TY - JOUR T1 - Antioxidative Strategy in Traumatic Brain Injury: Role of Low-Molecular-Weight Antioxidants AU - Saidu, Umar Faruk AU - Bulama, Ibrahim AU - Suleiman, Nasiru AU - Abbas, Abdullahi AU - Saidu, Yusuf AU - Yakubu, Yusuf AU - Jinjiri, Nasiru AU - Bilbis, Lawal PY - 2024 DA - February DO - 10.46871/eams.1346139 JF - Experimental and Applied Medical Science JO - Exp Appl Med Sci PB - Gaziantep İslam Bilim ve Teknoloji Üniversitesi WT - DergiPark SN - 2757-847X SP - 573 EP - 594 VL - 4 IS - 4 LA - en AB - Objective: Traumatic brain injury (TBI) is a major cause of mortality and disability worldwide. This study was designed to investigate the beneficial and neuroprotective role of some Low-Molecular-Weight antioxidants (LMWA) in the treatment of TBI in albino rats.Methods: TBI was induced in adult albino rats using the weight-drop method. A total of 70 Rats was used and were divided into 12 treatment groups, a traumatized non-treated group (TNT) and a Non-traumatized non-treated group (NTNT). There were 5 rats per group. Each of the treatment groups received 22.5 or 45 mg/kg of dimethyl sulfoxide (DMSO), Alpha Lipoic acid (ALA), Uric acid (UA), vitamin C (VC), vitamin E (VE), or Mannitol. Treatment was started 30 min after the trauma and continued for 21 days. To evaluate the functional outcomes, the modified neurological severity score (mNSS) was calculated. The antioxidant enzymes [superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx)], and malondialdehyde (MDA) were assayed to evaluate oxidative stress (OS). Results: At 7 days post-TBI, the antioxidant-treated groups exhibited significant (p KW - Traumatic brain injury KW - Oxidative Stress KW - Neurological score KW - Low-Molecular-Weight Antioxidants KW - Malondialdehyde CR - 1. Webster KM, Sun M, Crack P, O’Brien TJ, Shultz SR, Semple BD. Inflammation in epileptogenesis after traumatic brain injury. Journal of Neuroinflammation. 2017;14(1). https//doi.org/10.1186/s12974-016-0786-1 CR - 2. Bogoslovsky T, Gill J, Jeromin A, Davis C, Diaz-Arrastia R. Fluid Biomarkers of Traumatic Brain Injury and Intended Context of Use. Diagnostics. 2016;6(4):37. https//doi.org/10.3390/diagnostics6040037 CR - 3. Luca L, Rogobete AF, Bedreag OH. Oxidative Stress and Antioxidant Therapy in Critically Ill Polytrauma Patients with Severe Head Injury. The Journal of Critical Care Medicine. 2015;1(3):83-91. https//doi.org/10.1515/jccm-2015-0014 CR - 4. Xiong Y, Mahmood A, Chopp M. Animal models of traumatic brain injury. Nature Reviews Neuroscience. 2013;14(2):128-142. https//doi.org/10.1038/nrn3407 CR - 5. Hode L, Madougou S, Fatigba HO, Hounnou P, Ebassa K, Hans Moevi AA, Assouto P. The Direct Cost of Treatment of Traumatic Brain Injury in a Sub-Saharan African Country (Benin). World Neurosurgery. 2017;99:210-213. https//doi.org/10.1016/j.wneu.2016.11.083 CR - 6. Pearn ML, Niesman IR, Egawa J, Sawada A, Almenar-Queralt A, Shah SB, Duckworth JL, Head BP. Pathophysiology Associated with Traumatic Brain Injury: Current Treatments and Potential Novel Therapeutics. Cellular and Molecular Neurobiology. 2016;237(4):571-585. https//doi.org/10.1007/s10571-016-0400-1 CR - 7. Ma MW, Wang J, Zhang Q, Wang R, Dhandapani KM, Vadlamudi RK, Brann DW. NADPH oxidase in brain injury and neurodegenerative disorders. Molecular Neurodegeneration. 2017;12(1). https//doi.org/10.1186/s13024-017-0150-7 CR - 8. Jyoti A, Mishra N, Dhas Y. Ageing: Consequences of Excessive Free Radicals and Inflammation. Current Science. 2016;111(11):1787. https//doi.org/10.18520/cs/v111/i11/1787-1793 CR - 9. Bruschetta G, Impellizzeri D, Campolo M, Casili G, Di Paola R, Paterniti I, Esposito E, Cuzzocrea S. FeTPPS Reduces Secondary Damage and Improves Neurobehavioral Functions after Traumatic Brain Injury. Frontiers in Neuroscience. 2017;11. https//doi.org/10.3389/fnins.2017.00006 CR - 10. Venegoni W, Shen Q, Thimmesch AR, Bell M, Hiebert JB, Pierce JD. The use of antioxidants in the treatment of traumatic brain injury. Journal of Advanced Nursing. 2017;73(6):1331-1338. https//doi.org/10.1111/jan.13259 CR - 11. Szwajgier D, Borowiec K, Pustelniak K. The Neuroprotective Effects of Phenolic Acids: Molecular Mechanism of Action. Nutrients. 2017;9(5):477. https//doi.org/10.3390/nu9050477 CR - 12. Shahim P, Blennow K, Zetterberg H, Tegner Y. Mild traumatic brain injury is associated with increased levels of axonal injury biomarkers in blood. British Journal of Sports Medicine. 2017;1(11). https//doi.org/10.1136/bjsports-2016-097270.15 CR - 13. Arteaga O, Álvarez A, Revuelta M, Santaolalla F, Urtasun A, Hilario E. Role of Antioxidants in Neonatal Hypoxic–Ischemic Brain Injury: New Therapeutic Approaches. International Journal of Molecular Sciences. 2017;18(2):265. https//doi.org/10.3390/ijms18020265 CR - 14. Borlongan C, Acosta S, De la Pena I, Tajiri N, Kaneko Y, Lozano D, Gonzales-Portillo G. Neuroinflammatory responses to traumatic brain injury: etiology, clinical consequences, and therapeutic opportunities. Neuropsychiatric Disease and Treatment. 2015;97. https//doi.org/10.2147/ndt.s65815 CR - 15. Ozdemir D, Uysal N, Gonenc S, Acikgoz O, Sonmez A, Topcu A, Ozdemir N, Duman M, Semin I, Ozkan H. Effect of melatonin on brain oxidative damage induced by traumatic brain injury in immature rats. Physiological Research. 2005:631-637. Doi.org/10.33549/physiolres.930709 CR - 16. Zoerle T, Carbonara M, Zanier ER, Ortolano F, Bertani G, Magnoni S, Stocchetti N. Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection. Frontiers in Neurology. 2017;8. https//doi.org/10.3389/fneur.2017.00354 CR - 17. Karsy M, Brock A, Guan J, Taussky P, Kalani MYS, Park MS. Neuroprotective strategies and the underlying molecular basis of cerebrovascular stroke. Neurosurgical Focus. 2017;42(4). https//doi.org/10.3171/2017.1.focus16522 CR - 18. Stocchetti N, Taccone FS, Citerio G, Pepe PE, Le Roux PD, Oddo M, Polderman KH, Stevens RD, Barsan W, Maas AI, Meyfroidt G, Bell MJ, Silbergleit R, Vespa PM, Faden AI, Helbok R, Tisherman S, Zanier ER, Valenzuela T, Wendon J, Menon DK, Vincent J-L. Neuroprotection in acute brain injury: an up-to-date review. Critical Care. 2015;19(1). https://doi.org/10.1186/s13054-015-0887-8 CR - 19. Marmarou A, Foda MAA-E, Brink W van den, Campbell J, Kita H, Demetriadou K. A new model of diffuse brain injury in rats. Journal of Neurosurgery. 1994;80(2):291-300. https//doi.org/10.3171/jns.1994.80.2.0291 CR - 20. Schallert T, Kozlowski DA, Humm JL, Cocke RR. Use-dependent structural events in recovery of function. Adv Neurol. 1997;73:229-38. PMID: 8959217 CR - 21. Marklund SL. Analysis of extracellular superoxide dismutase in tissue homogenates and extracellular fluids. Oxygen Radicals in Biological Systems Part B: Oxygen Radicals and Antioxidants. 1990;260-265.https://doi.org/10.1016/0076-6879(90)86117-e CR - 22. Johansson LH, Håkan Borg L. A spectrophotometric method for determination of catalase activity in small tissue samples. Analytical Biochemistry. 1988;174(1):331-336. https://doi.org/10.1016/0003-2697(88)90554-4 CR - 23. Ursini F, Maiorino M, Gregolin C. The selenoenzyme phospholipid hydroperoxide glutathione peroxidase. Biochimica et Biophysica Acta (BBA) – General Subjects. 1985;839(1):62-70. https://doi.org/10.1016/0304-4165(85)90182-5 CR - 24. Goulart M, Batoréu M, Rodrigues A, Laires A, Rueff J. Lipoperoxidation products and thiol antioxidants in chromium exposed workers. Mutagenesis. 2005;20(5):311-315. https://doi.org/10.1093/mutage/gei043 CR - 25. Davis AE. Mechanisms of Traumatic Brain Injury: Biomechanical, Structural and Cellular Considerations. Critical Care Nursing Quarterly. 2000;23(3):1-13. https//doi.org/10.1097/00002727-200011000-00002 CR - 26. Denniss RJ, Barker LA. Brain Trauma and the Secondary Cascade in Humans: Review of the Potential Role of Vitamins in Reparative Processes and Functional Outcome. Behavioral Sciences. 2023;13(5):388. https://doi.org/10.3390/bs13050388 CR - 27. Inci S, Özcan OE, Kilinç K. Time-Level Relationship for Lipid Peroxidation and the Protective Effect of α-Tocopherol in Experimental Mild and Severe Brain Injury. Neurosurgery. 1998;43(2):330-335. https//doi.org/10.1097/00006123-199808000-00095 CR - 28. Ehizuelen Ebhohimen I, Stephen Okanlawon T, Ododo Osagie A, Norma Izevbigie O. Vitamin E in Human Health and Oxidative Stress Related Diseases. Vitamin E in Health and Disease - Interactions, Diseases and Health Aspects. 2021. https://doi.org/10.5772/intechopen.99169 CR - 29. Rani K. Role of Antioxidants in Prevention of Diseases. Journal of Applied Biotechnology & Bioengineering. 2017;4(1). https//doi.org/10.15406/jabb.2017.04.00091 CR - 30. Watanabe S, Kang D-H, Feng L, Nakagawa T, Kanellis J, Lan H, Mazzali M, Johnson RJ. Uric Acid, Hominoid Evolution, and the Pathogenesis of Salt-Sensitivity. Hypertension. 2002;40(3):355-360. https//doi.org/10.1161/01.hyp.0000028589.66335.aa CR - 31. Jagroop Singh, Sukhraj Kaur, Manjinder Kaur, Manpreet Kaur Verma. The Role of Uric Acid as an Antioxidant in Selected Neurodegenerative Disease Pathogenesis. International Journal of Scientific Research in Science and Technology. 2022:239-247. https://doi.org/10.32628/ijsrst229440 CR - 32. Hooper DC, Scott GS, Zborek A, Mikheeva T, Kean RB, Koprowski H, Spitsin SV. Uric acid, a peroxynitrite scavenger, inhibits CNS inflammation, blood–CNS barrier permeability changes, and tissue damage in a mouse model of multiple sclerosis. The FASEB Journal. 2000;14(5):691-698. https//doi.org/10.1096/fasebj.14.5.691 CR - 33. Patwa J, Thakur A, Flora SJS. Alpha Lipoic Acid and Monoisoamyl-DMSA Combined Treatment Ameliorates Copper-Induced Neurobehavioral Deficits, Oxidative Stress, and Inflammation. Toxics. 2022;10(12):718. https://doi.org/10.3390/toxics10120718 CR - 34. Jones W, Li X, Qu Z- chao, Perriott L, Whitesell RR, May JM. Uptake, recycling, and antioxidant actions of α-lipoic acid in endothelial cells. Free Radical Biology and Medicine. 2002;33(1):83-93. htpp://doi.org/10.1016/s0891-5849(02)00862-6 CR - 35. Packer L, Witt EH, Tritschler HJ. Alpha-lipoic acid as a biological antioxidant. Free Radical Biology and Medicine. 1995;19(2):227-250. https//doi.org/10.1016/0891-5849(95)00017-r CR - 36. Mei X- han, Yang Y- wen. Neuroprotective effects of α-lipoic acid against hypoxic– ischemic brain injury in neonatal rats. Tropical Journal of Pharmaceutical Research. 2017;16(5):1051. https//doi.org/10.4314/tjpr.v16i5.12 CR - 37. Regoli F, Winston GW. Quantification of Total Oxidant Scavenging Capacity of Antioxidants for Peroxynitrite, Peroxyl Radicals, and Hydroxyl Radicals. Toxicology and Applied Pharmacology. 1999;156(2):96-105. https//doi.org/10.1006/taap.1999.8637 CR - 38. Kalemci O, Aydin HE, Kizmazoglu C, Kaya I, Yılmaz H, Arda NM. Effects of Quercetin and Mannitol on Erythropoietin Levels in Rats Following Acute Severe Traumatic Brain Injury. Journal of Korean Neurosurgical Society. 2017;60(3):355-361. https//doi.org/10.3340/jkns.2016.0505.015 CR - 39. Yilmaz N, Dulger H, Kiymaz N, Yilmaz C, Gudu BO, Demir I. Activity of mannitol and hypertonic saline therapy on the oxidant and antioxidant system during the acute term after traumatic brain injury in the rats. Brain Research. 2007;1164:132-135. https//doi.org/10.1016/j.brainres.2007.06.01737 UR - https://doi.org/10.46871/eams.1346139 L1 - https://dergipark.org.tr/tr/download/article-file/3345808 ER -