Abstract

Background. Lipoic acid (LA), which has significant antioxidant properties, may also function as a potent neuroprotectant. The synthetic compounds INV-155, INV-157, INV-159, and INV-161 are physiochemical combinations of lipoic acid and captopril. We sought to determine if these compounds have neuroprotective potential following middle cerebral artery occlusion (MCAO) in rats. Methods. Male Sprague-Dawley rats were injected intravenously with captopril (1–50 mg/kg) 30 minutes prior to MCAO. Blood pressure, heart rate, baroreceptor reflex sensitivity, and infarct size were measured. In addition, dose response effect on infarct size and cardiovascular parameters was determined using INV-155, INV-157, INV-159, and INV-161 and compared to captopril and LA. Results. Pretreatment with captopril and LA at all doses tested was neuroprotective. The compounds INV-159 (0.5–10 mg/kg) and INV-161 (1–10 mg/kg) produced a significant,dose-dependent decrease in infarct size. In contrast, INV-155 and INV-157 had no effect on infarct size. Conclusions. Combined pretreatment with captopril potentiated the neuroprotective benefit observed following LA alone. Both INV-159 and INV-161 were also neuroprotective. These results suggest that patients taking combinations of captopril and LA, either as combination therapy or in the form of INV-159 or INV-161, may also benefit from significant protection against cerebral infarction.

Highlights

  • Hypertension prevalence is highly variable among populations worldwide

  • Combined pretreatment with captopril potentiated the neuroprotective benefit observed following Lipoic acid (LA) alone. Both INV-159 and INV-161 were neuroprotective. These results suggest that patients taking combinations of captopril and LA, either as combination therapy or in the form of INV-159 or INV-161, may benefit from significant protection against cerebral infarction

  • The following experiment was designed to determine the effect of captopril pretreatment on middle cerebral artery occlusion (MCAO)-induced ischemia/reperfusion (I/R) injury

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Summary

Introduction

Hypertension prevalence is highly variable among populations worldwide. In the United States there is a disproportionate burden of this disease and its complications in African Americans [1]. Hypertension is usually observed at a younger age in African-Americans and it results in more severe disease complications. This results in a significantly higher hypertension related mortality rate for African Americans, 49.9% and 40.6% for African American men and women, respectively, compared to 17.9% for the overall US population in 2004 [1]. Combined pretreatment with captopril potentiated the neuroprotective benefit observed following LA alone. These results suggest that patients taking combinations of captopril and LA, either as combination therapy or in the form of INV-159 or INV-161, may benefit from significant protection against cerebral infarction

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