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短暂癫痫发作后大脑中的内源性血清白蛋白含量。

Endogenous serum albumin content in brain after short-lasting epileptic seizures.

作者信息

Sokrab T E, Kalimo H, Johansson B B

机构信息

Department of Neurology, University Hospital, Lund, Sweden.

出版信息

Brain Res. 1989 Jun 12;489(2):231-6. doi: 10.1016/0006-8993(89)90855-x.

Abstract

Epileptic seizures can transiently alter the blood-brain barrier. We have determined the content of extravasated endogenous serum albumin in the brain and its change with time after bicuculline (0.3 mg/kg) induced epileptic seizures of a few minutes' duration in conscious rats. The brains were perfused with saline in situ 5 min, 2 h, 24 h, 3 or 7 days after the injection of bicuculline. The content of endogenous serum albumin in the cerebral cortex, diencephalon, mesencephalon, pons and cerebellum was determined by rocket immunoelectrophoresis. At 5 min the extravasation was most marked in the diencephalon with levels above 99% of the confidence limit of control brains in 8 out of 9 brains. Higher levels were seen at 2 h than at 5 min in the cerebral cortex and the cerebellum. Since it is known that the barrier rapidly normalizes after seizures, these findings suggest redistribution probably along clearance pathways into the cerebrospinal fluid (CSF) and possibly re-entry of albumin into the parenchyma from the CSF. Four out of 6 rats still had increased albumin levels in the cerebral cortex at 24 h. At 72 h and 7 days no values differed from controls.

摘要

癫痫发作可短暂改变血脑屏障。我们测定了清醒大鼠在注射荷包牡丹碱(0.3mg/kg)诱发持续数分钟的癫痫发作后,脑内渗出的内源性血清白蛋白含量及其随时间的变化。在注射荷包牡丹碱后5分钟、2小时、24小时、3天或7天,对大鼠进行原位生理盐水灌注。通过火箭免疫电泳法测定大脑皮质、间脑、中脑、脑桥和小脑中内源性血清白蛋白的含量。5分钟时,间脑的渗出最为明显,9只大鼠中有8只的渗出水平高于对照脑置信限的99%。大脑皮质和小脑在2小时时的渗出水平高于5分钟时。由于已知癫痫发作后屏障会迅速恢复正常,这些发现提示可能是沿着清除途径重新分布到脑脊液(CSF)中,并且白蛋白可能从脑脊液重新进入实质。6只大鼠中有4只在24小时时大脑皮质中的白蛋白水平仍升高。在72小时和7天时,各项数值与对照无差异。

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