Abstract

Background/aim We examined the protective effects of the natural flavonoid, quercetin, against cerebral vasospasm in an experimental rat subarachnoid haemorrhage (SAH) model. Materials and methods Thirty-eight albino Wistar rats were divided into five groups as follows: group 1 (G1, n=8), no experimental intervention; group 2 (G2, n=8), subarachnoid physiological saline; group 3 (G3, n=8), SAH; group 4 (G4, n=7) SAH and low-dose (10 mg/kg) quercetin treatment; group 5 (G5, n=7), SAH and high-dose (50 mg/kg) quercetin treatment. Subarachnoid haemorrhage was induced by injection of 0.15 cc of autologous blood taken from the tail artery into the cisterna magna from the craniocervical junction and basilar arteries and blood samples were taken for biochemical and histopathological analyses. Results Malondialdehyde (MDA) levels were significantly higher in G2 and G3 than in G1 (P < 0.05). Significant decreases in MDA were observed in G4 and G5 compared with G2 (P < 0.05, G4–G2; P < 0.05, G5–G2). There were no significant differences between G2 and G3 or among G1, G4, and G5. No statistically significant differences were found in total antioxidant capacity between the groups (P > 0.05). There were no significant differences in basilar artery (BA) wall thickness between G3 and G4 or between G3 and G5, but G4 and G5 showed greater luminal diameters than G3 (P < 0.05). There were no significant differences in BA thickness or luminal diameter between G4 and G5. Conclusion Our results suggested that quercetin may be beneficial in SAH therapy by preventing vasospasm.

Highlights

  • Cerebral vasospasm (CV) is the most important cause of morbidity and mortality following subarachnoid haemorrhage (SAH) [1]

  • Background/aim: We examined the protective effects of the natural flavonoid, quercetin, against cerebral vasospasm in an experimental rat subarachnoid haemorrhage (SAH) model

  • There were no significant differences in basilar artery (BA) thickness or luminal diameter between G4 and G5

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Summary

Introduction

Cerebral vasospasm (CV) is the most important cause of morbidity and mortality following subarachnoid haemorrhage (SAH) [1]. The aim of SAH treatment is to prevent secondary brain injury by optimising cerebral blood blow, reducing cerebral metabolic demand, and avoiding hypoxia [2]. Many pharmacological agents have been utilised for treatment of CV in both clinical and experimental studies, including free radical scavengers, vasodilators such as nitric oxide (NO), endothelin antagonists, glutamate antagonists and protein kinase inhibitors [3]. As a strong antioxidant and radical scavenger, quercetin. The present study was designed to investigate the potential neuroprotective effects of quercetin on CV using an experimental rat model of subarachnoid haemorrhage, and to evaluate the cellular changes through biochemical, pathological, and histomorphometric analyses

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