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[评估神经保护疗法对血流动力学半暗带影响的新方法]

[New method for evaluating the effects of neuroprotective therapy in the hemodynamic penumbra].

作者信息

Sasamata M, Moskowitz M A, Lo E H

机构信息

Pharmacology Laboratories, Yamanouchi Pharmaceutical Co., Ltd., Ibaraki, Japan.

出版信息

Nihon Yakurigaku Zasshi. 2000 Mar;115(3):161-9. doi: 10.1254/fpj.115.161.

DOI:10.1254/fpj.115.161
PMID:10876801
Abstract

Recently, we established a novel temporal correlation mapping (TCM) technique in combination with high-resolution functional computed tomography (CT) scanning to analyze the temporal changes in bolus transit dynamics of iodinated contrast agents in focal cerebral ischemia. Based on changes in the temporal dynamics of blood flow, we defined a new kind of penumbra and core in focal ischemia: the hemodynamic penumbra and hemodynamic core. We visualized for the first time a larger hemodynamic core and smaller hemodynamic penumbra in endothelial NOS knockout mice than in wild type mice early after focal ischemia by using the TCM analysis technique. In addition, neuroprotective effects of the water-soluble AMPA receptor antagonist YM872 were for the first time observed in the hemodynamic penumbra after focal ischemia. In conclusion, early TCM analysis could be used to directly and quantitatively evaluate the effects of neuroprotective therapy and the evolution of neuronal damage in the hemodynamic penumbra.

摘要

最近,我们结合高分辨率功能计算机断层扫描(CT)建立了一种新型的时间相关性映射(TCM)技术,以分析局灶性脑缺血中碘化造影剂团注传输动力学的时间变化。基于血流时间动态变化,我们在局灶性缺血中定义了一种新型的半暗带和核心:血流动力学半暗带和血流动力学核心。通过使用TCM分析技术,我们首次发现在局灶性缺血早期,内皮型一氧化氮合酶基因敲除小鼠中的血流动力学核心比野生型小鼠更大,血流动力学半暗带更小。此外,首次观察到水溶性AMPA受体拮抗剂YM872对局灶性缺血后血流动力学半暗带具有神经保护作用。总之,早期TCM分析可用于直接和定量评估神经保护治疗的效果以及血流动力学半暗带中神经元损伤的演变。

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1
[New method for evaluating the effects of neuroprotective therapy in the hemodynamic penumbra].[评估神经保护疗法对血流动力学半暗带影响的新方法]
Nihon Yakurigaku Zasshi. 2000 Mar;115(3):161-9. doi: 10.1254/fpj.115.161.
2
YM872, a highly water-soluble AMPA receptor antagonist, preserves the hemodynamic penumbra and reduces brain injury after permanent focal ischemia in rats.YM872是一种高度水溶性的α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)受体拮抗剂,可保留血流动力学半暗带并减轻大鼠永久性局灶性缺血后的脑损伤。
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3
Temporal correlation mapping analysis of the hemodynamic penumbra in mutant mice deficient in endothelial nitric oxide synthase gene expression.内皮型一氧化氮合酶基因表达缺陷突变小鼠血流动力学半暗带的时间相关性映射分析。
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4
YM872: a selective, potent and highly water-soluble alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptor antagonist.YM872:一种选择性、强效且高度水溶性的α-氨基-3-羟基-5-甲基异恶唑-4-丙酸受体拮抗剂。
CNS Drug Rev. 2002 Winter;8(4):337-52. doi: 10.1111/j.1527-3458.2002.tb00232.x.
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Hemodynamic alterations in focal cerebral ischemia: temporal correlation analysis for functional imaging.局灶性脑缺血中的血流动力学改变:功能成像的时间相关性分析
Neurol Res. 1996 Apr;18(2):150-6. doi: 10.1080/01616412.1996.11740394.
6
Neuroprotective effects of an AMPA receptor antagonist YM872 in a rat transient middle cerebral artery occlusion model.
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7
Neuroprotective efficacy of YM872, an alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptor antagonist, after permanent middle cerebral artery occlusion in rats.α-氨基-3-羟基-5-甲基异恶唑-4-丙酸受体拮抗剂YM872对大鼠大脑中动脉永久性闭塞后的神经保护作用
J Pharmacol Exp Ther. 1998 Nov;287(2):559-66.
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YM872, a novel selective alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptor antagonist, reduces brain damage after permanent focal cerebral ischemia in cats.
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A novel AMPA receptor antagonist, YM872, reduces infarct size after middle cerebral artery occlusion in rats.一种新型的AMPA受体拮抗剂YM872可减小大鼠大脑中动脉闭塞后的梗死面积。
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10
Neuroprotection with NBQX in rat focal cerebral ischemia. Effects on ADC probability distribution functions and diffusion-perfusion relationships.用NBQX对大鼠局灶性脑缺血进行神经保护。对表观扩散系数概率分布函数及弥散-灌注关系的影响。
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