Re: HEALTH: Caffeinol limits stroke damage

From: Anders Sandberg (asa@nada.kth.se)
Date: Fri Apr 11 2003 - 11:34:13 MDT

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    On Fri, Apr 11, 2003 at 07:39:32AM -0700, Robert J. Bradbury wrote:
    >
    > Science Daily is reporting on a study where caffeinol --
    > a mixture of caffeine and ethanol may be able to
    > limit damage caused by ischemic strokes.

    It is fun to see that it has approached clinical use. I posted about
    this a few years ago, when it was just animal experiments. Things have
    moved a bit since then:

    http://www.neurologyreviews.com/jan00/nr_jan00_alcoholcaffeine.html

    > I'm kind of blown away because I can't even begin to
    > imagine how this works at the molecular level.

    Caffeine affects adenosine receptors, and that is likely important for
    reducing glutamate toxicity. Ethanol does strange things to cell
    membrances and receptors.

    As Doug mentioned (I think this was the one I got too):

    Title
      Combination of low dose
      ethanol and caffeine protects brain from damage produced by
      focal ischemia in rats.
    Source
      Neuropharmacology. 39(3):515-22, 2000 Jan 28.
    Abstract
      Caffeine and ethanol are two commonly overused psychoactive
      dietary components. The purpose of this study was to assess the
    effects of
      acute, chronic, oral (p.o.) and intravenous (i.v.) caffeine,
      ethanol and their combination on infarct
      volume following focal ischemia in rats. Rats received
      treatment either p.o. 3 h and 1 h before, or by i.v. infusion for 2.5
    h
      beginning 30-180 min after, ischemia. There were six acute treatment
    groups.
      (1) oral dH2O (control); (2) oral caffeine (10 mg/kg); (3) oral
      ethanol (0.65 g/kg total); (4) oral ethanol
      plus caffeine; (5) intravenous saline; and (6) intravenous
      ethanol (0.65 g/kg) plus caffeine (10 mg/kg) in saline. A
      7th group received oral ethanol plus caffeine for three
      weeks prior to ischemia. After 3 h of left MCA/CCA occlusion and 24 h
      reperfusion, infarct volume was determined. Control animal infarct
    volume was
      102.4+/-42.0 mm3. Oral caffeine alone had no effect (122.4+/-30.2
    mm3). Oral
      ethanol alone exacerbated infarct volume (177.2+/-27.8 mm3).
      Oral caffeine plus ethanol almost entirely eliminated the
      damage (17.89+/-10.41 mm3). When i.v. treatment with ethanol
      plus caffeine was initiated at 30, 60, 90 and 120 minutes
    post-ischemia the
      infarct volume was reduced by 71.7%, 49.8%, 64.8% and 47.1%,
    respectively.
      Chronic daily oral ethanol plus caffeine prior to ischemia
      eliminated the neuroprotection seen with acute treatment. These
    studies
      indicate that ethanol, which by itself aggravates cerebral
      ischemia, and caffeine, when combined together immediately before or
    for 2 h
      after focal stroke, reduces ischemic damage.

    -- 
    -----------------------------------------------------------------------
    Anders Sandberg                                      Towards Ascension!
    asa@nada.kth.se                            http://www.nada.kth.se/~asa/
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