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司托巴定诱导局灶性缺血/再灌注后感觉运动恢复加速与脑血管保护有关。

Stobadine-induced hastening of sensorimotor recovery after focal ischemia/reperfusion is associated with cerebrovascular protection.

作者信息

Plaisier F, Bastide M, Ouk T, Pétrault O, Laprais M, Stolc S, Bordet R

机构信息

EA1046-Département de Pharmacologie, Institut de Médecine Prédictive et de Recherche Thérapeutique, Faculté de Médecine-Université de Lille 2, Centre Hospitalier et Universitaire, 1, Place de Verdun, 59045 Lille Cedex, France.

出版信息

Brain Res. 2008 May 7;1208:240-9. doi: 10.1016/j.brainres.2008.02.007. Epub 2008 Feb 13.

Abstract

In a model of 1 hour-intraluminal occlusion of rat middle cerebral artery (MCA), we investigated the spontaneous recovery of vascular functions and functional deficit together with ischemia volume evolution at 24 h, 3 days and 7 days of reperfusion. Infarct cerebral volumes and edema were quantified with histological methods. Endothelium-dependent and smooth muscle potassium inward rectifier current (Kir2.x)-dependent relaxing responses of MCA were tested using Halpern arteriograph and Kir2.x current density evaluated on MCA myocytes with whole-cell patch-clamp technique. Sensorimotor recovery was estimated according to performances obtained with adhesive removal test and prehensile traction test. A time-dependent improvement of smooth muscle K(+)-dependent vasorelaxation and Kir2.x current density is observed at 7 days of reperfusion while endothelium-dependent relaxation is still impaired. In parallel a significant reduction of functional deficit is observed at 7 days of reperfusion together with a time-matched reduction of striatal infarct and edema volumes. Administration of an antioxidant agent, stobadine, at time of reperfusion and 5 h later allowed: (i) a neuroprotective effect with a significant reduction of infarct size compared to vehicle-treated rats; (ii) a prevention of endothelial-dependent relaxation and Kir2.x current density reductions of MCA ipsilateral to occlusion; (iii) a hastening of the functional recovery. The beneficial effect of stobadine underlines a link between vascular protection, neuronal protection and sensorimotor recovery that could become a promising pharmacological target in the treatment of cerebral ischemia.

摘要

在大鼠大脑中动脉(MCA)1小时腔内闭塞模型中,我们研究了再灌注24小时、3天和7天时血管功能和功能缺损的自发恢复情况以及缺血体积的演变。用组织学方法对梗死脑体积和水肿进行定量。使用哈尔彭动脉造影仪测试MCA的内皮依赖性和平滑肌钾内向整流电流(Kir2.x)依赖性舒张反应,并用全细胞膜片钳技术评估MCA肌细胞上的Kir2.x电流密度。根据去除黏附试验和抓握牵引试验获得的表现评估感觉运动恢复情况。再灌注7天时观察到平滑肌K⁺依赖性血管舒张和Kir2.x电流密度呈时间依赖性改善,而内皮依赖性舒张仍受损。同时,再灌注7天时观察到功能缺损显著减少,纹状体梗死和水肿体积也相应减少。在再灌注时及5小时后给予抗氧化剂司托巴定,可:(i)产生神经保护作用,与给予赋形剂的大鼠相比,梗死面积显著减小;(ii)预防闭塞同侧MCA的内皮依赖性舒张和Kir2.x电流密度降低;(iii)加速功能恢复。司托巴定的有益作用强调了血管保护、神经元保护和感觉运动恢复之间的联系,这可能成为治疗脑缺血的一个有前景的药理学靶点。

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