Department of Neurobiology and Behavior, University of California Irvine, Irvine, California, United States of America.
PLoS One. 2010 Jun 23;5(6):e11270. doi: 10.1371/journal.pone.0011270.
Despite progress in reducing ischemic stroke damage, complete protection remains elusive. Here we demonstrate that, after permanent occlusion of a major cortical artery (middle cerebral artery; MCA), single whisker stimulation can induce complete protection of the adult rat cortex, but only if administered within a critical time window. Animals that receive early treatment are histologically and behaviorally equivalent to healthy controls and have normal neuronal function. Protection of the cortex clearly requires reperfusion to the ischemic area despite permanent occlusion. Using blood flow imaging and other techniques we found evidence of reversed blood flow into MCA branches from an alternate arterial source via collateral vessels (inter-arterial connections), a potential mechanism for reperfusion. These findings suggest that the cortex is capable of extensive blood flow reorganization and more importantly that mild sensory stimulation can provide complete protection from impending stroke given early intervention. Such non-invasive, non-pharmacological intervention has clear translational potential.
尽管在减少缺血性中风损伤方面取得了进展,但完全保护仍然难以实现。在这里,我们证明,在大脑中动脉(MCA)永久闭塞后,单一胡须刺激可以诱导成年大鼠皮质的完全保护,但前提是在关键的时间窗口内进行治疗。接受早期治疗的动物在组织学和行为上与健康对照组相当,并且具有正常的神经元功能。尽管存在永久闭塞,但对缺血区域的再灌注显然是保护皮质所必需的。通过使用血流成像和其他技术,我们发现了通过侧支血管(动脉间连接)从替代动脉源向 MCA 分支反向血流的证据,这是再灌注的潜在机制。这些发现表明,大脑皮层具有广泛的血流重新组织能力,更重要的是,轻度感觉刺激可以在早期干预的情况下提供完全的中风预防保护。这种非侵入性、非药物干预具有明确的转化潜力。