Nagatsuna Toshikazu, Nomura Sadahiro, Suehiro Eiichi, Fujisawa Hirosuke, Koizumi Hiroyasu, Suzuki Michiyasu
Department of Neurosurgery, Yamaguchi University School of Medicine, Ube, Yamaguchi, Japan.
Cerebrovasc Dis. 2005;19(3):192-200. doi: 10.1159/000083466. Epub 2005 Jan 20.
This study investigated the effects of argatroban, a thrombin inhibitor, on brain edema and inflammation in a rat intracerebral hemorrhage (ICH) model. ICH was induced by injecting collagenase IV into the right caudate nucleus. Argatroban was administered intraperitoneally. Argatroban reduced brain edema from 44.6 to 14.3 microl at 72 h. Infiltration of polymorphonuclear leukocytes at 24 h and monocyte/macrophage at 24 and 72 h was significantly suppressed by argatroban. Argatroban did not increase the volume of hematoma. Systemic administration of argatroban reduced secondary brain damage including edema and inflammation in a rat ICH model.
本研究调查了凝血酶抑制剂阿加曲班对大鼠脑出血(ICH)模型脑水肿和炎症的影响。通过向右侧尾状核注射IV型胶原酶诱导脑出血。阿加曲班通过腹腔注射给药。阿加曲班在72小时时将脑水肿从44.6微升降至14.3微升。阿加曲班显著抑制了24小时时多形核白细胞以及24小时和72小时时单核细胞/巨噬细胞的浸润。阿加曲班并未增加血肿体积。在大鼠ICH模型中,全身性给予阿加曲班可减轻包括水肿和炎症在内的继发性脑损伤。