Department of Anesthesiology/Critical Care Medicine, Johns Hopkins University, School of Medicine, 720 Rutland Avenue, Baltimore, MD 21205, USA.
J Cereb Blood Flow Metab. 2011 May;31(5):1243-50. doi: 10.1038/jcbfm.2010.209. Epub 2010 Nov 24.
Intracerebral hemorrhage (ICH) is a devastating form of stroke. In this study, we examined the efficacy of deferoxamine (DFX), an iron chelator, after collagenase-induced ICH in 12-month-old mice. Intracerebral hemorrhage was induced by intrastriatal injection of collagenase. Deferoxamine (200 mg/kg, intraperitoneal) or vehicle was administrated 6 hours after ICH and then every 12 hours for up to 3 days. Neurologic deficits were examined on days 1 and 3 after ICH. Mice were killed after 1 or 3 days of DFX treatment for examination of iron deposition, neuronal death, oxidative stress, microglia/astrocyte activation, neutrophil infiltration, brain injury volume, and brain edema and swelling. Collagenase-induced ICH resulted in iron overload in the perihematomal region on day 3. Systemic administration of DFX decreased iron accumulation and neuronal death, attenuated production of reactive oxygen species, and reduced microglial activation and neutrophil infiltration without affecting astrocytes. Although DFX did not reduce brain injury volume, edema, or swelling, it improved neurologic function. Results of our study indicate that iron toxicity contributes to collagenase-induced hemorrhagic brain injury and that reducing iron accumulation can reduce neuronal death and modestly improve functional outcome after ICH in mice.
脑出血 (ICH) 是一种破坏性的中风形式。在这项研究中,我们研究了铁螯合剂去铁胺 (DFX) 在胶原酶诱导的 12 月龄小鼠 ICH 后的疗效。通过纹状体内注射胶原酶诱导脑出血。脑出血后 6 小时给予去铁胺(200mg/kg,腹腔内)或载体,然后每 12 小时给药,最多 3 天。ICH 后第 1 天和第 3 天检查神经功能缺损。在 DFX 治疗 1 或 3 天后杀死小鼠,检查铁沉积、神经元死亡、氧化应激、小胶质细胞/星形胶质细胞激活、中性粒细胞浸润、脑损伤体积、脑水肿和肿胀。胶原酶诱导的 ICH 在第 3 天导致血肿周围区域铁过载。系统给予 DFX 可减少铁积累和神经元死亡,减轻活性氧的产生,并减少小胶质细胞激活和中性粒细胞浸润,而不影响星形胶质细胞。尽管 DFX 并未减少脑损伤体积、水肿或肿胀,但可改善神经功能。我们的研究结果表明,铁毒性导致胶原酶诱导的出血性脑损伤,减少铁积累可以减少神经元死亡并适度改善小鼠 ICH 后的功能结局。