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溶酶体酶在慢性高血压性脑水肿所致脑损伤发病机制中的致病作用。

Causative role of lysosomal enzymes in the pathogenesis of cerebral lesions due to brain edema under chronic hypertension.

作者信息

Yamada E, Chue C H, Yukioka N, Hazama F

机构信息

Department of Pathology, Shiga University of Medical Science, Otsu, Japan.

出版信息

Acta Neurochir Suppl (Wien). 1994;60:83-5. doi: 10.1007/978-3-7091-9334-1_21.

Abstract

In order to clarify the role of lysosomal enzymes in the developmental mechanisms of cerebral lesions under chronic hypertensive conditions, we histochemically and biochemically investigated acid phosphatase, N-acetyl-beta-glucosaminidase, and cathepsin B in the cerebral cortex and subcortical white matter in stroke-prone spontaneously hypertensive rats (SHRSP). Histochemical investigation showed that SHRSP had an increased number of cells with positive reaction to these enzymes in the edematous cortex and degenerated subcortical white matter. The cells with positive reaction were made up of reactive astrocytes and microglias. The activities of all enzymes in the aged SHRSP were higher than those in normotensive rats, the differences being significant at 24 weeks of age. The present study suggests that chronic hypertension or chronic edema causes increased activities of lysosomal enzymes in the cerebral cortex and subcortical white matter, and that the activated lysosomal enzymes take part in the developmental mechanisms of cystic formation as well as the diffuse degeneration of the white matter.

摘要

为了阐明溶酶体酶在慢性高血压条件下脑损伤发育机制中的作用,我们采用组织化学和生物化学方法,对易卒中型自发性高血压大鼠(SHRSP)大脑皮层和皮层下白质中的酸性磷酸酶、N-乙酰-β-氨基葡萄糖苷酶和组织蛋白酶B进行了研究。组织化学研究表明,在水肿的皮层和变性的皮层下白质中,SHRSP对这些酶呈阳性反应的细胞数量增加。呈阳性反应的细胞由反应性星形胶质细胞和小胶质细胞组成。老年SHRSP中所有酶的活性均高于正常血压大鼠,在24周龄时差异具有统计学意义。本研究表明,慢性高血压或慢性水肿会导致大脑皮层和皮层下白质中溶酶体酶活性增加,并且活化的溶酶体酶参与了囊性形成以及白质弥漫性变性的发育机制。

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