Ochiai C, Asano T, Takakura K, Fukuda T, Horizoe H, Morimoto Y
No To Shinkei. 1982 Apr;34(4):355-64.
Following permanent occlusion of the middle cerebral artery (MCA) in cats, the effect of delayed administration of pentobarbital (PBT) and a novel imidazole derivative (Nizofenone or Y-9179) on the regional cerebral blood flow (rCBF) was studied. The rCBF was measured for one week by the hydrogen clearance technique without anesthesia. The overall effects of these drugs on histological changes were also assessed. Twenty-four animals, in which platinum electrodes were chronically implanted in the ten predetermined positions, were divided into following three groups. The control, PBT and Y-9179 groups received the vehicle, PBT (25 mg/kg/day) and Y-9179 (6.25 mg/kg/day), respectively. Drug administration was started 30 min after MCA occlusion and continued for three days. In the affected hemisphere of the animals which survived for one week, histological examination revealed ischemic lesions composed of the marginal, reactive and central zones. The infarction ratio calculated as the ratio of the damaged area to the whole hemispheric area was significantly smaller in the drug treated groups than in the control. In the Y-9179 group, the reduction of the area comprizing the central and reactive zones was particularly prominent. There were no apparent differences in the time-course of the rCBFs between the control and Y-9179 groups. Each channel showed reduction of the rCBF following MCA occlusion. Although slight fluctuations of the rCBF were seen during the first three to four hours, the initially dropped rCBF remained stable in both groups. In the PBT group, on the other hand, an increase of the rCBF took place following the administration of the drug in the area where the rCBF was initially reduced less than about 40 ml/100g/min after MCA occlusion. Most of the electrodes showing such an increase in the rCBF topographically corresponded to the reactive or boundary zone. In the control group, vasogenic edema characterized by the perivascular exudation of plasma fluid was prominent in the periphery of the central zone as well as in the inner layer of the reactive zone. Such changes were almost absent in the Y-9179 group, whereas it was more evident and close to the control in the PBT group. So far as the correlation between the course of the rCBF and the final histological outcome was examined, there was no evidence indicating the beneficial effect of the redistribution of the rCBF by PBT. Y-9179 had no significant action on the course of the rCBF but its anti-edema effect might be related to its cerebral protective action. The mechanism of cerebral protection by PBT or Y-9179 needs further clarification.
在猫大脑中动脉(MCA)永久性闭塞后,研究了戊巴比妥(PBT)和一种新型咪唑衍生物(尼唑苯酮或Y - 9179)延迟给药对局部脑血流量(rCBF)的影响。采用氢清除技术在无麻醉状态下测量rCBF一周。还评估了这些药物对组织学变化的总体影响。将24只长期在十个预定位置植入铂电极的动物分为以下三组。对照组、PBT组和Y - 9179组分别接受赋形剂、PBT(25毫克/千克/天)和Y - 9179(6.25毫克/千克/天)。药物在MCA闭塞后30分钟开始给药,并持续三天。在存活一周的动物的患侧半球,组织学检查显示缺血性病变由边缘区、反应区和中心区组成。以受损面积与整个半球面积之比计算的梗死率,药物治疗组明显低于对照组。在Y - 9179组中,由中心区和反应区组成的区域面积减少尤为显著。对照组和Y - 9179组之间rCBF的时间进程没有明显差异。MCA闭塞后,每个通道的rCBF均降低。尽管在最初的三到四个小时内rCBF有轻微波动,但两组中最初下降的rCBF均保持稳定。另一方面,在PBT组中,在MCA闭塞后rCBF最初降低小于约40毫升/100克/分钟的区域,给药后rCBF增加。显示rCBF增加的大多数电极在地形上对应于反应区或边界区。在对照组中,以血管周围血浆渗出为特征的血管源性水肿在中心区周边以及反应区内层很明显。Y - 9179组几乎没有这种变化,而PBT组这种变化更明显且接近对照组。就rCBF进程与最终组织学结果之间的相关性进行检查时,没有证据表明PBT使rCBF重新分布有有益作用。Y - 9179对rCBF进程没有显著作用,但其抗水肿作用可能与其脑保护作用有关。PBT或Y - 9179的脑保护机制需要进一步阐明。