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PLoS One. 2014 Apr 16;9(4):e90617. doi: 10.1371/journal.pone.0090617. eCollection 2014.

Efficacy of N-acetyl cysteine in traumatic brain injury.

Author information

1
Department of Neurosurgery, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America.
2
Department of Anatomy and Anthropology, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
3
Department of Otolaryngology, Neurobiology, Communication Sciences and Disorders, and Bioengineering, University of Pittsburgh, Pennsylvania, United States of America.
4
Department of Otolaryngology, Spatial Orientation Center, Naval Medical Center San Diego, San Diego, California, United States of America.
5
Department of Neurosurgery, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America; Graduate Program in Neuroregeneration, Taipei Medical University, Taipei City, Taiwan.

Abstract

In this study, using two different injury models in two different species, we found that early post-injury treatment with N-Acetyl Cysteine (NAC) reversed the behavioral deficits associated with the TBI. These data suggest generalization of a protocol similar to our recent clinical trial with NAC in blast-induced mTBI in a battlefield setting, to mild concussion from blunt trauma. This study used both weight drop in mice and fluid percussion injury in rats. These were chosen to simulate either mild or moderate traumatic brain injury (TBI). For mice, we used novel object recognition and the Y maze. For rats, we used the Morris water maze. NAC was administered beginning 30-60 minutes after injury. Behavioral deficits due to injury in both species were significantly reversed by NAC treatment. We thus conclude NAC produces significant behavioral recovery after injury. Future preclinical studies are needed to define the mechanism of action, perhaps leading to more effective therapies in man.

PMID:
24740427
PMCID:
PMC3989181
DOI:
10.1371/journal.pone.0090617
[Indexed for MEDLINE]
Free PMC Article

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