Abstract
Global cerebral ischemia/reperfusion (I/R) induces selective neuronal injury in the hippocampus, leading to severe impairment in behavior, learning, and memory functions. This study aimed to evaluate the neuroprotective effects of bisoprolol (biso) and vitamin E (vit E) treatment alone or in combination on cerebral ischemia/reperfusion (I/R) injury. A total of 30 male rats were divided randomly into five groups (n = 6), sham, I/R, I/R + biso, I/R + vit E, and I/R + biso+vit E. Cerebral I/R group underwent global ischemia by bilateral common carotid artery occlusion for 20 min. Treatment groups received drugs once daily intraperitoneally for 7 days before the I/R induction. Locomotive and cognitive behaviors were utilized by open-field and Morris water maze tests. After behavioral testing, the brain was removed and processed to evaluate cerebral infarct size, histopathologic changes, myeloperoxidase (MPO) activity, and malondialdehyde (MDA) level. In I/R group tissue MDA and MPO levels and cerebral infarct size were significantly increased in comparison with the sham group. Furthermore, significant deficits were observed in locomotion and spatial memory after I/R. The areas of cerebral infarction, MPO, and MDA levels in biso, vit E, and combination group were significantly reduced compared with I/R group. Histopathological analysis demonstrated a significant reduction in leukocyte infiltration in all treated groups with the most profound reduction in the combination group. According to the behavioral tests, administration of biso and/or vit E protected locomotive ability and improved spatial memory after cerebral I/R. Our findings show that biso and vit E have beneficial effects against the I/R injury and due to their synergistic effects when administered in combination, may have a more pronounced protective effect on the cerebral I/R injury.
Similar content being viewed by others
References
Aabdallah DM, Eid NI (2004) Possible neuroprotective effects of lecithin and α-tocopherol alone or in combination against ischemia/reperfusion insult in rat brain. J Biochem Mol Toxicol 18:273–278
Abd-Elsameea A, Moustaf A, Mohamed A (2014) Modulation of the oxidative stress by metformin in the cerebrum of rats exposed to global cerebral ischemia and ischemia/reperfusion. Eur Rev Med Pharmacol Sci 18:2387–2392
Azar AH, Oryan S, Bohlooli S, Panahpour H (2017) Alpha-tocopherol reduces brain edema and protects blood-brain barrier integrity following focal cerebral ischemia in rats. Med Princ Pract 26:17–22
Bednar MM, Raymond S, McAuliffe T, Lodge PA, Gross CE (1991) The role of neutrophils and platelets in a rabbit model of thromboembolic stroke. Stroke 22:44–50
Chen Y-N, Yamada H, Mao W, Matsuyama S, Aihara M, Araie M (2007) Hypoxia-induced retinal ganglion cell death and the neuroprotective effects of beta-adrenergic antagonists. Brain Res 1148:28–37
Chin BS, Gibbs CR, Blann AD, Lip GY (2003) Neither carvedilol nor bisoprolol in maximally tolerated doses has any specific advantage in lowering chronic heart failure oxidant stress: implications for β-blocker selection. Clin Sci 105:507–512
Deb P, Sharma S, Hassan K (2010) Pathophysiologic mechanisms of acute ischemic stroke: An overview with emphasis on therapeutic significance beyond thrombolysis. Pathophysiology 17:197–218
Gao X, Wu B, Fu Z, Zhang Z, Xu G (2017) Carvedilol abrogates hypoxia-induced oxidative stress and neuroinflammation in microglial BV2 cells. Eur J Pharmacol 814:144–150
García-Prieto J et al (2017) Neutrophil stunning by metoprolol reduces infarct size. Nat Commun 8:1–15
Ge X-H et al (2017) Metformin protects the brain against ischemia/reperfusion injury through PI3K/Akt1/JNK3 signaling pathways in rats. Physiol Behav 170:115–123
Ghadernezhad N, Khalaj L, Pazoki-Toroudi H, Mirmasoumi M, Ashabi G (2016) Metformin pretreatment enhanced learning and memory in cerebral forebrain ischaemia: the role of the AMPK/BDNF/P70SK signalling pathway. Pharm Biol 54:2211–2219
Ghasemnejad-Berenji M et al (2018) Synergistic effect of rapamycin and metformin against germ cell apoptosis and oxidative stress after testicular torsion/detorsion-induced ischemia/reperfusion in rats. Biomed Pharmacother 105:645–651
Gheibi S, Aboutaleb N, Khaksari M, Kalalian-Moghaddam H, Vakili A, Asadi Y, Mehrjerdi FZ, Gheibi A (2014) Hydrogen sulfide protects the brain against ischemic reperfusion injury in a transient model of focal cerebral ischemia. J Mol Neurosci 54:264–270
Ghosh A, Sarkar S, Mandal AK, Das N (2013) Neuroprotective role of nanoencapsulated quercetin in combating ischemia-reperfusion induced neuronal damage in young and aged rats. PLoS One 8:e57735
Gok HB, Solaroglu I, Okutan O, Cimen B, Kaptanoglu E, Palaoglu S (2007) Metoprolol treatment decreases tissue myeloperoxidase activity after spinal cord injury in rats. J Clin Neurosci 14:138–142
Goyagi T, Kimura T, Nishikawa T, Tobe Y, Masaki Y (2006) β-adrenoreceptor antagonists attenuate brain injury after transient focal ischemia in rats. Anesth Analg 103:658–663
Goyagi T, Horiguchi T, Nishikawa T, Tobe Y (2010) Post-treatment with selective beta1 adrenoceptor antagonists provides neuroprotection against transient focal ischemia in rats. Brain Res 1343:213–217
Goyagi T, Nishikawa T, Tobe Y (2011) Neuroprotective effects and suppression of ischemia-induced glutamate elevation by β1-adrenoreceptor antagonists administered before transient focal ischemia in rats. J Neurosurg Anesthesiol 23:131–137
Hartman RE, Lee JM, Zipfel GJ, Wozniak DF (2005) Characterizing learning deficits and hippocampal neuron loss following transient global cerebral ischemia in rats. Brain Res 1043:48–56
Ichihara S, Yamada Y, Ichihara G, Kanazawa H, Hashimoto K, Kato Y, Matsushita A, Oikawa S, Yokota M, Iwase M (2006) Attenuation of oxidative stress and cardiac dysfunction by bisoprolol in an animal model of dilated cardiomyopathy. Biochem Biophys Res Commun 350:105–113
Ilhan A, Yilmaz HR, Armutcu F, Gurel A, Akyol O (2004) The protective effect of nebivolol on ischemia/reperfusion injury in rabbit spinal cord. Prog Neuro-Psychopharmacol Biol Psychiatry 28:1153–1160
Iwata M, Inoue S, Kawaguchi M, Nakamura M, Konishi N, Furuya H (2010) Posttreatment but not pretreatment with selective β-adrenoreceptor 1 antagonists provides neuroprotection in the hippocampus in rats subjected to transient forebrain ischemia. Anesth Analg 110:1126–1132
Jafari A, Ghasemnejad-Berenji H, Nemati M, Ghasemnejad-Berenji M (2020a) Topiramate: A novel protective agent against ischemia reperfusion-induced oxidative injury after testicular torsion/detorsion. Am J Emerg Med. https://doi.org/10.1016/j.ajem.2020.03.060
Jafari A, Karimipour M, Khaksar MR, Ghasemnejad-Berenji M (2020b) Protective effects of orally administered thymol against titanium dioxide nanoparticle–induced testicular damage. Environ Sci Pollut Res 27:2353–2360
Kamat PK, Kalani A, Metreveli N, Tyagi SC, Tyagi N (2015) A possible molecular mechanism of hearing loss during cerebral ischemia in mice. Can J Physiol Pharmacol 93:505–516
Karimipour M, Zarghani SS, Milani MM, Soraya H (2018) Pre-treatment with metformin in comparison with post-treatment reduces cerebral ischemia reperfusion induced injuries in rats. Bull Emerg Trauma 6:115–121
Kei S (1978) Serum lipid peroxide in cerebrovascular disorders determined by a new colorimetric method. Clin Chim Acta 90:37–43
Kumral A, Uysal N, Tugyan K, Sonmez A, Yilmaz O, Gokmen N, Kiray M, Genc S, Duman N, Koroglu TF, Ozkan H, Genc K (2004) Erythropoietin improves long-term spatial memory deficits and brain injury following neonatal hypoxia–ischemia in rats. Behav Brain Res 153:77–86
Kuroda S, Siesjö B (1997) Reperfusion damage following focal ischemia: pathophysiology and therapeutic windows. Clin Neurosci 4:199–212
Li M, Zhang X, Cui L, Yang R, Wang L, Liu L, Du W (2011) The neuroprotection of oxymatrine in cerebral ischemia/reperfusion is related to nuclear factor erythroid 2-related factor 2 (nrf2)-mediated antioxidant response: role of nrf2 and hemeoxygenase-1 expression. Biol Pharm Bull 34:595–601
Matsuo Y, Onodera H, Shiga Y, Nakamura M, Ninomiya M, Kihara T, Kogure K (1994) Correlation between myeloperoxidase-quantified neutrophil accumulation and ischemic brain injury in the rat. Effects of neutrophil depletion. Stroke 25:1469–1475
Naderi Y, Parvardeh S, Zanjani TM, Sabetkasaei M (2018) Neuroprotective effect of paroxetine on memory deficit induced by cerebral ischemia after transient bilateral occlusion of common carotid arteries in rat. Iran J Pharm Res 17:215
Nakamura K, Murakami M, Miura D, Yunoki K, Enko K, Tanaka M, Saito Y, Nishii N, Miyoshi T, Yoshida M, Oe H, Toh N, Nagase S, Kohno K, Morita H, Matsubara H, Kusano KF, Ohe T, Ito H (2011) Beta-blockers and oxidative stress in patients with heart failure. Pharmaceuticals 4:1088–1100
Onem G, Aral E, Enli Y, Oguz EO, Coskun E, Aybek H, Ozcan AV, Sacar M, Bir LS, Baltalarli A, Baycu C (2006) Neuroprotective effects of L-carnitine and vitamin E alone or in combination against ischemia-reperfusion injury in rats. J Surg Res 131:124–130
Opie LH (2019) b-Blocking Agents Drugs for the Heart:11
Osborne N, DeSantis L, Bae J, Ugarte M, Wood J, Nash M, Chidlow G (1999) Topically applied betaxolol attenuates NMDA-induced toxicity to ganglion cells and the effects of ischaemia to the retina. Exp Eye Res 69:331–342
Patel P, Barve K, Bhatt LK (2020) Narirutin-rich fraction from grape fruit peel protects against transient cerebral ischemia reperfusion injury in rats. Nutr Neurosci:1–11
Petty M, Wettstein J (2001) Elements of cerebral microvascular ischaemia. Brain Res Rev 36:23–34
Pithadia AB, Panchal SS, Patel DJ (2017) Neuroprotective effects of potassium channel openers on cerebral ischemia–reperfusion injury in diabetic rats. Bull Facult Pharm Cairo Univ 55:95–100
Pu F et al. (2009) Neuroprotective effects of Kangen-karyu on spatial memory impairment in an 8-arm radial maze and neuronal death in the hippocampal CA1 region induced by repeated cerebral ischemia in rats. J Pharmacol Sci 109(3):424–430
Sato PH, Hall ED (1992) Tirilazad mesylate protects vitamins C and E in brain ischemia-reperfusion injury. J Neurochem 58:2263–2268
Savitz SI, Erhardt JA, Anthony JV, Gupta G, Li X, Barone FC, Rosenbaum DM (2000) The novel β-blocker, carvedilol, provides neuroprotection in transient focal stroke. J Cereb Blood Flow Metab 20:1197–1204
Schiavon AP, Soares LM, Bonato JM, Milani H, Guimaraes FS, de Oliveira RMW (2014) Protective effects of cannabidiol against hippocampal cell death and cognitive impairment induced by bilateral common carotid artery occlusion in mice. Neurotox Res 26:307–316
Sezai A, Nakai T, Hata M, Yoshitake I, Shiono M, Kunimoto S, Hirayama A (2012) Feasibility of landiolol and bisoprolol for prevention of atrial fibrillation after coronary artery bypass grafting: a pilot study. J Thorac Cardiovasc Surg 144:1241–1248
Since M (1982) Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Investig Dermatol 78:206–209
So EC, Foo N-P, Ko SY, Wu S-N (2019) Bisoprolol, known to be a selective β1-receptor antagonist, differentially but directly suppresses IK (M) and IK (erg) in pituitary cells and hippocampal neurons. Int J Mol Sci 20:657
Soares RO, Losada DM, Jordani MC, Évora P, Castro-e-Silva O (2019) Ischemia/reperfusion injury revisited: an overview of the latest pharmacological strategies. Int J Mol Sci 20:5034
Soraya H, Khorrami A, Garjani A, Maleki-Dizaji N, Garjani A (2012) Acute treatment with metformin improves cardiac function following isoproterenol induced myocardial infarction in rats. Pharmacol Rep 64:1476–1484
Steffens S, Montecucco F, Mach F (2009) The inflammatory response as a target to reduce myocardial ischaemia and reperfusion injury. Thromb Haemost 102:240–247
Sun J, Ling Z, Wang F, Chen W, Li H, Jin J, Zhang H, Pang M, Yu J, Liu J (2016) Clostridium butyricum pretreatment attenuates cerebral ischemia/reperfusion injury in mice via anti-oxidation and anti-apoptosis. Neurosci Lett 613:30–35
Sun M-S, Jin H, Sun X, Huang S, Zhang F-L, Guo Z-N, Yang Y (2018) Free radical damage in ischemia-reperfusion injury: an obstacle in acute ischemic stroke after revascularization therapy. Oxidative Med Cell Longev 2018:3804979
Tao J, Cui Y, Duan Y, Zhang N, Wang C, Zhang F (2017) Puerarin attenuates locomotor and cognitive deficits as well as hippocampal neuronal injury through the PI3K/Akt1/GSK-3β signaling pathway in an in vivo model of cerebral ischemia. Oncotarget 8:106283–106295
Toyoda S, Haruyama A, Inami S, Arikawa T, Saito F, Watanabe R, Sakuma M, Abe S, Nakajima T, Tanaka A, Node K, Inoue T (2020) Effects of carvedilol vs bisoprolol on inflammation and oxidative stress in patients with chronic heart failure. J Cardiol 75:140–147
Walker J et al (2011) Spatial learning and memory impairment and increased locomotion in a transgenic amyloid precursor protein mouse model of Alzheimer’s disease. Behav Brain Res 222:169–175
Wang S et al (2014) Pretreatment with Danhong injection protects the brain against ischemia-reperfusion injury. Neural Regen Res 9:1453
Wang W, Liu L, Jiang P, Chen C, Zhang T (2017) Levodopa improves learning and memory ability on global cerebral ischemia-reperfusion injured rats in the Morris water maze test. Neurosci Lett 636:233–240
Xi M, Liu J, Xie L, Gong J (2016) Effects of bisoprolol pretreatment on hypoxia/reoxygenation-induced injury in H9c2 cardiomyocytes Nan fang yi ke da xue xue bao. J Southern Med Univ 36:1198–1203
Xing C, Arai K, Lo EH, Hommel M (2012) Pathophysiologic cascades in ischemic stroke. Int J Stroke 7:378–385
Yazdani I, Majdani R, Ghasemnejad-Berenji M, Dehpour AR (2019) Comparison of multiple doses of cyclosporine A on germ cell apoptosis and epididymal sperm parameters after testicular ischemia/reperfusion in rats. Exp Mol Pathol 110:104271
Zamani M, Soleimani M, Golab F, Mohamadzadeh F, Mehdizadeh M, Katebi M (2013) NeuroProtective effects of adenosine receptor agonist coadministration with ascorbic acid on CA1 hippocampus in a mouse model of ischemia reperfusion injury. Metab Brain Dis 28:367–374
Zhang C, He S, Li Y, Li F, Liu Z, Liu J, Gong J (2017) Bisoprolol protects myocardium cells against ischemia/reperfusion injury by attenuating unfolded protein response in rats. Sci Rep 7:1–12
Funding
This research has been supported by Urmia University of Medical Sciences and Health Services (grant number: IR. UMSU 2595).
Author information
Authors and Affiliations
Contributions
The authors declare that all data were generated in-house and that no paper mill was used. M Ghasemnejad-Berenji and Hamid Soraya: study design, analysis of the data, revised the article, and funding acquisition. Chiman Salehi: investigation, literature review, and writing the original draft of the article. Monireh Seiiedy: literature review and writing manuscript. Farzaneh Fazli: performed the behavioral analyses. All authors contributed substantially to this work and approved the final manuscript.
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethics approval
All procedures were conducted in accordance with the accepted principles for the care and use of laboratory animals and were approved by the animal ethics committee of Urmia University of Medical Sciences (IR.UMSU.REC.1397.328).
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Salehi, C., Seiiedy, M., Soraya, H. et al. Pretreatment with bisoprolol and vitamin E alone or in combination provides neuroprotection against cerebral ischemia/reperfusion injury in rats. Naunyn-Schmiedeberg's Arch Pharmacol 394, 685–695 (2021). https://doi.org/10.1007/s00210-020-02007-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00210-020-02007-9