Sharma Hari Shanker
Laboratory of Cerebrovascular Research, Department of Surgical Sciences, Anaesthesiology and Intensive Care Medicine, Uppsala University Hospital, Uppsala University, SE-75185 Uppsala, Sweden.
Prog Brain Res. 2007;162:173-99. doi: 10.1016/S0079-6123(06)62010-4.
The recent increase in the frequency and intensity of killer heat waves across the globe has aroused worldwide medical attention to exploring therapeutic strategies to attenuate heat-related morbidity and/or mortality. Death due to heat-related illnesses often exceeds >50% of heat victims. Those who survive are crippled with lifetime disabilities and exhibit profound cognitive, sensory, and motor dysfunction akin to premature neurodegeneration. Although more than 50% of the world populations are exposed to summer heat waves; our understanding of detailed underlying mechanisms and the suitable therapeutic strategies have still not been worked out. One of the basic reasons behind this is the lack of a reliable experimental model to simulate clinical hyperthermia. This chapter describes a suitable animal model to induce hyperthermia in rats (or mice) comparable to the clinical situation. The model appears to be useful for studying the effects of heat-related illnesses on changes in various organs and systems, including the central nervous system (CNS). Since hyperthermia is often associated with profound brain dysfunction, additional methods to examine some crucial parameters of brain injury, e.g., blood-brain barrier (BBB) breakdown and brain edema formation, are also described.
近期全球范围内致命热浪发生频率和强度的增加,引发了全球医学界对探索减轻与热相关的发病率和/或死亡率的治疗策略的关注。因热相关疾病导致的死亡通常超过热受害者的50%。幸存者会终身残疾,表现出严重的认知、感觉和运动功能障碍,类似于过早的神经退行性变。尽管世界上超过50%的人口会遭遇夏季热浪;但我们对详细的潜在机制和合适的治疗策略仍未明确。其背后的一个基本原因是缺乏可靠的实验模型来模拟临床高温。本章描述了一种适合在大鼠(或小鼠)中诱导与临床情况相当的高温的动物模型。该模型似乎有助于研究热相关疾病对包括中枢神经系统(CNS)在内的各种器官和系统变化的影响。由于高温常与严重脑功能障碍相关,还描述了用于检测脑损伤一些关键参数的额外方法,例如血脑屏障(BBB)破坏和脑水肿形成。