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16 protocols using dexmedetomidine

1

LPS-Induced Neuroinflammation and Dexmedetomidine

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The experimental procedures were approved by the Peking University Biomedical Ethics Committee experimental animal ethics branch (Approval No. J201807) and performed in accordance with the institutional guidelines. Adult male Sprague-Dawley rats (250–300 g) were purchased from the Experimental Animal Center of Peking University Health Center (Beijing, China). Rats were housed in standardized conditions with room temperature 24 ± 2 °C, controlled humidity 55 ± 5%, 12 h light/12 h dark cycle and access to water ad libitum. Rats were injected intraperitoneally with 10 mg/kg LPS (Sigma-Aldrich), dissolved and diluted in sterile normal saline. Dexmedetomidine (Sigma-Aldrich) was then intraperitoneally injected at a dose of 25 µg/kg every 2 h for three times immediately after LPS administration22 (link). One cohort was injected intraperitoneally with 500 µg/kg α2-adrenoceptor antagonist atipamezole (Sigma-Aldrich) every 2 h in three doses prior to the administration of Dexmedetomidine22 (link). Controls received comparable volume injections of saline. At 24 h after the first treatment, animals were sacrificed with pentobarbitone (100 mg/kg, i.p.). Their hippocampus was quickly dissected and snap frozen in liquid nitrogen from the half of the animals from each group. The remaining animals were perfused with 4% paraformaldehyde and their brains were collected.
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2

Human and Rat Cell Culture Protocols

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Human astrocyte 1321N1 cells and rat neuron PC12 cells were purchased from the European Collection of Authenticated Cell Cultures (ECACC, Porton Down, UK). 1321N1 cells were cultured in Dulbecco’s modified Eagle’s Medium (DMEM) (Gibco; Invitrogen, USA) supplemented with 10% fetal bovine serum and 100 U/ml penicillin-streptomycin. Some cohort 1321N1 cultures were treated with lipopolysaccharide (LPS) E. coli O111:B4 (100 ng/ml, Sigma-Aldrich, Poole, UK) for 24 h, some cohort cultures were treated with 1 µM dexmedetomidine (Sigma-Aldrich) 30 min before LPS treatment22 (link), and some cohort cultures were treated with TNF-α (100 ng/ml, Sigma-Aldrich) for 24 h. PC12 cells were maintained in RPMI-1640 medium (Gibco; Invitrogen, USA) containing 10% heat-inactivated horse serum, 5% fetal bovine serum and 100 U/ml penicillin-streptomycin. To induce the differentiation of PC12 cells into neuronal like cells, 50 ng/ml nerve growth factor (NGF) was added into the medium with 1% horse serum and cells were seeded on a Collagen IV coated dish for 24 h. The medium was routinely replaced with fresh medium every 2 days for 5 days until neuronal differentiation had taken place. PC12 cells were treated with calf thymus histones (1000 ng/ml, Sigma-Aldrich) for 24 h. The cells were incubated at 37 °C in a humidified atmosphere with 5% CO2.
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3

Comparative Evaluation of Anesthetic Compounds

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Bupivacaine hydrochloride (0.5%, Sigma-Aldrich Co., St. Louis, MO, P code: 101524503 B5274-5G), Dexmedetomidine (Sigma-Aldrich Co., St. Louis, MO, P code: 12815 SML0956-10MG) and Yohimbine (Sigma-Aldrich Co., St. Louis, MO, P code: 101509939 Y3125-1G) were used.
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4

Hypoxia-Induced Microglial Cell Stress

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The BV2 cells (mouse microglial cells) were purchased from ATCC Company (Milan, Italy). The cells were suspended in DMEM (Dulbecco’s Modified Eagle Medium containing 10% fetal bovine serum (FBS), 100 U/mL of penicillin, and 100 U/mL of streptomycin) culture medium. At 80% confluency, the cells were treated with trypsin-EDTA solution (0.05% trypsin and 0.02% EDTA), and the resulting cell suspension was adjusted to a cell density of 5 × 104 cells/mL. The cell suspensions were washed with PBS (Phosphate-Buffered Saline), resuspended in serum-free DMEM medium, and placed in an incubator at 37 °C, without and with the addition of Propofol, Dexmedetomidine, or Clonidine (Sigma–Aldrich, Milan, Italy). The drugs were tested at final concentrations of 25 and 50 μM. Hypoxia was then induced by challenging the cell cultures with a gas mixture containing 1.0% O2, 5% CO2, and 37 °C for 3 h to initiate hypoxia, followed by 3 h of reoxygenation at 37 °C using a gas mixture containing 5% CO2 and 18.0% O2. We used gas-controlled incubators to control the O2 levels of the cell cultures. In hypoxia, the O2 levels were 1%, and the CO2 levels were 5%. Under the reoxygenation conditions, the O2 levels were 18%, and the CO2 levels were 5%. Nitrogen was added to the incubator in order until the set O2% was achieved.
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5

Rat Model of Myocardial Infarction

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Following the methodologies of Hou YL [36 (link)] and Kirihara Y [37 (link)] et al., anesthesia was induced in rats via intraperitoneal injection of 2 mg/Kg atropine sulfate (Tianjin Jinyao Pharmaceutical Co., Ltd.). Dexmedetomidine (0.3 mg/kg body weight)/midazolam (4.0 mg/kg bw)/butorphanol (5.0 mg/kg bw) (Sigma) was then injected intraperitoneally ten minutes later. A 16G intravenous catheter (Introcan 16G, Braun Medical Co., Ltd., Germany) was used for endotracheal intubation of the animals and a rodent ventilator (HX-200, Chengdu Science and Technology Co., Ltd. Thailand Union) was used. After thoracotomy, the heart was exposed and the pericardium was stripped. Using the coronary vein as a landmark, the left atrial appendage was slightly elevated, and a 6/0 suture was inserted ∼23 mm from the start of the left coronary artery anterior descending branch with a depth of 0.5 mm. The suture came out near the pulmonary artery cones and ligation was made. Electrocardiograms showing typical ST-segment elevation, white left ventricular anterior wall color and hypokinesia were all used to assess ligation success. Intramuscular penicillin at 200,000 U was injected for 3 days after the surgery. Intraoperative and postoperative mortality was less than 10%.
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6

Synthesis and Characterization of Di-block Copolymers

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Di-block copolymers are made up of a hydrophilic block of polyethylene glycol (PEG; mol. wt. 2 kDa) and a hydrophobic block of one of: poly(lactic-co-glycolic acid) (PLGA), poly(L-lactic acid) (PLLA), or poly(ε-caprolactone) (PCL). Two molecular weights of hydrophobic block chains were used: 2 kDa and 5 kDa. The nomenclature used for the di-block copolymers is, for instance, polyethylene glycol 2 kDa - poly(lactic-co-glycolic acid) 5 kDa = PEG (2 kDa)-PLGA (5 kDa). All di-block copolymers were purchased from Akina (West Lafayette, IN, USA). Propofol, nicardipine hydrochloride, verapamil hydrochloride, sodium sulfate, and sodium hydroxide were purchased from Alfa Aesar (Haverhill, MA, USA). Doxorubicin hydrochloride was purchased from LC laboratories (Woburn, MA, USA). Cisplatin, dexmedetomidine, Luria Broth (LB) powder, and LB agar powder were purchased from Sigma-Aldrich (St Louis, MO, USA). Ketamine hydrochloride injectable solution is a controlled substance and was purchased via Stanford University Environmental Health & Safety. Tetrahydrofuran (THF), methanol, ethyl acetate, chloroform, and hexane were obtained from Sigma-Aldrich (St Louis, MO, USA). n-Perfluoropentane (PFP) was purchased from FluoroMed (Round Rock, TX, USA). A hydrophobic IRDye® 800RS infrared dye was purchased from LI-COR Biotechnology (Lincoln, NE, USA).
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7

Synthesis and Characterization of Etomidate Analogues

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Figure 1 shows the structures of Etomidate, the Etomidate analogs CPMM and carboEtomidate, the carboxylic acid metabolites of Etomidate and CPMM (Etomidate-CA and CPMM-CA, respectively), and the clinically-used sedative-hypnotic agents evaluated in this study. Etomidate was purchased from Bachem Americas (Torrance, CA). Etomidate-CA was synthesized by base hydrolysis as previously described. 17 (link) CPMM, CPMM-CA, and carboEtomidate were synthesized by Aberjona Laboratories (Beverly, MA) as previously described. 20 (link),22 (link),31 (link) Dexmedetomidine, ketamine, and propofol were purchased from Sigma-Aldrich (St. Louis, MO). 3H-Etomidate was prepared from unlabeled (“cold”) Etomidate by Perkin-Elmer Life Sciences (Boston, MA) using a catalytic exchange reaction. The mass fragmentation pattern of 3H-Etomidate showed that all of the tritium was located on the imidazole ring. The specific activity of 3H-Etomidate was 11Ci/mM.
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8

Modulation of HMGB1-induced inflammation

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Recombinant HMGB1 (R&D System, Minneapolis, MN) was dissolved in phosphate-buffered saline and administered ip 50 μg/kg, a dose that we had earlier reported to produce a similar inflammatory and cognitive response as that seen after surgery.5 (link)Dexmedetomidine (Sigma-Aldrich, St. Louis, MO, USA) was dissolved in 0.9% sterile saline and administered 50 μg/kg ip every 2 hours for three doses immediately following HMGB1 (Figure 1 A, B) or at 20 μg/kg ip for four doses in the surgical model (Figure 1 C, D). These doses were selected to simulate perioperative sedation either with (Figure 1 C, D) or without isoflurane anesthesia (Figure 1 A, B).
Yohimbine (Sigma-Aldrich) was dissolved in 0.9% sterile saline and 1.5 mg/kg was administered ip, a dose that effectively blocks α2 adrenoceptor-mediated responses.17 (link)Atipamezole (Sigma-Aldrich, St. Louis, MO, USA) was dissolved in 5% dimethyl sulfoxide in saline and 3 mg/kg was administered ip, a dose that effectively blocks both imidazole receptor and α2 adrenoceptor-mediated responses.
Methyllycaconitine (Sigma-Aldrich, St. Louis, MO, USA) was dissolved in 0.9% sterile saline and 4mg/kg ip was administered, a dose that blocks α7 nicotinic acetylcholine receptor-mediated response.2 (link)
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9

Isolation and Activation of Murine Regulatory T Cells

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Dexmedetomidine (Sigma-Aldrich, SML0956); Dorsomorphin (Compound C) (Selleck, S7306); Cell Counting Kit8 (MCE, HY-K0301); Human lymphocyte separation solution (GE Healthcare, FICOLL-PAQUE PLUS, 17,144,003); EasySep™ Mouse Naive CD4+ T Cell Isolation Kit (Stem cell, 19,765); IL-2 (Peprotech, 212–12); TGF-β1 (Peprotech, 100–21); Anti-Mouse CD3 antibody (eBioscience, 16–0032-86), Anti-Mouse CD28 antibody (eBioscience, 16–0281-85); Anti-Mouse CD25 antibody (eBioscience, 16–0251-38); CD4 Monoclonal antibody (GK1.5), FITC (eBioscience, 11–0041-82); Rat IgG2b kappa Isotype Control (eB149/10H5), FITC (eBioscience, 11–4031-82); CD25 Monoclonal Antibody (PC61.5), PE-Cyanine7 (eBioscience, 25–0251-82); Rat IgG1 kappa Isotype Control (eBRG1), PE-Cyanine7 (eBioscience, 25–4301-82); HELIOS Monoclonal Antibody (22F6), PE (eBioscience, 12–9883-42); Armenian Hamster IgG Isotype Control (eBio299Arm), PE (eBioscience, 12–4888-81); FOXP3 Monoclonal Antibody (FJK-16 s), APC (eBioscience, 17–5773-82); Rat IgG2a kappa Isotype Control (eBR2a), APC (eBioscience, 17–4321-81). Since the antibodies used in immunohistochemistry, immunofluorescence, and western blotting experiments are not identical, information on these antibodies will be described in the corresponding methods section.
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10

Quantification of Dexmedetomidine and Midazolam

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Dexmedetomidine and midazolam were obtained from Sigma-Aldrich Chemical Company (St. Louis, MO, USA). Dezocine and carteolol (IS) were purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China). HPLC-grade methanol and acetonitrile were obtained from Tedia (Fairfield, OH, USA). HPLC-grade formic acid was purchased from Kermel Chemical Reagent Co., Ltd. (Tianjin, China). All other chemicals were of analytic grade or better.
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