Anales Médicos de la Asociación Médica del Centro Médico ABC
Neuroprotective effect of reboxetine on sensorimotor function and norepinephrine levels in a model of intracerebral hemorrhage
By Camilo Ríos-Castañeda, Isaac Saucedo-Flores, Laura E. Ramos-Languren and 2 others.
Abstract
Background: Hemorrhagic intracortical lesions produce persistent sensorimotor deficits.Reboxetine, a selective norepinephrine (NE) reuptake inhibitor, has emerged as a potential pharmacological strategy to promote functional recovery.Objective: The objective of this study was to evaluate the effects of acute and chronic reboxetine administration on motor performance and NE levels in a rat model of intracortical injury induced by ferrous chloride (FeCl 2 ).Material and methods: Fifty-seven male Wistar rats were assigned to control or lesion groups, receiving a FeCl 2 injection into the right primary motor cortex.Animals received reboxetine under acute or chronic treatment regimens.Sensorimotor performance was assessed on days 1 and 3 post-surgery, whereas NE levels in the pons and dentate gyrus were quantified on day 3 post-surgery.Results: Both treatment regimens reduced sensorimotor deficits.Acute reboxetine administration improved motor performance by day 3 and increased pontine NE levels exclusively in the contralateral hemisphere.In contrast, chronic treatment accelerated recovery from day 1 and increased pontine NE levels bilaterally.In addition, sensorimotor performance positively correlated with pontine NE concentrations in both regimens.Conclusions: Reboxetine promotes motor recovery following hemorrhagic intracortical injury.Chronic administration is more effective, producing earlier behavioral improvement directly associated with greater pontine NE availability.



