Bo Bin, Li Yao, Li Wanlu, Wang Yongting, Tong Shanbao
Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:3727-3730. doi: 10.1109/EMBC44109.2020.9176641.
The coupling between neuronal activity and cerebral blood flow (CBF), known as neurovascular coupling, has been reported to be impaired after stroke. This study aims to investigate the neurovascular coupling impairment at the acute stage after ischemic stroke. Laser speckle contrast imaging (LSCI) was applied to measure the hemodynamic response to optogenetic excitation of sensorimotor neurons in healthy and ischemic brain. The results showed that the hemodynamic response to optogenetic stimulation decreased and the regional CBF response was correlated with the distance from the ischemic core at the acute stage, regardless of the change in resting CBF. Our results also demonstrated that excitatory neuronal stimulation of intact area could promote the recovery of neurovascular coupling, whereas peri-infarct neuronal excitation failed to restore neurovascular function 24 hrs after ischemia. These results suggested the intact periphery of penumbra as the target for excitatory stimulation in aspect of restoring the perfusion after ischemic stroke.
神经元活动与脑血流量(CBF)之间的耦合,即神经血管耦合,据报道在中风后会受损。本研究旨在调查缺血性中风急性期的神经血管耦合损伤情况。应用激光散斑对比成像(LSCI)来测量健康和缺血性大脑中感觉运动神经元光遗传学兴奋后的血流动力学反应。结果表明,在急性期,光遗传学刺激的血流动力学反应降低,且局部CBF反应与距缺血核心的距离相关,与静息CBF的变化无关。我们的结果还表明,完整区域的兴奋性神经元刺激可促进神经血管耦合的恢复,而缺血24小时后梗死灶周围的神经元兴奋未能恢复神经血管功能。这些结果表明,在恢复缺血性中风后的灌注方面,半暗带完整的周边区域可作为兴奋性刺激的靶点。