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常压高氧对损伤后进行适度延迟治疗可减轻兴奋性毒素诱导的神经元变性,但会加重缺血性脑损伤。

Moderately delayed post-insult treatment with normobaric hyperoxia reduces excitotoxin-induced neuronal degeneration but increases ischemia-induced brain damage.

作者信息

Haelewyn Benoit, Chazalviel Laurent, Nicole Olivier, Lecocq Myriam, Risso Jean-Jacques, Abraini Jacques H

机构信息

ERT 1083, UMR 6232, Université de Caen Basse Normandie, CNRS, CEA, Centre CYCERON, B,P, 5229, Boulevard Henri Becquerel, 14074 Caen cedex, France.

出版信息

Med Gas Res. 2011 Apr 27;1(1):2. doi: 10.1186/2045-9912-1-2.

DOI:10.1186/2045-9912-1-2
PMID:22146487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3191484/
Abstract

BACKGROUND

The use and benefits of normobaric oxygen (NBO) in patients suffering acute ischemic stroke is still controversial.

RESULTS

Here we show for the first time to the best of our knowledge that NBO reduces both NMDA-induced calcium influxes in vitro and NMDA-induced neuronal degeneration in vivo, but increases oxygen and glucose deprivation-induced cell injury in vitro and ischemia-induced brain damage produced by middle cerebral artery occlusion in vivo.

CONCLUSIONS

Taken together, these results indicate that NBO reduces excitotoxin-induced calcium influx and subsequent neuronal degeneration but favors ischemia-induced brain damage and neuronal death. These findings highlight the complexity of the mechanisms involved by the use of NBO in patients suffering acute ischemic stroke.

摘要

背景

常压氧(NBO)在急性缺血性中风患者中的应用及益处仍存在争议。

结果

据我们所知,我们首次表明,常压氧在体外可减少N-甲基-D-天冬氨酸(NMDA)诱导的钙内流,在体内可减少NMDA诱导的神经元变性,但在体外会增加氧和葡萄糖剥夺诱导的细胞损伤,在体内会增加大脑中动脉闭塞所致的缺血性脑损伤。

结论

综上所述,这些结果表明,常压氧可减少兴奋性毒素诱导的钙内流及随后的神经元变性,但会加重缺血性脑损伤和神经元死亡。这些发现凸显了在急性缺血性中风患者中使用常压氧所涉及机制的复杂性。

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Xenon is an inhibitor of tissue-plasminogen activator: adverse and beneficial effects in a rat model of thromboembolic stroke.氙气是组织型纤溶酶原激活物的抑制剂:在血栓栓塞性中风大鼠模型中的不良和有益作用。
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Post-ischemic helium provides neuroprotection in rats subjected to middle cerebral artery occlusion-induced ischemia by producing hypothermia.缺血后给予氦气可使大鼠体温降低,从而对大脑中动脉闭塞所致的缺血发挥神经保护作用。
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Early oxygen therapy does not protect the brain from vasogenic edema following acute ischemic stroke in adult male rats.早期氧疗不能保护成年雄性大鼠急性缺血性卒中后血管源性水肿的脑。
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Progress of Research on Diffuse Axonal Injury after Traumatic Brain Injury.创伤性脑损伤后弥漫性轴索损伤的研究进展
Neural Plast. 2016;2016:9746313. doi: 10.1155/2016/9746313. Epub 2016 Dec 19.
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