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Potential of ketamine and midazolam, individually or in combination, to induce apoptotic neurodegeneration in the infant mouse brain

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Young, Chainllie, Jevtovic‐Todorovic, Vesna, Qin, Yue‐Qin, Tenkova, Tatyana, Wang, Haihui, Labruyere, Joann, Olney, John W·2005·British Journal of Pharmacology

Abstract

Recently, it was reported that anesthetizing infant rats for 6 h with a combination of anesthetic drugs (midazolam, nitrous oxide, isoflurane) caused widespread apoptotic neurodegeneration in the developing brain, followed by lifelong cognitive deficits. It has also been reported that ketamine triggers neuroapoptosis in the infant rat brain if administered repeatedly over a period of 9 h. The question arises whether less extreme exposure to anesthetic drugs can also trigger neuroapoptosis in the developing brain. To address this question we administered ketamine, midazolam or ketamine plus midazolam subcutaneously at various doses to infant mice and evaluated the rate of neuroapoptosis in various brain regions following either saline or these various drug treatments. Each drug was administered as a single one‐time injection in a dose range that would be considered subanesthetic, and the brains were evaluated by unbiased stereology methods 5 h following drug treatment. Neuroapoptosis was detected by immunohistochemical staining for activated caspase‐3. It was found that either ketamine or midazolam caused a dose‐dependent, statistically significant increase in the rate of neuroapoptosis, and the two drugs combined caused a greater increase than either drug alone. The apoptotic nature of the neurodegenerative reaction was confirmed by electron microscopy. We conclude that relatively mild exposure to ketamine, midazolam or a combination of these drugs can trigger apoptotic neurodegeneration in the developing mouse brain. British Journal of Pharmacology (2005) 146, 189–197. doi:10.1038/sj.bjp.0706301

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Metadata

Authors
Young, C., Jevtovic‐Todorovic, V., Qin, Y., Tenkova, T., Wang, H., Labruyere, J., & Olney, J. W.
Venue
British Journal of Pharmacology
Publisher
Wiley
Published
2005-09
Volume
146
Issue
2
Pages
189-197
ISSN
  • 0007-1188 (ISSN-L)
  • 1476-5381
OpenAlex
W1565010155
Cited by
476
References
29
FWCI
4.30
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Potential of ketamine and midazolam, individually or in combination, to induce apoptotic neurodegeneration in the infant mouse brain. https://app.cochat.ai/papers/10.1038/sj.bjp.0706301
The paper
Young, C., Jevtovic‐Todorovic, V., Qin, Y., Tenkova, T., Wang, H., Labruyere, J., & Olney, J. W. (2005). Potential of ketamine and midazolam, individually or in combination, to induce apoptotic neurodegeneration in the infant mouse brain. British Journal of Pharmacology. https://doi.org/10.1038/sj.bjp.0706301

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