Summary: Delayed treatment with aminoguanidine (AG), a relatively selective inhibitor of inducible nitric oxide synthase, ameliorates brain damage produced by occlusion of the rat's middle cerebral artery (MCA). We investigated whether the protection exerted by AG is dose-dependent and whether it is associated with improved neurologic outcome. We also studied the effect of the timing of administration of AG relative to the induction of cerebral ischemia. Halothane-anesthetized sponta neously hypertensive rats underwent permanent MCA occlu sion distal to the lenticulostriate branches. Neurologic deficits were assessed daily by the postural reflex test and beam bal ance test. Infarct volume was determined in thionin-stained sections 96 hours after ischemia and values corrected for swell ing. Treatment with AG (intraperitoneally, twice daily), starting 24 hours after MCA occlusion, decreased neocortical infarct volume in comparison to vehicle-treated rats. After correction for swelling, the decrease was 8 ± 12% at 50 mg/kg (n = 8; P > .05; analysis of variance), 25 ± 13% at 100 mg/kg (n = 7; P We have previously shown that administration of ami noguanidine (AG), a compound that inhibits inducible nitric oxide synthase (iNOS), decreases the infarct result ing from transient or permanent occlusion of the middle cerebral artery (MCA) in rats Iadecola et al., 1995a;Zhang et al., 1996). AG blocks the increase in iNOS activity that follows focal cerebral isch- Abbreviations used: AG, aminoguanidine; AGE, advanced glycation end-product; eNOS, endothelial nitric oxide synthase; HSD, honestly significant difference; iNOS, inducible nitric oxide synthase; MCA, middle cerebral artery; SHR, spontaneously hypertensive rats.
1107< .05), 30 ± 16% at 200 mg/kg (n = 7; P < .05) and 32 ± 9% at 400 mg/kg (n = 5; P < .05). Twenty-four hours after induc tion of ischemia neurologic deficits scores did not differ be tween treated and untreated rats (P > .05). However, from 48 to 96 hours after ischemia, neurologic deficits improved signifi cantly in rats treated with AG (100 to 400 mg/kg) compared to rats in which vehicle was administered (P < .05). The decrease in neocortical infarct volume was greatest when AG (100 mg/ kg; twice daily) was administered 12 (26 ± 17%; n = 9) or 24 hours (25 ± 13; n = 7) after MCA occlusion. The findings show that AG decreases ischemic brain damage dose dependently and improves neurologic recovery. Delayed treat ment with AG may be a therapeutic strategy to selectively target the evolution of ischemic damage that occurs in the post-ischemic period.