Summary
Cerebral edema was produced by local cortical freezing in untreated and treated animals. Treated animals received p-Ethoxyphenol (pEOP) and N,Nā²-diphenyl-p-phenylenediamine (DPPD). A daily dose of 100 mg/kg in pre-treated animals and 500 mg/kg of DPPD in post-injured animals showed a significant reduction in cerebral edema as demonstrated in gross and coronal specimens, histologic study and differences in white matter weights. A similar dose of 100 mg/kg of DPPD given 1 h after injury was ineffective, while a large dose of 1000 mg/kg was lethal in this experimental model. The effect of pEOP was not significant. The beneficial effect of DPPD, an antioxidant, is postulated to be in the prevention or inhibition of free radical peroxidative mechanisms. It is postulated that membrane lipids may be the principle molecules undergoing free radical damage. The hypothesis is advanced that steroids, by intercalating into membranes in a specific configuration may prevent the radical initiation and chain reactions that damage the fatty acids of membrane phospholipids. The molecular mechanism of cerebral edema is harmonious with other mechanisms that are at the cellular and subcellular level.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Aaes-Jorgensen, E.: Antioxidation of fatty compounds in living tissue, biological antioxidants. In: Lundberg, W. O. (Ed.): Autoxidation and Antioxidants, Vol. II, pp. 1045 to 1094. New York: Interscience 1961.
Bakay, L.: The movement of electrolytes and albumin in different types of cerebral edema. In: DeRobertis, E. D. P., Carrea, R. (Eds.): Progress in Brain Research. Amsterdam: Elsevier 1965.
Bakay, L., Hague, I. V.: Morphological and chemical studies in cerebral edema. I. Cold induced edema. J. Neuropath. Exper. Neurol. 23, 393ā418 (1964).
Bakay, L., Lee, J. C.: In: Cerebral edema. Springfield, Ill.: Charles C. Thomas 1965.
Bernard-Weil, E., David, M.: Pre-operative hormonal treatment in cases of cerebral tumor. J. Neurosurg. 20, 841ā848 (1963).
Blinderman, E.: Effect of dexamethasone on mitochondria in anoxic brain. Arch. Neurol. 12, 278ā283 (1965).
Blinderman, E. E., Graf, C. J., Fitzpatrick, T.: Basic studies in cerebral edema: its control by cortico-steroid (Solu-medrol). J. Neurosurg. 19, 319ā324 (1962).
Chipault, J. R.: Antioxidants for use in foods. In: Lundberg, W. O. (Ed.): Autoxidation and Antioxidants, Vol. II, pp. 477ā682. New York: Interscience 1961.
Clasen, R. A., Brown, D. V. L., Leavitt, S., et al.: The production by liquid nitrogen of acute closed cerebral lesions. Surg. Gynec. Obstet. 96, 605ā616 (1953).
Clasen, R. A., Cooke, P. M., Pandolfi, S., et al.: Steroid-antihistamine therapy in experimental cerebral edema. Arch. Neurol. 13, 584ā592 (1965).
Cutler, R. W. P., Watters, G. V., Barlow, C. F.: I125-labelled protein in experimental brain edema. Arch. Neurol. 11, 225ā238 (1964).
Demopoulos, H. B., Milvy, P., Kakari, S., Ransohoff, J.: Molecular aspects of membrane structure in cerebral edema. In: Reulen, H. J., SchĆ¼rmann, K. (Eds.): Steroids and brain edema. Berlin-Heidelberg-New York: Springer 1972.
Dyken, W., White, P. T.: Evaluation of cortisone in the treatment of cerebral infarction. J. Amer. med. Ass. 162, 1531ā1534 (1956).
Edstrom, R. F. S., Essex, H. E.: Swelling of the brain induced by anoxia. Neurology 6,118ā124 (1956).
Elliott, K. A. C, Jasper, H.: Measurement of experimentally induced brain swelling and shrinkage. Amer. J. Physiol. 157, 122ā129 (1949).
Elliott, K. A. C, Yrarrazaval, S.: An effect of adrenalectomy and cortisone on tissue permeability in vitro. Nature (London) 169, 416ā417 (1952).
Feigin, I., Popoff, N.: Neuropathological observation on cerebral edema. The acute phase. Arch. Neurol. 6, 151ā160 (1962).
French, L. A., Galicich, I. H.: Use of steroid for control of cerebral edema. Clin. Neurosurg. 10, 212ā223 (1966).
Galicich, J. H., French, L. A.: Use of dexamethasone in the treatment of cerebral edema resulting from brain tumors and brain surgery. Amer. Practit. 12, 169ā174 (1961).
Galicich, J. H., French, L. A., Melby, J. C.: Use of dexamethasone in treatment of cerebral edema associated with brain tumors. J. Lancet 81, 46ā53 (1961).
Garde, A.: Experiences with dexamethasone treatment of intracranial pressure caused by brain tumors. Acta neurol. scand. Suppl. 13, 439ā443 (1965).
Grenell, R. G., McCawley, E. I.: Central nervous system resistance. III. The effect of adrenal cortical substances on the central nervous system. J. Neurosurg. 4, 508ā518 (1947).
Hammargren, L. L., Geise, A. W., French, L. A.: Protection against cerebral damage from intracarotid injection of hypaque in animals. J. Neurosurg. 23, 418ā424 (1965).
Hume, D. M., Moore, F. D.: The use of ACTH, cortisone and adrenal cortical extracts in surgical patients. Proceedings of the Second Clinical ACTH Conference. Mote, J. R. (Ed.), Vol. 2, pp. 289ā309. London: J. A. Churchill Ltd. 1951.
Ishii, S., Hayner, R., Kelly, W. A., et al.: Studies of cerebral swelling. II. Experimental cerebral swelling produced by supratentorial extradural compression. J. Neurosurg. 16,152ā166 (1959).
Jacob, H. S., Lux, S. E.: IV. Degradation of membrane phospholipids and thiols in peroxide hemolysis. Studies in Vitamin E deficiency. Blood 32, 549ā569 (1968).
Klatzo, I., Miquel, H., Otenasek, R.: The application of fluorescein labeled serum proteins (FLSP) to the study of vascular permeability in the brain. Acta neuropath. (Berl.) 2, 144ā160 (1962).
Klatzo, I., Piraux, A., Laskowski, E. S.: The relationship between edema, blood-brain barrier, and tissue elements in a local brain injury. J. Neuropath, exp. Neurol. 17, 548ā564 (1958).
Klatzo, I., Wisniewski, H., Smith, D. E.: Observations on penetration of serum proteins into the central nervous system. In: DeRobertis, E. D. F., Carrea, E. (Eds.): Progress in brain research, pp. 73ā88. Amsterdam: Elsevier 1965.
Kotsilimbas, D. G., Meyer, L., Berson, M., et al.: Corticosteroid effect on intracerebral melanomata and associated cerebral edema. Neurology 17, 223ā227 (1967).
Lee, J., Oslzewski, J.: Permeability of cerebral blood vessels in healing of brain wounds. Neurology 9, 7ā14 (1959).
Levine, S., Zimmerman, H. M., Weak, E. J., et al.: Experimental leukoencephalopathies due to implantation of foreign substances. Amer. J. Path. 42, 97ā110 (1963).
Lindquist, R. R.: Studies on the pathogenesis of hepatolenticular degeneration. III. The effect of copper on rat liver lysosomes. Am. J. Path. 53, 903ā916 (1968).
Lippert, R. G., Svien, H. J., Grindlay, J. H., et al.: The effect of cortisone on experimental cerebral edema. J. Neurosurg. 17, 583ā589 (1960).
Long, D. M., Hartmann, J. F., French, L. A.: The response of experimental cerebral edema to glucosteroid administration. J. Neurosurg. 24, 843ā854 (1961).
Long, D. M., Hartmann, J. F., French, L. A.: The response of human cerebral edema to glucosteroid administration. Neurology 16, 521ā528 (1966).
Long, R. A., Hruska, F., Gesser, H. D.: Membrane condensing effect of cholesterol and the role of its hydroxyl group. Biochem. biophys. Res. Commun. 41, 321ā327 (1970).
Lucy, J. A.: Theoretical and experimental models for biological membranes. In: Chapman, D. (Ed.): Biological Membranes, pp. 233ā288. New York: Academic Press.
Magee, P. N., Stoner, H. G., Barnes, J. M.: The experimental production of edema in the central nervous system of the rat by triethyltin compounds. J. Path. Bact. 73, 107 to 124 (1957).
Maxwell, R. E., Long, D. M., French, L. A.: The effects of glucosteroids on experimental cold-induced brain edema. I. Gross morphological alterations and vascular permeability changes. J. Neurosurg. 34, 477ā487 (1971).
OāBrien, J. S.: Cell membranes. Composition. Structure. Function. J. theor. Biol. 15, 307ā324 (1967).
Pappius, H., Gulati, D. R.: Water and electrolyte content of cerebral tissues in experimentally induced edema. Acta neuropath. (Berl.) 2, 451ā460 (1963).
Pappius, H., McCann, W. P.: Effects of steroids on cerebral edema in cats. Arch. Neurol. 20, 207ā216 (1969).
Plum, F., Alvord, E. C, Jr., Posner, J. B.: Effect of steroids on experimental cerebral infarction. Arch. Neurol. 9, 571ā573 (1963).
Prados, M., Strowger, B., Feindel, W.: Studies on cerebral edema. II. Reaction of the brain to exposure to air; physiologic changes. Arch. Neurol. Psychiat. 54,290ā300 (1945).
Privett, O. S.: Oxidative deterioration and its prevention in miscellaneous products. In: Lundberg, W. O. (Ed.): Autoxidation and Antioxidants, Vol. II, pp. 985ā1044. New York: Interscience 1961.
Raimondi, A. J., Clasen, R. A., Beattie, E. J., et al.: The effect of hypothermia and steroid therapy on experimental cerebral injury. Surg. Gynec. Obstet. 108, 333ā338 (1959).
Rasmussen, T., Gulati, D. R.: Cortisone in the treatment of postoperative cerebral edema. J. Neurosurg. 19, 535ā544 (1962).
Roberts, H. J.: Supportive adrenocortical steroid therapy in acute and subacute cerebrovascular accidents with particular reference to brain stem involvement. J. Amer. Geriat. Soc. 6, 686ā702 (1958).
Rovit, R. L., Hagan, R.: Steroids and cerebral edema: the effects of glucocorticoids in abnormal capillary permeability following cerebral injury in cats. J. Neuropath, exp. Neurol. 27, 277ā299 (1968).
Ruderman, N. B., Hall, T. C.: Use of glucocorticoids in the palliative treatment of metastatic brain tumors. Cancer 18, 298ā306 (1965).
Russek, H. L., Russek, A. S., Zohman, B. L.: Cortisone in immediate therapy of apoplectic stroke. J. Amer. Med. Ass. 159, 102ā105 (1955).
Scialabba, D. A., Shulman, K.: Use of steroids in clinical and experimental cerebral edema. Surg. Forum, XV, 426ā427 (1964).
Sparacio, R. R., Lin, T., Cook, H. W.: Methylprednisolone sodium succinate in acute craniocerebral trauma. Surg. Gynec. Obstet. 121, 513ā516 (1965).
Sperl, M. P., Jr., Svien, H. J., Goldstein, N. P., et al.: Experimental production of local cerebral edema by an expanding intracranial mass. Proc. Mayo Clin. 32, 744ā749 (1957).
Stern, W. E.: The contribution of the laboratory to an understanding of the cerebral edema: A Review of Recent Progress. Neurology 15, 902ā912 (1965).
Tappel, A. L.: Biocatalysts: Lipoxidase and hematin compounds. In: Lundberg, W. O. (Ed.): Autoxidation and Antioxidants, Vol. I, pp. 325ā366. New York: Interscience 1961.
Taylor, J. M., Levy, W. A., Herzog, I., et al.: Prevention of experimental cerebral edema by corticosteroids. Neurology 15, 667ā574 (1965).
Taylor, J. M., Levy, W. A., McCoy, G., et al.: Prevention of cerebral edema induced by triethyltin in rabbits by corticosteroids. Nature 204, 891ā892 (1964).
Weed, L. H., McKibben, P. S.: Experimental alteration of brain bulk. Amer. J. Physiol. 48, 531 (1919).
Weissman, G., Thomas, L.: Studies on lysosomes. II. Effect of cortisone on release of acid hydrolases from large granule fracture of rabbit liver, induced by excess of vitamin A. J. clin. Invest. 42, 661ā669 (1963).
Weissman, G.: Studies on lysosomes. VI. Effect of neutral steroids and bile acids on lysosomes in vitro. Biochem. Pharmacol. 14, 525ā535 (1965).
White, J. C, Brooks, J. R., Goldthwait, J. C, et al.: Changes in brain volume and blood content after experimental concussion. Ann. Surg. 118, 619ā634 (1943).
Yanagihara, T., Goldstein, N. P., Svien, H., et al.: Experimental cerebral edema: enzvme-histochemical study. Neurology 17, 669ā679 (1967).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 1972 Springer-Verlag Berlin Ā· Heidelberg
About this chapter
Cite this chapter
Ortega, B.D., Demopoulos, H.B., Ransohoff, J. (1972). Effect of Antioxidants on Experimental Cold-Induced Cerebral Edema. In: Reulen, H.J., SchĆ¼rmann, K. (eds) Steroids and Brain Edema. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65448-0_19
Download citation
DOI: https://doi.org/10.1007/978-3-642-65448-0_19
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-05958-5
Online ISBN: 978-3-642-65448-0
eBook Packages: Springer Book Archive