Bolwig T G, Hertz M M, Holm-Jensen J
Eur J Clin Invest. 1977 Apr;7(2):95-100. doi: 10.1111/j.1365-2362.1977.tb01579.x.
The effect of electrically induced seizures on the permeability of the rat blood-brain barrier was investigated. The small radioactive tracers sodium (24Na+), chloride (36Cl-) carbon labelled thiourea (14C-thiourea) and glucose (14C-D-glucose) were studied in indicator dilution experiments with indium labelled diethylenetriaminepenta-acetic acid (113mIn-DTPA) as reference substance. This method allows a quantitative estimate of the transcapillary loss of solutes, the extraction (E), during a single passage through the brain. Passage of macromolecules was studied using as marker substance Evans Blue which binds to plasma albumin. In the resting state ENa, ECl, Ethiourea and Eglucose were 2.9, 4.8, 9.3 and 12.5%, respectively. During seizures and during shortlasting hypercapnia E glucose decreased while E for the other tracers was unchanged. As cerebral blood flow increased, there must be an increased transfer of test substances into the brain. This finding is in agreement with recent human studies [15]. When Evans Blue was injected intravenously prior to electroshock, there was no staining of brain tissue after one electroshock but following repeated electroshocks some staining was observed. In an attempt quantify this transcapillary loss of albumin by means of indicator dilution, 51Cr-labelled erythrocytes were used as intravascular reference substance against 113mIn-DTPA (a plasma tracer). However, the albumin loss (by pinocytosis or otherwise) occurring after ten electroshocks could not be detected during a single passage through the brain.
研究了电诱导癫痫发作对大鼠血脑屏障通透性的影响。在以铟标记的二乙三胺五乙酸(¹¹³mIn-DTPA)作为参考物质的指示剂稀释实验中,研究了小放射性示踪剂钠(²⁴Na⁺)、氯(³⁶Cl⁻)、碳标记硫脲(¹⁴C-硫脲)和葡萄糖(¹⁴C-D-葡萄糖)。该方法可对溶质在单次通过大脑期间的跨毛细血管损失即提取率(E)进行定量估计。使用与血浆白蛋白结合的伊文思蓝作为标记物质研究大分子的通过情况。在静息状态下,ENa、ECl、Ethiourea和Eglucose分别为2.9%、4.8%、9.3%和12.5%。在癫痫发作期间和短暂的高碳酸血症期间,Eglucose降低,而其他示踪剂的E不变。随着脑血流量增加,测试物质向脑内的转移必然增加。这一发现与最近的人体研究[15]一致。在电击前静脉注射伊文思蓝,一次电击后脑组织无染色,但多次电击后观察到一些染色。为了通过指示剂稀释对白蛋白的这种跨毛细血管损失进行量化,使用⁵¹Cr标记的红细胞作为血管内参考物质,与¹¹³mIn-DTPA(一种血浆示踪剂)相对照。然而,在单次通过大脑期间无法检测到十次电击后发生的白蛋白损失(通过胞饮作用或其他方式)。