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本文引用的文献

1
Effects of selective hypothermia on blood-brain barrier integrity and tight junction protein expression levels after intracerebral hemorrhage in rats.选择性低温对脑出血后血脑屏障完整性和紧密连接蛋白表达水平的影响。
Biol Chem. 2013 Oct;394(10):1317-24. doi: 10.1515/hsz-2013-0142.
2
Transient receptor potential canonical 3 inhibitor Pyr3 improves outcomes and attenuates astrogliosis after intracerebral hemorrhage in mice.瞬时受体电位经典型 3 抑制剂 Pyr3 可改善小鼠脑出血后的预后并减轻星形胶质细胞增生。
Stroke. 2013 Jul;44(7):1981-7. doi: 10.1161/STROKEAHA.113.679332. Epub 2013 May 14.
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Rat model of intracerebral hemorrhage permitting hematoma aspiration plus intralesional injection.允许血肿抽吸加腔内注射的脑出血大鼠模型。
Exp Anim. 2013;62(1):63-9. doi: 10.1538/expanim.62.63.
4
Neuroprotective effects of focal brain cooling on photochemically-induced cerebral infarction in rats: analysis from a neurophysiological perspective.从神经生理学角度分析局部脑冷却对光化学诱导的大鼠脑梗死的神经保护作用。
Brain Res. 2013 Feb 25;1497:53-60. doi: 10.1016/j.brainres.2012.11.041. Epub 2012 Dec 23.
5
Neuroprotective effect of atorvastatin involves suppression of TNF-α and upregulation of IL-10 in a rat model of intracerebral hemorrhage.阿托伐他汀通过抑制 TNF-α 和上调 IL-10 发挥对脑出血大鼠的神经保护作用。
Cell Biochem Biophys. 2013 Jun;66(2):337-46. doi: 10.1007/s12013-012-9453-z.
6
Treadmill rehabilitation treatment enhanced BDNF-TrkB but not NGF-TrkA signaling in a mouse intracerebral hemorrhage model.跑步机康复治疗增强了小鼠脑出血模型中的 BDNF-TrkB 但不影响 NGF-TrkA 信号。
Neurosci Lett. 2012 Oct 31;529(1):28-32. doi: 10.1016/j.neulet.2012.09.021. Epub 2012 Sep 19.
7
Minimally invasive surgery for spontaneous supratentorial intracerebral hemorrhage: a meta-analysis of randomized controlled trials.自发性幕上脑出血的微创外科治疗:随机对照试验的荟萃分析。
Stroke. 2012 Nov;43(11):2923-30. doi: 10.1161/STROKEAHA.112.667535. Epub 2012 Sep 18.
8
Statin use and microbleeds in patients with spontaneous intracerebral hemorrhage.他汀类药物的使用与自发性脑出血患者的微出血。
Stroke. 2012 Oct;43(10):2677-81. doi: 10.1161/STROKEAHA.112.657486. Epub 2012 Jul 24.
9
Thrombin and hemin as central factors in the mechanisms of intracerebral hemorrhage-induced secondary brain injury and as potential targets for intervention.凝血酶和血红素作为脑出血继发性脑损伤机制中的核心因素,以及作为潜在干预靶点。
Neurosurg Focus. 2012 Apr;32(4):E8. doi: 10.3171/2012.1.FOCUS11366.
10
Heme activates TLR4-mediated inflammatory injury via MyD88/TRIF signaling pathway in intracerebral hemorrhage.血红素通过 TLR4 介导的 MyD88/TRIF 信号通路在脑出血中引起炎症损伤。
J Neuroinflammation. 2012 Mar 6;9:46. doi: 10.1186/1742-2094-9-46.

微创手术联合局部降温灌洗对大鼠脑出血诱导的炎症损伤和细胞凋亡的增强神经保护作用。

Enhanced Neuroprotection of Minimally Invasive Surgery Joint Local Cooling Lavage against ICH-induced Inflammation Injury and Apoptosis in Rats.

作者信息

Liu Xi-Chang, Jing Li-Yan, Yang Ming-Feng, Wang Kun, Wang Yuan, Fu Xiao-Yan, Fang Jie, Hou Ya-Jun, Sun Jing-Yi, Li Da-Wei, Zhang Zong-Yong, Mao Lei-Lei, Tang You-Mei, Fu Xiao-Ting, Fan Cun-Dong, Yang Xiao-Yi, Sun Bao-Liang

机构信息

Department of Neurology, Shandong University School of Medicine, Jinan, 250012, Shandong, China.

Key Lab of Cerebral Microcirculation in Universities of Shandong, Taishan Medical University, Taian, 271000, Shandong, China.

出版信息

Cell Mol Neurobiol. 2016 Jul;36(5):647-55. doi: 10.1007/s10571-015-0245-z. Epub 2015 Jul 31.

DOI:10.1007/s10571-015-0245-z
PMID:26224360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11482297/
Abstract

Hypothermia treatment is one of the neuroprotective strategies that improve neurological outcomes effectively after brain damage. Minimally invasive surgery (MIS) has been an important treatment of intracerebral hemorrhage (ICH). Herein, we evaluated the neuroprotective effect and mechanism of MIS joint local cooling lavage (LCL) treatment on ICH via detecting the inflammatory responses, oxidative injury, and neuronal apoptosis around the hematoma cavity in rats. ICH model was established by type IV collagenase caudatum infusion. The rats were treated with MIS 6 h after injection, and then were lavaged by normothermic (37 °C) and hypothermic (33 °C) normal saline in brain separately. The results indicated that MIS joint LCL treatment showed enhanced therapeutic effects against ICH-induced inflammation injury and apoptosis in rats, as convinced by the decline of TUNEL-positive cells, followed by the decrease of IL-1β and LDH and increase of IL-10 and SOD. This study demonstrated that the strategy of using MIS joint LCL may achieve enhanced neuroprotection against ICH-induced inflammation injury and apoptosis in rats with potential clinic application.

摘要

亚低温治疗是脑损伤后有效改善神经功能结局的神经保护策略之一。微创手术(MIS)一直是脑出血(ICH)的重要治疗方法。在此,我们通过检测大鼠血肿腔周围的炎症反应、氧化损伤和神经元凋亡,评估了MIS联合局部低温灌洗(LCL)治疗ICH的神经保护作用及其机制。通过向尾状核注射IV型胶原酶建立ICH模型。注射后6小时对大鼠进行MIS治疗,然后分别用常温(37°C)和低温(33°C)生理盐水对脑部进行灌洗。结果表明,MIS联合LCL治疗对ICH诱导的大鼠炎症损伤和凋亡具有增强的治疗效果,这可通过TUNEL阳性细胞数量的减少得到证实,随后IL-1β和LDH减少,IL-10和SOD增加。本研究表明,MIS联合LCL策略可能对ICH诱导的大鼠炎症损伤和凋亡具有增强的神经保护作用,具有潜在的临床应用价值。