainly used for the management of aneurysmal subarachnoid hemorrhage (aSAH) to prevent cerebral vasospasms. However, it is not clear if the better outcome of nimodipine-treated patients is mainly due to vasodilatation or whether other cellular neuroprotective or neuregenerative effects of nimodipine are involved. We analysed PC12 cells after different stress stimuli with or without nimodipine pretreatment. Cytotoxicity of 200 mM EtOH and osmotic stress (450 mosmol/L) was significantly reduced with nimodipine pretreatment, while nimodipine has no influence on the hypoxia-induced cytotoxicity in PC12 cells. The presence of nimodipine also increased the NGF-induced neurite outgrowth in PC12 cells. However, nimodipine alone was not able to induce neurite outgrowth in PC12 cells. These results support the idea that nimodipine has general neuroprotective or neuregenerative effect beside its role in vasodilatation and is maybe useful also in other clinical applications beside aSAH.

Highlights

  • Nimodipine (Figure 1) is a 1,4-dihydropyridine L-type-Ca2+-channel antagonist

  • The neuroprotective effect of nimodipine was investigated under different stress conditions

  • The 1,4-dihydropyridine L-type-Ca2+-channel antagonist nimodipine is mainly used for the management of aneurysmal subarachnoid hemorrhage

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Summary

Introduction

Nimodipine (Figure 1) is a 1,4-dihydropyridine L-type-Ca2+-channel antagonist. It is a more lipophilic analog of nifedipine and crosses the blood brain barrier and reaches high concentrations in cerebrospinal fluid (CSF) [1]. The control of the intracellular calcium concentration is impaired and this has been associated with age-related neurodegenerative conditions [4,5]. This led to clinical trials where dementia patients were treated with nimodipine. They showed some benefit for patients with

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