Neonatal cerebral hypoxia-ischemia: The effect of adenosine receptor antagonists

Neonatal cerebral hypoxia-ischemia: The effect of adenosine receptor antagonists
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DOI:
10.1016/s0028-3908(97)00139-1
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发表时间:
1997-09-01
期刊:
影响因子:
4.7
通讯作者:
Hagberg, H
Hagberg, H
中科院分区:
医学2区
文献类型:
--
作者:
Bona, E;Aden, U;Hagberg, H

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研究了在新生儿缺氧缺血(HI)之前或之后给予非选择性(茶碱)、A(1)-(DPCPX)或A(2A)-选择性(SCH 58261)腺苷受体拮抗剂对7日龄大鼠14天后评价的脑损伤程度的影响。用原位杂交技术研究了茶碱(20 mg/kg)对即刻早期基因表达的可能影响。与对照组相比,HI前给予茶碱(20、30或60 mg/kg)分别使脑损伤减少48%(P < 0.001)、36%(P < 0.01)和34%(P < 0.05)。这种影响不能用温度、脑血流量、血气/酸碱状态或血糖在损伤期间的变化来解释。茶碱可增强c-fos和NFGI-A的表达。但不能阻止腺苷A(1)受体mRNA的减少。与对照组大鼠相比,SCH 58261(0.2或2 mg/kg)后处理分别使脑损伤降低了19%(P < 0.05)和14%(NS)。这与核心温度无关。DPCPX(2或10 mg/kg)对脑损伤的发展没有影响。总之,非选择性和A(2A)腺苷受体拮抗剂减少了未成熟动物HI模型中的脑损伤。(C)1997年爱思唯尔科学有限公司
The effects of nonselective (theophylline), A(1)-(DPCPX) or A(2A)-selective (SCH 58261) adenosine receptor antagonists administered before or after neonatal hypoxia-ischemia (HI) were studied on the extent of brain injury in 7-day-old rats evaluated after 14 days. A possible effect of theophylline (20 mg/kg) on expression of immediate early genes was studied with in situ hybridization. Theophylline (20, 30 or 60 mg/kg) given prior to HI reduced brain damage by 48% (P < 0.001), 36% (P < 0.01) and 34% (P < 0.05), respectively, compared to control rats. This effect was not explained by changes in temperature, cerebral blood flow, blood gas/acid base status or blood glucose during the insult. Theophylline enhanced the upregulation of c-fos and NFGI-A. during reperfusion but did not prevent the decrease in adenosine A(1) receptor mRNA. Posttreatment with SCH 58261 (0.2 or 2 mg/kg) reduced brain damage by 19% (P < 0.05) and 14% (NS), respectively, compared to control rats. which was unrelated to the core temperature. DPCPX (2 or 10 mg/kg) had no effect on the development of brain injury. In conclusion, nonselective and A(2A) adenosine receptor antagonists reduced brain injury in a model of HI in immature animals. (C) 1997 Elsevier Science Ltd.