http://nnr.sagepub.com/content/27/9/878.abstract?etoc
- Huichao Zou, MD, PhD1,2
- Samuel W. Brayer1,2
- Maxwell Hurwitz1
- Christian Niyonkuru, MS1
- Lorraine E. Fowler1
- Amy K. Wagner, MD1,2
- 1Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA
- 2Safar Center for Resuscitation Research, University of Pittsburgh, Pittsburgh, PA, USA
- Amy K. Wagner, Physical Medicine and Rehabilitation, University of Pittsburgh, 3471 Fifth Avenue, Suite 202, Pittsburgh, PA 15213, USA. Email: wagnerak@upmc.edu
Abstract
Background. Prophylactic treatment with
antiepileptic drugs (AEDs) has been recommended to prevent early seizure
onset in patients with
traumatic brain injury (TBI). However, the
potential neuroprotective and/or detrimental effects of prophylactic AED
treatment
on behavioral and cognitive function after TBI are
not well studied.
Objective. To investigate the effects of a novel AED, levitiracetam (LEV), on behavioral and cognitive function after experimental
TBI in rats. Methods. Adult male rats were
administered LEV (intraperitoneal 50 mg/kg) or vehicle (saline; SL)
daily for 20 days beginning 1 day
after controlled cortical impact (CCI; 2.8 mm; 4
m/s) or sham surgery. Beam performance (days 1-6), Y-maze (day 7), and
Morris
water maze (days 14-19) postinjury testing was
assessed.
Results. Daily LEV treatment improved motor function,
increased novel arm exploration in the Y-maze, elicited greater
hippocampal
cell sparing, and decreased contusion volumes
compared with CCI/SL rats. Daily LEV administration also reversed a
TBI-induced
decrease in regional glutamate transporter
expression and neuroplastic marker proteins present 20 days post-CCI.
Also, daily
LEV treatment decreased regional IL-1β expression
after TBI.
Conclusions. These results suggest that daily LEV treatment has beneficial effects on histological, molecular, and behavioral elements
of neurological recovery after TBI, in part, via modulation of neuroinflammatory and excitatory pathways.
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