Romero I, Brown A W, Cavanagh J B, Nolan C C, Ray D E, Seville M P
Medical Research Council Toxicology Unit, Carshalton, Surrey.
Neuropathol Appl Neurobiol. 1991 Dec;17(6):495-508. doi: 10.1111/j.1365-2990.1991.tb00752.x.
Using a 3 x 10 mg/kg dose schedule of 1,3-dinitrobenzene (DNB) over two days in Fischer rats, we have found the following changes in vascular function and structure during the early phase of the symmetrical brain stem lesions. 1. Marked increase in cerebral blood flow generally but especially in the inferior colliculi, from 6 h after the final dose of DNB. 2. Increasing incidence of petechial haemorrhages in inferior colliculi, cerebellar roof, vestibular and superior olivary nuclei from 12 h. 3. Focal leakage of horseradish peroxidase and many sleeve-like arteriolar haemorrhages seen in vibratome sections and by scanning electron microscopy (SEM) in these regions from 12 h. 4. Periarteriolar oedema and protein leakage present in step-serial sections in these regions from 12 h, with astrocyte swelling and occasional small infarcts. These changes suggest that the vascular bed may play an important role in the pathogenesis of these lesions, perhaps in parallel with early astroglial damage. They are discussed in relation to (i) the known presence of xanthine oxidase in the vascular bed of the brain and the likelihood of "useless redox cycling' with free radical generation from this enzyme's interaction with nitroheterocyclic compounds, and (ii) the possible role of free radical damage to endothelial cells in this intoxication and in the analogous lesions of natural and experimental Wernicke's encephalopathy.
在费希尔大鼠中,连续两天使用1,3 -二硝基苯(DNB),剂量为3×10mg/kg,我们发现在对称性脑干损伤的早期阶段,血管功能和结构出现了以下变化。1. 总体脑血流量显著增加,尤其是在终末剂量DNB后6小时起,下丘的脑血流量增加。2. 自12小时起,下丘、小脑顶、前庭核和上橄榄核的瘀点性出血发生率增加。3. 自12小时起,在振动切片和扫描电子显微镜(SEM)下,这些区域可见辣根过氧化物酶的局灶性渗漏和许多袖套样小动脉出血。4. 自12小时起,这些区域的连续切片中出现动脉周围水肿和蛋白质渗漏,伴有星形胶质细胞肿胀和偶尔的小梗死灶。这些变化表明,血管床可能在这些损伤的发病机制中起重要作用,可能与早期星形胶质细胞损伤并行。将对这些变化与以下方面进行讨论:(i)已知脑的血管床中存在黄嘌呤氧化酶,以及该酶与硝基杂环化合物相互作用产生自由基时发生“无用氧化还原循环”的可能性;(ii)自由基损伤内皮细胞在这种中毒以及自然和实验性韦尼克脑病类似损伤中的可能作用。