Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis

Abstract Subarachnoid hemorrhage (SAH), characterized by bleeding in the subarachnoid space, is associated with high morbidity and mortality, primarily due to cerebral vasospasm. Recent studies suggest oxidative stress and inflammation play crucial roles in vasospasm pathogenesis. This study investi...

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Main Authors: Eyüp Çetin, Cumaali Demirtaş, Cansu Sönmez, Murat Yücel, Eray Metin Güler, Sarper Kocoğlu, Hakan Beyaztaş, Emine Demir
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-08325-3
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author Eyüp Çetin
Cumaali Demirtaş
Cansu Sönmez
Murat Yücel
Eray Metin Güler
Sarper Kocoğlu
Hakan Beyaztaş
Emine Demir
author_facet Eyüp Çetin
Cumaali Demirtaş
Cansu Sönmez
Murat Yücel
Eray Metin Güler
Sarper Kocoğlu
Hakan Beyaztaş
Emine Demir
author_sort Eyüp Çetin
collection DOAJ
description Abstract Subarachnoid hemorrhage (SAH), characterized by bleeding in the subarachnoid space, is associated with high morbidity and mortality, primarily due to cerebral vasospasm. Recent studies suggest oxidative stress and inflammation play crucial roles in vasospasm pathogenesis. This study investigates the effects of diazepam, a benzodiazepine with vasodilatory properties, in a rat SAH model. Three groups of female Sprague Dawley rats were analyzed: a control group, an SAH-induced group without treatment, and an SAH-induced group treated with 3 mg/kg of diazepam. Our findings revealed SAH significantly increased Total Oxidant Status (TOS), Oxidative Stress Index (OSI), and inflammatory markers (IL-1β, IL-6, TNF-α) in both tissue and serum samples. Diazepam treatment mitigated these effects, showing reduced TOS, OSI, and cytokine levels compared to the untreated SAH group. Additionally, diazepam helped maintain thiol-disulfide balance, with higher Total Thiol and Native Thiol levels, indicating a protective effect against oxidative damage. Histopathological examination revealed significant vasospasm and inflammatory infiltration in the SAH group, which was partially alleviated in the diazepam-treated group. Diazepam may serve as an adjunct therapy in SAH management by modulating oxidative stress and inflammation, potentially alleviating vasospasm and related ischemic injuries.
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spelling doaj-art-bd310aeec30c4c7da82414fc812d04652025-08-20T03:46:08ZengNature PortfolioScientific Reports2045-23222025-08-0115111110.1038/s41598-025-08325-3Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysisEyüp Çetin0Cumaali Demirtaş1Cansu Sönmez2Murat Yücel3Eray Metin Güler4Sarper Kocoğlu5Hakan Beyaztaş6Emine Demir7Neurosurgery Clinic, Haydarpaşa Training and Research Hospital, Health Sciences UniversityVeterinary Clinic, Hamidiye Experimental Animals Laboratory, Health Sciences UniversityPathology Clinic, Haydarpaşa Numune Hospital, Health Sciences UniversityFaculty of Medicine, Neurosurgery Clinic, Yalova UniversityDepartment of Biochemistry, Hamidiye Medical Faculty, Health Sciences UniversityNeurosurgery Clinic, Training and Research HospitalDepartment of Biochemistry, Hamidiye Medical Faculty, Health Sciences UniversityDepartment of Neurosurgery, Üsküdar State HospitalAbstract Subarachnoid hemorrhage (SAH), characterized by bleeding in the subarachnoid space, is associated with high morbidity and mortality, primarily due to cerebral vasospasm. Recent studies suggest oxidative stress and inflammation play crucial roles in vasospasm pathogenesis. This study investigates the effects of diazepam, a benzodiazepine with vasodilatory properties, in a rat SAH model. Three groups of female Sprague Dawley rats were analyzed: a control group, an SAH-induced group without treatment, and an SAH-induced group treated with 3 mg/kg of diazepam. Our findings revealed SAH significantly increased Total Oxidant Status (TOS), Oxidative Stress Index (OSI), and inflammatory markers (IL-1β, IL-6, TNF-α) in both tissue and serum samples. Diazepam treatment mitigated these effects, showing reduced TOS, OSI, and cytokine levels compared to the untreated SAH group. Additionally, diazepam helped maintain thiol-disulfide balance, with higher Total Thiol and Native Thiol levels, indicating a protective effect against oxidative damage. Histopathological examination revealed significant vasospasm and inflammatory infiltration in the SAH group, which was partially alleviated in the diazepam-treated group. Diazepam may serve as an adjunct therapy in SAH management by modulating oxidative stress and inflammation, potentially alleviating vasospasm and related ischemic injuries.https://doi.org/10.1038/s41598-025-08325-3Subarachnoid hemorrhage (SAH)Cerebral vasospasmDiazepamOxidative stress
spellingShingle Eyüp Çetin
Cumaali Demirtaş
Cansu Sönmez
Murat Yücel
Eray Metin Güler
Sarper Kocoğlu
Hakan Beyaztaş
Emine Demir
Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
Scientific Reports
Subarachnoid hemorrhage (SAH)
Cerebral vasospasm
Diazepam
Oxidative stress
title Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
title_full Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
title_fullStr Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
title_full_unstemmed Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
title_short Experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
title_sort experimental study of the effects of diazepam on vasospasm in a subarachnoid rat model through pathological and biochemical analysis
topic Subarachnoid hemorrhage (SAH)
Cerebral vasospasm
Diazepam
Oxidative stress
url https://doi.org/10.1038/s41598-025-08325-3
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