Peri-infarct flow transients predict outcome in rat focal brain ischemia.

Peri-infarct flow transients predict outcome in rat focal brain ischemia.
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DOI:
10.1016/j.neuroscience.2012.08.049
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发表时间:
2012-12-13
期刊:
影响因子:
3.3
通讯作者:
Greenberg, J. H.
Greenberg, J. H.
中科院分区:
医学3区
文献类型:
--
作者:
Lueckl, J.;Dreier, J. P.;Szabados, T.;Wiesenthal, D.;Bari, F.;Greenberg, J. H.

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Spreading depolarizations are accompanied by transient changes in cerebral blood flow (CBF). In a post-hoc analysis of previously studied control rats we analysed CBF time courses after middle cerebral artery occlusion in the rat in order to test whether intra-ischemic flow, reperfusion, and different parameters of peri-infarct flow transients (PIFTs) (amplitude, number) can predict outcome. Sprague-Dawley rats anesthetized with either halothane (n=23) or isoflurane (n=32) underwent 90-minute filament occlusion of the middle cerebral artery followed by 72 hours of reperfusion. The infarct size was determined by 2,3,5-triphenyltetrazolium chloride staining. Relative CBF changes were monitored by laser Doppler flowmetry at 4–5 mm lateral, and 1–2 mm posterior to Bregma. An additional filament occlusion study (n=12) was performed to validate that PIFTs were coupled to direct current shifts of spreading depolarization. The PIFT-direct current shift study revealed that every PIFT was associated with a negative direct current shift typical of spreading depolarization. Post-hoc analysis showed that the number of PIFTs, especially with the combination of intra-ischemic level of flow, can predict the development of cortical infarcts. These findings show that PIFTs can serve as an early biomarker in predicting outcome in preclinical animal studies.
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