We previously showed that palmitic methyl ester (PAME) and stearic acid
methyl ester (SAME) are simultaneously released from the sympathetic ganglion
and PAME possesses potent vasodilatory properties which may be important in
cerebral ischemia. Since PAME is a potent vasodilator simultaneously released
with SAME, our hypothesis was that PAME/SAME confers neuroprotection in rat
models of focal/global cerebral ischemia. We also examined the neuroprotective
properties of Solutol HS15, a clinically approved excipient, because it
possesses similar fatty acid compositions as PAME/SAME. Asphyxial cardiac arrest
(ACA, 6min) was performed 30mins after PAME/SAME treatment (0.02mg/kg, IV).
Solutol HS15 (2 ml/kg, IP) was injected chronically for 14 days (once daily).
Histopathology of hippocampal CA1 neurons was assessed 7 days after ACA. For
focal ischemia experiments, PAME, SAME, or Solutol HS15 was administered
following reperfusion after 2 hrs of middle cerebral artery occlusion (MCAO).
2,3,5-triphenyltetrazolium staining of the brain was performed 24hrs after MCAO
and the infarct volume was quantified. Following ACA, the number of surviving
hippocampal neurons was enhanced by PAME (68%), SAME (69%), and Solutol HS15
(68%)-treated rats as compared to ACA only-treated groups. Infarct volume was
decreased by PAME (83%), SAME (68%), and Solutol HS15 (78%) as compared to
saline (vehicle) in MCAO-treated animals. PAME, SAME, and Solutol HS15 provide
robust neuroprotection in both paradigms of ischemia. This may prove
therapeutically beneficial since Solutol HS15 is already administered as a
solublizing agent to patients. With proper timing and dosage, administration of
Solutol HS15 and PAME/SAME can be an effective therapy against cerebral
ischemia.