Antioxidant and neuroprotective effects of dexpanthenol in traumatic brain injury-induced rats.

Objective: Traumatic brain injury (TBI) is associated with high mortality and morbidity. Trauma-induced primary damage is followed by apoptosis, lipid peroxidation and oxidative stress that lead to secondary damage, causing exacerbation of TBI. In various inflammation models, dexpanthenol was shown to protect tissues against oxidative damage. It was aimed to investigate possible antioxidant and neuroprotective effects of dexpanthenol in TBI model. Methods: Wistar albino male rats were randomly assigned to control (n = 8), TBI+dexpanthenol (500 mg/kg; n = 10) and TBI+vehicle (n = 10) groups. TBI was performed under anesthesia (ketamine+xylazine) by dropping a 300 g weight from 70- cm height on the skull of rats, which were injected intraperitoneally with vehicle or dexpanthenol immediately after trauma. At 24th h of trauma, rats were decapitated. Malondialdehyde (MDA) -indicative of lipid peroxidation-, myeloperoxidase (MPO) -marker of neutrophil infiltration-, apoptosis-marker caspase-3, antioxidant superoxide dismutase (SOD) levels and catalase (CAT) activities and levels of luminol- and lucigenimmediated chemiluminescence (CL), -indicating presence of reactive oxygen species- were measured in brain tissues. Following transcardiac parafolmadehyde perfusion, histopathological damage was graded on hematoxylin-eosin-stained brain tissues. The data was evaluated by one-way ANOVA. Results: In the vehicle-treated TBI group, MPO level, caspase- 3 activity and luminol-lucigenin CL levels were elevated (p<0.05-0.001), while in the dexpanthenol-treated TBI group these increases were suppressed (p<0.05-0,001) and MDA levels were decreased (p<0.05). Decreased SOD and CAT activities (p<0.01) in the vehicle-treated TBI group were increased above control levels in the dexpanthenol-treated TBI group (p<0.05- 0.001). Neuronal damage observed microscopically in the cortices of TBI was relatively less in the dexpanthenol-treated group. Conclusion: Dexpanthenol reduced oxidative damage, suppressed apoptosis by stimulating antioxidant systems and thereby alleviated brain damage caused by TBI. Further experimental and clinical investigations are needed to confirm that dexpanthenol can be administered in the early stages of TBI. [ABSTRACT FROM AUTHOR]