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Anti-ischemic Effect of Curcumin in Rat Brain

Article  in  Neurochemical Research · July 2008


DOI: 10.1007/s11064-007-9547-y · Source: PubMed

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Neurochem Res (2008) 33:1036–1043
DOI 10.1007/s11064-007-9547-y

ORIGINAL PAPER

Anti-ischemic Effect of Curcumin in Rat Brain


Pradeep K. Shukla Æ Vinay K. Khanna Æ
Mohd. M. Ali Æ Mohd. Y. Khan Æ Rikhab C. Srimal

Accepted: 8 November 2007 / Published online: 18 January 2008


Ó Springer Science+Business Media, LLC 2007

Abstract Turmeric has been in use since ancient times as a treated with curcumin. The study demonstrates the protective
condiment and due to its medicinal properties. Curcumin, the efficacy of curcumin in rat MCAO model.
yellow colouring principle in turmeric, is polyphenolic and
major active constituent. Besides anti-inflammatory, throm- Keywords Curcumin  Middle cerebral artery occlusion 
bolytic and anticarcinogenic activities, curcumin also Neuroprotection  Oxidative stress
possesses strong antioxidant property. In view of the novel
combination of properties, neuroprotective efficacy of cur-
cumin was studied in rat middle cerebral artery occlusion Introduction
(MCAO) model. Rats were subjected to 2 h of focal ischemia
followed by 72 h of reperfusion. They were pre-treated with It is largely accepted that stroke is a leading cause of
curcumin (100 mg/kg, po) for 5 days prior to MCAO and for morbidity and poses serious health problems globally. The
another 3 days after MCAO. The parameters studied were affected persons often suffer from neurological deficits and
behavioural, biochemical and histological. Treatment with at times lead a crippled life [1]. Middle cerebral artery
curcumin could significantly improve neurobehavioral per- occlusion (MCAO) in rat is widely used to study experi-
formance compared to untreated ischemic rats as judged by its mental ischemic stroke and has provided invaluable
effect on rota-rod performance and grid walking. A significant understanding of the patho-physiology of focal cerebral
inhibition in lipid peroxidation and an increase in superoxide ischemia. Several mechanisms have been suggested to be
dismutase (SOD) activity in corpus striatum and cerebral involved in the etiology of stroke including NMDA
cortex was observed following treatment with curcumin in receptor activation leading to excitotoxicity, excessive
MCAO rats as compared to MCAO group. Intracellular cal- nitric oxide (NO) generation and free radical mediated
cium levels were decreased following treatment with oxidative stress [2–4]. Recently, role of intercellular
curcumin in MCAO rats. Histologically, a reduction in the adhesion molecule-1 (ICAM-1) protein has been suggested
infarct area from 33% to 24% was observed in MCAO rats in stroke since inhibition of ICAM-1 protein was found to
be neuroprotective in MCAO rats [5]. Several studies have
revealed that during ischemia there is excessive generation
P. K. Shukla  V. K. Khanna (&)  Mohd. M. Ali  R. C. Srimal
Developmental Toxicology, Industrial Toxicology Research of free radicals and the antioxidant defence is impaired
Centre, PO Box 80, MG Marg, Lucknow 226 001, India causing more vulnerability and damage to the brain [6].
e-mail: vkkhanna1@gmail.com A number of agents, both synthetic and natural, have
been screened to evaluate their preventive and therapeutic
Present Address:
P. K. Shukla efficacy against ischemia [7–10]. Dietary supplementation
Department of Psychiatry and Behavioral Sciences, with blueberries, spinach and spirulina reduces ischemia/
Feinberg School of Medicine, Northwestern University, reperfusion induced apoptosis and cerebral infarction [6].
Chicago, IL 60611, USA
Turmeric (Curcuma longa rhizomes) has been extensively
Mohd. Y. Khan used as an effective therapeutic agent since ages [11–14].
Dr. B.R. Ambedkar University, Lucknow 226 014, India Turmeric as well as its constituent curcumin has been

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Neurochem Res (2008) 33:1036–1043 1037

shown to exhibit anti-inflammatory, anti-carcinogenic and artery of pentobarbitone anaesthetised (50 mg/kg, ip) rat
antioxidant activities, besides several other pharmacologi- was exposed through a midline incision in the neck under
cal properties [15–21]. Prophylactic/therapeutic effect of the operating microscope. A 4-0 nylon suture, the tip of
curcumin in cancer chemo-prevention, multiple sclerosis, which was rounded by heating over the flame, was intro-
myocardial infarction etc. has been reported [22]. Curcu- duced into the right external carotid artery and advanced
min has been found to be effective in the treatment of into the internal carotid artery for a length of 16 mm from
anterior uveitis and cystic fibrosis [23, 24]. More recently, the bifurcation. The tip of the suture was placed at the
neuroprotective efficacy of curcumin in attenuating 3-ni- origin of the anterior cerebral artery, thereby occluding the
tropropionic acid (a fungal toxin) and lead induced middle cerebral artery. The suture was left as such for 2 h.
neurotoxicity has been reported [25, 26]. Pari and Murugan The animal was allowed to recover from the anaesthesia
found that tetrahydrocurcumin prevented brain lipid per- after closure of the operation site and the suture was gently
oxidation in streptazotacin induced diabetic rats [27]. The removed 2 h after MCAO.
neuroprotective effect of curcumin was associated with its
anti-oxidant potential in these studies [27]. Curcumin has
been reported to cross the blood brain barrier [28] and Neurological score
based on the potential of curcumin to inhibit formation of
amyloid beta oligomers and fibrils in mice use of curcumin Neurological evaluation of rats was carried out after
has been recommended for the clinical trials to prevent or 30 min to verify successful MCAO and immediately before
treat Alzheimer’s disease [28] Effect of curcumin was they were sacrificed after 72 h. An eight point behavioural
studied in rats following intraperitoneal treatment, 30 min rating scale, modified from the scale as described by
after MCAO, indicating its neuroprotective potential in Rogers et al. [1] was used to score the neurological deficits.
ischemia. It has been suggested to be mediated through its 0 = no neurological deficit.
antioxidant activity [29] Our pilot studies conducted earlier 1 = failure to extend right forepaw fully.
suggested that oral treatment with curcumin is also neu- 2 = decreased grip of the right forelimb while tail gently
roprotective in ischemic rats [30]. Curcumin is recognised pulled.
as a promising compound with multiple pharmacological 3 = spontaneous movement in all direction, contralat-
properties and the present study was undertaken in rats eral circling only if pulled by the tail.
treated with oral curcumin before and after MCAO to 4 = circling or walking to the right.
evaluate its neuroprotective efficacy. 5 = walks only when stimulated.
6 = unresponsive to stimulation with a depressed level
Materials and methods of consciousness.
7 = dead.
Animals

Male Wistar albino rats weighing 275–300 g from Industrial


Toxicology Research Centre animal breeding colony were Treatment
used in all the experiments. The animals were housed in
polypropylene cages in standard animal house conditions Curcumin from rhizomes of Curcuma longa (suspended in
and were fed pellet diet (Hindustan Lever Ltd. India) and 2% gum acacia) was used to investigate its protective
water ad libitum. Body weight of each animal was recorded potential against MCAO. Rats were pre-treated with cur-
before and after the treatment. The study was approved by cumin (100 mg/kg, po) for 5 days before MCAO. The
the institutional ethics committee. The animals were divided treatment was continued for another 3 days after MCAO
into three groups of 30 each as given below: following which behavioural, biochemical and histological
studies were carried out.
1. Sham operated
2. Middle cerebral artery occlusion (MCAO)
3. Curcumin treatment and MCAO Behavioural studies

(i) Rota-Rod performance: Rats were conditioned to the


Experimental model of middle cerebral artery occlusion accelerating rota-rod before MCAO. Each animal
received training on the rota-rod (rotating at a constant
Focal cerebral ischemia was induced following the stan- speed of 8 rpm) and was trained until it achieved a
dard procedure [31]. Briefly, the right common carotid criterion of staying on the rod for 60 s. The rats then

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1038 Neurochem Res (2008) 33:1036–1043

received single baseline training on the rota-rod in was started by the addition of NADH followed by
which the speed was increased from 4 to 40 rpm over incubation at 37°C for 90 s. The reaction was stopped
a period of 5 min. At 24-h post occlusion, each rat by adding 1 ml of glacial acetic acid and the reaction
received another trial on the rota-rod and scoring was mixture was vigorously shaken with 4 ml of n-
carried out by a person blind to the condition [1]. butanol. The mixture was allowed to stand for
(ii) Grid walking: Rats were acclimatised for 1 min to an 10 min, centrifuged and butanol layer was separated.
elevated level of stainless steel grid with mesh size of The colour intensity of the chromogen in butanol was
30 mm before MCAO. At 24-h post-occlusion, they measured at 560 nm against butanol using a spectro-
were placed on the grid again for 1 min and the total photometer. A mixture without enzyme preparation
number of paired steps (placement of both fore limbs) was run in parallel to serve as control. The SOD
were counted. The scoring was carried out by a activity was expressed as units/mg protein. One unit
person blind to the condition. Foot-fault error (in of the enzyme was the amount required to inhibit the
which the animal made mistake in placing the rate of chromogen formation by 50%.
forelimbs or it fell from the grid) was monitored (iii) Intracellular calcium: The levels of intracellular
and the total number of errors in placing the forelimbs calcium were determined fluorometrically using
was recorded [1]. Quin-2AM as a fluorescent dye following the method
of Komulainen and Bondy [35]. Briefly, synapto-
somes containing 150–250 mg protein were incubated
in 3 ml Hepes buffer (25 mM Hepes, 12 mM NaCl,
Biochemical estimations
5 mM KCl, 1.2 mM MgSO4, 6 mM glucose, 6 mM
CaCl2, 5 mM NaHCO3, pH 7.4) with fluoremetric dye
Rats in all groups were sacrificed 72 h after MCAO by
Quin–2AM at a final concentration of 25 lM for
cervical decapitation and the brains were immediately
45 min in dark at 37°C. After the incubation was over,
removed. The brain regions, corpus striatum and cerebral
the assay mixture was centrifuged at 34,000g for
cortex, were dissected out following the standard procedure
15 min. To remove unbound Quin–2AM, the pellet
[32] and processed for biochemical assays within 45 min in
was carefully washed twice with assay buffer and
each case.
centrifuged at the same speed for same time. Finally,
(i) Lipid peroxidation: As a measure of lipid peroxida- pellet was suspended in 2 ml assay buffer. The emit-
tion, malonaldialdehyde (MDA) levels were estimated ted fluorescence of the sample was recorded on a
by measuring thiobarbituric acid reactive substances spectrophotofluorometer at excitation/emission 339/
(TBARS) following the standard protocol [33]. 492 nm respectively. Extracellular calcium was
Briefly, equal volumes (120 ll) of EDTA (10 mM), quenched by adding MnCl2 (40 lM) and the fluores-
ascorbate (10 mM) and mixture of EDTA (16.7 mM) cence R was measured. Fluorescence R minimum was
and FeSO4 (16.7 mM) were mixed and to this recorded after addition of sodium dodecyl sulphate
homogenate of different brain regions (0.6 ml) was (0.1%) and alkaline EGTA (5 mM) while R maximum
added. The reaction mixture was incubated at 37°C for was determined by addition of CaCl2 (7 mM) and
0 and 60 min. Immediately after incubation, the intracellular calcium levels were calculated using the
reaction was stopped by adding 1 ml of ice cold formula,
10% trichloro acetic acid (TCA). The deproteinised [Ca]i ¼ Kd (R - Rmin )/(Rmax - R)
homogenate was centrifuged at 2000g for 10 min and
supernatant was aspirated out. The supernatant was Kd = 115 nM is the dissociation constant of Quin-
mixed with an equal amount of 0.67% TBA and kept 2AM complex
in boiling water bath for 15–20 min. The intensity of
pink colour developed was read at 532 nm on a (iv) Protein estimation: Protein content was measured
spectrophotometer. following the method of Lowry et al. using bovine
(ii) Superoxide dismutase: Activity of superoxide dismu- serum albumin as a reference standard [36].
tase (SOD) was measured following the method of
Kakkar et al. [34] using NADH as a substrate.
Briefly, the assay mixture in a final volume of 3 ml
contained sodium pyrophosphate buffer (0.082 M, Histological studies
pH 8.3), phenazine methosulphate (186 lM), nitro
blue tetrazolium (300 lM), NADH (780 lM), Five coronal sections (2 mm thick) of the whole brain were
enzyme preparation and distilled water. The reaction taken from the region beginning 1 mm from the frontal pole

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Neurochem Res (2008) 33:1036–1043 1039

and ending just rostral to the cortico-cerebellar junction and Table 2 Protective effect of curcumin on rota-rod performance in
stained with 2% 2,3,5-triphenyl tetrazolium chloride [4]. The rats subjected to middle cerebral artery occlusion for 2 and 72 h after
ischemic reperfusion injury
damage following MCAO and any protection with curcumin
was assessed by an image analysis software. Group Time of fall (s)

Sham 215 ± 34
Statistical analysis Ischemic (MCAO) 77 ± 17*
Curcumin pre-treated ischemic 165 ± 15**
Data were analysed by comparing the mean ± SE of each Values are mean ± standard error of eight animals in each group
group and subjected to Student’s t test and P \ 0.05 was * Significantly differs from sham (P \ 0.05)
considered significant. ** Significantly differs from ischemic (MCAO) group (P \ 0.05)

Results compared to sham, suggesting an impairment in the


rota-rod performance. Treatment with curcumin in
Body weight MCAO rats resulted in a significant protection, as
evident by an increase in the time of fall in compar-
A significant decrease in body weight was observed in ison to ischemic (MCAO) rats (Table 2).
ischemic rats, 72 h after MCAO. However, a marginal (ii) Grid walking: A significant impairment in grid
change in body weight was observed in sham group walking was observed following MCAO. These rats
(Table 1). Treatment of rats with curcumin showed an exhibited a decrease in total steps covered/minute and
insignificant fall in body weight. also showed error in placement of fore limbs during
the grid walking test as compared to sham. Treatment
with curcumin in ischemic rats caused a significant
Neurological score protection both in the total number of steps covered/
minute and errors in placement of fore limbs
Rats exhibited focal neurological deficits following MCAO (Table 3).
with failure to fully extend the forepaw. Forty percent rats
died within 24 h due to severe brain infarction. No neu-
rological deficit was observed in sham-operated animals. Biochemical changes
Treatment with curcumin showed a significant decrease in
neurological score (range from 0 to 7), (Table 1). (i) Effect on lipid peroxidation: A significant increase in
malonaldialdehyde level was observed in corpus stri-
atum (100%) and cortex (66%), 72 h after MCAO.
Behavioural changes Treatment with curcumin significantly decreased the
MDA levels both in corpus striatum and cortex as
(i) Rota-Rod performance: The time of fall from the rod compared to ischemic group (Fig. 1).
was significantly decreased, 72 h after MCAO as (ii) Effect on superoxide dismutase activity: Activity of
superoxide dismutase was significantly decreased in
Table 1 Effect of curcumin on body weight and neurological score
in rats subjected to middle cerebral artery occlusion for 2 and 72 h ischemic rats, both in the corpus striatum (52%) and
after ischemic reperfusion injury
Group Initial Post-treatment Neurological Range Table 3 Protective effect of curcumin on grid walking performance
weight (g) weight (g) scores in rats subjected to middle cerebral artery occlusion for 2 and 72 h
after ischemic reperfusion injury
Sham (n = 10) 295 ± 6.4 298 ± 2.3 0 0–0
Ischemic 311 ± 5.1 272 ± 4.3* 4.36 ± 0.7* 1–7 Group Total steps/60 s Errors in placement of
(MCAO) forelimb
(n = 6)
Sham 35 ± 2.5 1 ± 0.4
Curcumin 305 ± 10 296 ± 2.3 1.90 ± 0.7** 0–7
pre-treated Ischemic (MCAO) 17 ± 1.7* 5 ± 0.8*
ischemic Curcumin pre-treated 26 ± 1.1** 3 ± 0.4**
(n = 8) ischemic
Note: n represents the number of animals in each group Values are mean ± standard error of eight animals in each group
* Significantly differs from sham (P \ 0.05) * Significantly differs from sham (P \ 0.05)
** Significantly differs from ischemic (MCAO) group (P \ 0.05) ** Significantly differs from ischemic (MCAO) group (P \ 0.05)

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1040 Neurochem Res (2008) 33:1036–1043

Fig. 3 Protective effect of curcumin on intracellular calcium levels


in rats subjected to middle cerebral artery occlusion for 2 and 72 h
Fig. 1 Protective effect of curcumin on lipid peroxidation in rats after ischemic reperfusion injury. Values are mean ± SE of eight rats
subjected to middle cerebral artery occlusion for 2 and 72 h after in each group. a—significantly differs from sham; b—significantly
ischemic reperfusion injury. Values are mean ± SE of eight rats in differs from ischemic group. * P \ 0.05, ** P \ 0.01
each group. a—significantly differs from sham; b—significantly
differs from ischemic group. * P \ 0.05, ** P \ 0.01 histological analysis of the brain. Interestingly, treatment
with curcumin in ischemic rats resulted in only 24% con-
cortex (33%) as compared to sham. Activity of the
tralateral hemispheric infarction. No ischemic damage was
enzyme was significantly increased following treat-
noticed in brain sections of the sham operated rats (Fig. 4).
ment with curcumin in both brain regions as
compared to ischemic rats (Fig. 2).
(iii) Effect on intracellular calcium: Intracellular calcium
Discussion
levels were significantly elevated in the ischemic rats
both in corpus striatum (97%) and cortex (137%) as
An impairment in the sensorimotor functions is well known
compared to sham. Treatment with curcumin in
following ischemia. In the present study, the neurological
MCAO group significantly decreased the intracellu-
score was found to be increased due to ischemic damage.
lar calcium levels in both the regions compared to
Treatment with curcumin resulted in significant decrease in
ischemic rats (Fig. 3).
the neurological score. Neurological score was also co-
related with severity of infarction [1]. Grid walking is one
of the sensitive tests to monitor the spontaneous locomotor
activity and muscle co-ordination. Any deficit in placement
Ischemic damage of forelimbs and foot-fault error is easily detected through
grid walking test. Rats with ischemic reperfusion injury
In ischemic rats, contralateral hemispheric infarction was following transient and permanent occlusion of middle
well demarcated (33%), 72 h after MCAO, as revealed by cerebral artery have been reported to show an impairment
in grid walking [1]. Errors in placement of foot and

40
35
30
% change

25
20
15
10
5
0
Sham MCAO MCAO+Curcumin

Fig. 4 Protective effect of curcumin on percent of infarcted area in


Fig. 2 Protective effect of curcumin on superoxide dismutase rats subjected to middle cerebral artery occlusion for 2 and 72 h after
activity in rats subjected to middle cerebral artery occlusion for 2 ischemic reperfusion injury. Histological infarction in rat brain
and 72 h after ischemic reperfusion injury. Values are mean ± SE of coronal sections after staining with TTC in MCAO rats and those
eight rats in each group. a—significantly differs from sham; b— treated with curcumin. Values are represented in % after taking
significantly differs from ischemic group. * P \ 0.05, ** P \ 0.01 average of five animals in each group

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Neurochem Res (2008) 33:1036–1043 1041

impaired co-ordination following MCAO for 2 h was also been used to investigate their protective and therapeutic
observed in the present study. Rota-rod performance was efficacy [9, 42]. Vitamin B3, Vitamin E, NMDA receptor
affected following MCAO in rats, which provided another antagonists, Na+ channel blockers and Nitric oxide syn-
evidence of impaired balance and muscle co-ordination due thase (NOS) inhibitors have been used and found effective
to ischemic-reperfusion injury. It has been reported that in the experimental model of MCAO [3, 10, 43]. Use of
rota-rod performance in the rats is significantly affected herbal products in the management of ischemia has also
following focal cerebral ischemia [37]. A linear relation- been advocated because of their high antioxidant activity
ship between the duration of ischemia and time during [9, 42]. Dietary supplementation with blueberries, spinach
which rats stay on the accelerating rod has been reported. and spirulina have been reported to reduce ischemia/
Significantly, treatment with curcumin in the MCAO rats reperfusion induced apoptosis and cerebral infarction [6]. It
caused an improvement in the grid walking and co-ordi- has been observed that agents that inhibit lipid peroxidation
nation as evident by the score of foot fault errors. The time or have strong antioxidant activity are useful in the treat-
of fall from the rotating rod was also significantly increased ment of this disease [9, 42, 44]. In an interesting study by
in these animals suggesting that curcumin treatment could Chabrier et al. BN 80933, a dual inhibitor of lipid perox-
significantly prevent impairment of sensorimotor functions. idation and NOS, significantly protected rats from ischemia
Further, a significant improvement in neurological score in different experimental models [3].
following curcumin treatment, observed in the present Curcumin, an important ingredient of turmeric, is a
study, is quite interesting and is consistent with the above cyclooxygenase inhibitor and possesses multiple pharma-
findings. cological properties including anti-inflammatory, anti-
A number of studies have observed that both cortex and carcinogenic and anti-thrombotic [18, 45]. These properties
corpus striatum are affected following stroke [38]. The rea- of curcumin might have also contributed to its anti-ischemic
son for including corpus striatum in the present study was efficacy but it is difficult to confirm them in the present study.
also due to the fact that motor functions are severely affected Free radical scavenging activity of curcumin and its pro-
following ischemia [1]. We have studied gross neuropro- tective effect against reactive species is well documented
tective effects of curcumin without going into details of the [46]. Curcumin is unique over other natural antioxidants
mechanisms at cellular or molecular levels. Enhanced oxi- since it possesses both the phenolic and diketonic groups
dative stress due to increased generation of free radicals has which help in the scavenging of free radicals. In contrast,
been reported during cerebral ischemia [9, 37, 39]. An other natural antioxidants possess either phenolic or dike-
increase in the levels of oxygen and hydroxyl radicals fol- tonic groups [47]. Curcumin has been found to be
lowing MCAO has also been shown. However, free radical neuroprotective against different neurotoxicants [48, 49].
generation is enhanced more during reperfusion [37]. One of the characteristic property of curcumin is that it does
Kuroda et al. suggested that generation of free radical species not affect the normal cells. In our earlier studies investigating
is an important contributor to brain damage [40]. An increase the neuroprotective efficacy of curcumin against lead
in lipid peroxidation and a decrease in superoxide dismutase neurotoxicity, treatment of rats only with curcumin (100 mg/
activity in corpus striatum and cortex, 72 h after MCAO kg, po) for 45 days had no significant effect on parameters
observed in the present study suggest a state of enhanced related with behaviour and oxidative stress [49].
oxidative stress. Protective effect of curcumin against cere- Treatment of ischemic rats with curcumin significantly
bral ischemia in rats has been studied by Thiyagarajan and inhibited lipid peroxidation both in corpus striatum and
Sharma [29]. They attributed the neuroprotective effect of cortex in the present study. Thiyagrajan and Sharma also
curcumin to its anti-oxidant property. However, a different observed inhibition in lipid peroxidation following intra-
route and schedule of curcumin administration was used in peritoneal treatment with curcumin [29]. Effect was more
these studies. We have used a more clinically relevant route marked at a higher dose (300 mg/kg) of curcumin.
of administration. Absorption of curcumin in the body may occur both by
A decrease in body weight following MCAO, observed gavage and intraperitoneal routes although bioavailability
in the present study, is consistent with the earlier reports of and pharmacokinetic properties are different [50]. Oral
post-ischemic loss in body weight [1, 37]. Garcia and Liu administration of curcumin has been reported to inhibit
reported that the body weight decrease was probably due to lipid peroxidation induced by carbon tetrachloride, parquat
infarction affecting feeding behaviour and injury to the and cyclophosphamide in brain, kidney, liver and lung in
anterior hypothalamus [41]. The decrease in body weight in mice [48]. It is, however, not clear whether inhibition in
ischemic rats in the present study could be due to decreased lipid peroxidation is due to scavenging of peroxides and
food intake of these rats. toxic free radical species generated during the reaction or
Since multi-factorial mechanisms are involved in neutralisation of free radicals [48]. As curcumin has xan-
ischemia, a number of synthetic and natural agents have thine oxidase inhibitory activity [51], it may prevent

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1042 Neurochem Res (2008) 33:1036–1043

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