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给予富含人血小板血浆可减少成年局灶性缺血性中风大鼠的梗死体积并改善运动功能。

Administration of human platelet-rich plasma reduces infarction volume and improves motor function in adult rats with focal ischemic stroke.

作者信息

Zhang Ying, Ying Guomin, Ren Changhong, Jizhang Yunneng, Brogan David, Liu Zongjian, Li Sijie, Ding Yuchuan, Borlongan Cesar V, Zhang Jian, Ji Xunming

机构信息

Institute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China; Beijing Institute for Brain Disorders, Capital Medical University, Beijing 100069, China.

Brownell-Talbot School, Omaha, NE, USA.

出版信息

Brain Res. 2015 Jan 12;1594:267-73. doi: 10.1016/j.brainres.2014.10.035. Epub 2014 Nov 6.

Abstract

Platelet-rich plasma (PRP) is a milieu of bioactive factors, including platelet derived growth factor, transforming growth factor beta, among many others. Despite accumulating evidence on PRP's safety and efficacy for treating musculoskeletal injuries, limited studies have been performed using PRP in brain disorders. This study aimed to explore the potential benefits of administration of human PRP lysate after ischemic stroke in rats. An ischemic stroke model was generated by occlusion of the right middle cerebral artery, then 90 min later, stroke rats were randomly assigned to receive local infusion to the ischemic area of human PRP lysate, human albumin solution (HSA), saline or no treatment at all. An additional group of stroke rats received systemic infusion of human PRP lysate to further assess the therapeutic effects of this treatment. Results showed that while local infusion of HSA or saline, and systemic administration of human PRP lysate, compared to no treatment significantly reduced infarct volume (37.4%, 40.1%, and 39.9% vs 49.7%) and neurological deficit score (2.2, 2.6, and 2.8 vs 3.7), the greatest neuroprotection (31.0% infarct volume and 1.6 neurological deficit score) was found in stroke animals that received local intra-arterial infusion of human PRP lysate (p's<0.05). In conclusion, administration of human PRP attenuates brain injury after focal ischemia. Our results suggest PRP should be investigated further as a potential point-of-care biomaterial following stroke.

摘要

富含血小板血浆(PRP)是一种包含多种生物活性因子的环境,其中包括血小板衍生生长因子、转化生长因子β等等。尽管关于PRP治疗肌肉骨骼损伤的安全性和有效性的证据不断积累,但在脑疾病中使用PRP的研究却很有限。本研究旨在探讨大鼠缺血性中风后给予人PRP裂解物的潜在益处。通过闭塞右侧大脑中动脉建立缺血性中风模型,90分钟后,将中风大鼠随机分为接受局部输注人PRP裂解物、人白蛋白溶液(HSA)、生理盐水或不进行任何治疗的组。另一组中风大鼠接受全身性输注人PRP裂解物,以进一步评估这种治疗的效果。结果显示,与不治疗相比,局部输注HSA或生理盐水以及全身性给予人PRP裂解物均显著减少了梗死体积(分别为37.4%、40.1%和39.9%,而未治疗组为49.7%)和神经功能缺损评分(分别为2.2、2.6和z.8,而未治疗组为3.7),但在接受局部动脉内输注人PRP裂解物的中风动物中发现了最大的神经保护作用(梗死体积为31.0%,神经功能缺损评分为1.6)(p值<0.05)。总之,给予人PRP可减轻局灶性缺血后的脑损伤。我们的结果表明,PRP作为中风后潜在的即时护理生物材料应进一步研究。

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