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Progesterone in transient ischemic stroke: a dose–response study

Rationale Previous studies demonstrate the neuroprotective effects of progesterone in numerous animal injury models, but a systematic dose–response study in a transient ischemic stroke model is lacking. Objectives We investigated the effects of progesterone at different doses on post-stroke brain in...

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Published in:Psychopharmacology 2014-09, Vol.231 (17), p.3313-3323
Main Authors: Yousuf, Seema, Atif, Fahim, Sayeed, Iqbal, Tang, Huiling, Stein, Donald G.
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creator Yousuf, Seema
Atif, Fahim
Sayeed, Iqbal
Tang, Huiling
Stein, Donald G.
description Rationale Previous studies demonstrate the neuroprotective effects of progesterone in numerous animal injury models, but a systematic dose–response study in a transient ischemic stroke model is lacking. Objectives We investigated the effects of progesterone at different doses on post-stroke brain infarction and functional deficits in middle-aged rats. Methods Cerebral ischemia was induced in 13-month-old male Sprague–Dawley rats by right middle cerebral artery occlusion for 2 h followed by reperfusion. Rats received intraperitoneal injections of 8, 16, or 32 mg/kg of progesterone (P8, P16, P32) or vehicle at 2 h post-occlusion followed by subcutaneous injections at 6 h and every 24 h post-injury for 7 days. Functional recovery was evaluated at intervals over 22 days using motor, sensory, and cognitive tests. Infarct size was evaluated at 22 days post-stroke. Results Repeated-measures ANOVA showed significant group effects on grip strength, rotarod, and sensory neglect. All progesterone-treated groups had improved ( p  
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Objectives We investigated the effects of progesterone at different doses on post-stroke brain infarction and functional deficits in middle-aged rats. Methods Cerebral ischemia was induced in 13-month-old male Sprague–Dawley rats by right middle cerebral artery occlusion for 2 h followed by reperfusion. Rats received intraperitoneal injections of 8, 16, or 32 mg/kg of progesterone (P8, P16, P32) or vehicle at 2 h post-occlusion followed by subcutaneous injections at 6 h and every 24 h post-injury for 7 days. Functional recovery was evaluated at intervals over 22 days using motor, sensory, and cognitive tests. Infarct size was evaluated at 22 days post-stroke. Results Repeated-measures ANOVA showed significant group effects on grip strength, rotarod, and sensory neglect. All progesterone-treated groups had improved ( p  &lt; 0.05) spatial memory performance. The P8 and P16 groups showed maximum improvement in long-term memory compared to vehicle. Significant ( p  &lt; 0.05) gait impairments were observed in the vehicle group compared to shams. Animals receiving the P8 dose showed maximum gait improvement compared to vehicle. Post hoc analysis revealed that the P8 and P16 groups showed significant attenuation in infarct volume compared to vehicle. Animals receiving the P32 dose did not show any effect on infarct volume. Conclusions Although all doses were somewhat effective, progesterone given at 8 mg/kg led to the most consistent improvements across a panel of behavioral/functional tests and reduced the severity of ischemic infarct injury.</description><identifier>ISSN: 0033-3158</identifier><identifier>EISSN: 1432-2072</identifier><identifier>DOI: 10.1007/s00213-014-3556-8</identifier><identifier>PMID: 24752655</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Animals ; Behavior, Animal - drug effects ; Biomedical and Life Sciences ; Biomedicine ; Dosage and administration ; Dose-Response Relationship, Drug ; Drug interactions ; Drug therapy ; Gait Disorders, Neurologic - drug therapy ; Hand Strength ; Identification and classification ; Infarction, Middle Cerebral Artery - drug therapy ; Infarction, Middle Cerebral Artery - pathology ; Infarction, Middle Cerebral Artery - psychology ; Ischemic Attack, Transient - drug therapy ; Ischemic Attack, Transient - pathology ; Ischemic Attack, Transient - psychology ; Male ; Maze Learning - drug effects ; Memory ; Memory - drug effects ; Neuroprotective Agents - administration &amp; dosage ; Neuroprotective Agents - therapeutic use ; Neurosciences ; Original Investigation ; Perceptual Disorders - drug therapy ; Perceptual Disorders - psychology ; Pharmacology/Toxicology ; Postural Balance - drug effects ; Progesterone ; Progesterone - administration &amp; dosage ; Progesterone - therapeutic use ; Psychiatry ; Psychopharmacology ; Rats ; Rats, Sprague-Dawley ; Steroids ; Stroke ; Stroke (Disease)</subject><ispartof>Psychopharmacology, 2014-09, Vol.231 (17), p.3313-3323</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>COPYRIGHT 2014 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2014 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c603t-df71aa23fa781a8f501fc34d7abe84c1cad48275eefdb3cc7b2f8e8e119d5dfc3</citedby><cites>FETCH-LOGICAL-c603t-df71aa23fa781a8f501fc34d7abe84c1cad48275eefdb3cc7b2f8e8e119d5dfc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24752655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yousuf, Seema</creatorcontrib><creatorcontrib>Atif, Fahim</creatorcontrib><creatorcontrib>Sayeed, Iqbal</creatorcontrib><creatorcontrib>Tang, Huiling</creatorcontrib><creatorcontrib>Stein, Donald G.</creatorcontrib><title>Progesterone in transient ischemic stroke: a dose–response study</title><title>Psychopharmacology</title><addtitle>Psychopharmacology</addtitle><addtitle>Psychopharmacology (Berl)</addtitle><description>Rationale Previous studies demonstrate the neuroprotective effects of progesterone in numerous animal injury models, but a systematic dose–response study in a transient ischemic stroke model is lacking. Objectives We investigated the effects of progesterone at different doses on post-stroke brain infarction and functional deficits in middle-aged rats. Methods Cerebral ischemia was induced in 13-month-old male Sprague–Dawley rats by right middle cerebral artery occlusion for 2 h followed by reperfusion. Rats received intraperitoneal injections of 8, 16, or 32 mg/kg of progesterone (P8, P16, P32) or vehicle at 2 h post-occlusion followed by subcutaneous injections at 6 h and every 24 h post-injury for 7 days. Functional recovery was evaluated at intervals over 22 days using motor, sensory, and cognitive tests. Infarct size was evaluated at 22 days post-stroke. Results Repeated-measures ANOVA showed significant group effects on grip strength, rotarod, and sensory neglect. All progesterone-treated groups had improved ( p  &lt; 0.05) spatial memory performance. The P8 and P16 groups showed maximum improvement in long-term memory compared to vehicle. Significant ( p  &lt; 0.05) gait impairments were observed in the vehicle group compared to shams. Animals receiving the P8 dose showed maximum gait improvement compared to vehicle. Post hoc analysis revealed that the P8 and P16 groups showed significant attenuation in infarct volume compared to vehicle. Animals receiving the P32 dose did not show any effect on infarct volume. 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Objectives We investigated the effects of progesterone at different doses on post-stroke brain infarction and functional deficits in middle-aged rats. Methods Cerebral ischemia was induced in 13-month-old male Sprague–Dawley rats by right middle cerebral artery occlusion for 2 h followed by reperfusion. Rats received intraperitoneal injections of 8, 16, or 32 mg/kg of progesterone (P8, P16, P32) or vehicle at 2 h post-occlusion followed by subcutaneous injections at 6 h and every 24 h post-injury for 7 days. Functional recovery was evaluated at intervals over 22 days using motor, sensory, and cognitive tests. Infarct size was evaluated at 22 days post-stroke. Results Repeated-measures ANOVA showed significant group effects on grip strength, rotarod, and sensory neglect. All progesterone-treated groups had improved ( p  &lt; 0.05) spatial memory performance. The P8 and P16 groups showed maximum improvement in long-term memory compared to vehicle. Significant ( p  &lt; 0.05) gait impairments were observed in the vehicle group compared to shams. Animals receiving the P8 dose showed maximum gait improvement compared to vehicle. Post hoc analysis revealed that the P8 and P16 groups showed significant attenuation in infarct volume compared to vehicle. Animals receiving the P32 dose did not show any effect on infarct volume. Conclusions Although all doses were somewhat effective, progesterone given at 8 mg/kg led to the most consistent improvements across a panel of behavioral/functional tests and reduced the severity of ischemic infarct injury.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24752655</pmid><doi>10.1007/s00213-014-3556-8</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Behavior, Animal - drug effects
Biomedical and Life Sciences
Biomedicine
Dosage and administration
Dose-Response Relationship, Drug
Drug interactions
Drug therapy
Gait Disorders, Neurologic - drug therapy
Hand Strength
Identification and classification
Infarction, Middle Cerebral Artery - drug therapy
Infarction, Middle Cerebral Artery - pathology
Infarction, Middle Cerebral Artery - psychology
Ischemic Attack, Transient - drug therapy
Ischemic Attack, Transient - pathology
Ischemic Attack, Transient - psychology
Male
Maze Learning - drug effects
Memory
Memory - drug effects
Neuroprotective Agents - administration & dosage
Neuroprotective Agents - therapeutic use
Neurosciences
Original Investigation
Perceptual Disorders - drug therapy
Perceptual Disorders - psychology
Pharmacology/Toxicology
Postural Balance - drug effects
Progesterone
Progesterone - administration & dosage
Progesterone - therapeutic use
Psychiatry
Psychopharmacology
Rats
Rats, Sprague-Dawley
Steroids
Stroke
Stroke (Disease)
title Progesterone in transient ischemic stroke: a dose–response study
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