Department of Anatomy, Yonsei University College of Medicine, Seoul, South Korea.
J Cereb Blood Flow Metab. 2010 May;30(5):943-9. doi: 10.1038/jcbfm.2009.260. Epub 2009 Dec 23.
Brain edema is frequently shown after cerebral ischemia. It is an expansion of brain volume because of increasing water content in brain. It causes to increase mortality after stroke. Agmatine, formed by the decarboxylation of L-arginine by arginine decarboxylase, has been shown to be neuroprotective in trauma and ischemia models. The purpose of this study was to investigate the effect of agmatine for brain edema in ischemic brain damage and to evaluate the expression of aquaporins (AQPs). Results showed that agmatine significantly reduced brain swelling volume 22 h after 2 h middle cerebral artery occlusion in mice. Water content in brain tissue was clearly decreased 24 h after ischemic injury by agmatine treatment. Blood-brain barrier (BBB) disruption was diminished with agmatine than without. The expressions of AQPs-1 and -9 were well correlated with brain edema as water channels, were significantly decreased by agmatine treatment. It can thus be suggested that agmatine could attenuate brain edema by limiting BBB disruption and blocking the accumulation of brain water content through lessening the expression of AQP-1 after cerebral ischemia.
脑水肿是脑缺血后常见的表现。它是由于脑内含水量增加导致的脑体积扩大,增加了中风后的死亡率。胍丁胺是由精氨酸脱羧酶从 L-精氨酸脱羧生成的,已被证明在创伤和缺血模型中有神经保护作用。本研究旨在探讨胍丁胺对缺血性脑损伤后脑水肿的作用,并评估水通道蛋白(AQP)的表达。结果表明,胍丁胺可显著降低 2 小时大脑中动脉闭塞后 22 小时小鼠的脑肿胀体积。缺血损伤 24 小时后,胍丁胺治疗可明显降低脑组织含水量。与无胍丁胺治疗相比,用胍丁胺治疗可减少血脑屏障(BBB)的破坏。AQP-1 和 -9 的表达与脑水肿作为水通道密切相关,胍丁胺治疗可显著降低其表达。因此,胍丁胺可能通过限制 BBB 破坏和通过减少 AQP-1 的表达来阻止脑水含量的积累,从而减轻脑缺血后的脑水肿。