机构:[1]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing Adv Innovat Ctr Big Data Based Precis Med,, Beijing, Peoples R China[2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China首都医科大学宣武医院
Ischemic stroke (IS) induces neurological damage due to cerebrovascular occlusion. Restoring blood perfusion to the ischemic brain area in a timely fashion is the most effective treatment strategy. Hypoxia is an effective way of restoring blood perfusion by improving cerebrovascular microcirculation, while the effect varies greatly depending on hypoxic mode. This study aimed to screen for the optimal hypoxic mode to improve cerebrovascular microcirculation and prevent IS. Here, we found that compared with continuous hypoxia (CH), intermittent hypoxia (IH) significantly improved cerebral blood flow and oxygen saturation in mice without causing neurological impairment. By analyzing cerebrovascular microcirculation from mice, we found that the IH mode (13%, 5*10) with 13% O-2, 5 min interval, and 10 cycles per day significantly improved the cerebrovascular microcirculation by promoting angiogenesis without affecting the integrity of the blood-brain barrier. In addition, IH (13%, 5*10) treatment of distal middle cerebral artery occlusion (dMCAO) mice significantly alleviated neurological dysfunction and reduced cerebral infarct volume by improving cerebrovascular microcirculation. CH had none of these positive effects. In summary, our study screened for an appropriate intermittent hypoxic mode that could improve cerebrovascular microcirculation, laying a theoretical foundation for the prevention and treatment of IS in clinical practice.
基金:
Beijing Nova Program [Z211100002121038]; National Natural Science Foundation of China [32100925, 82027802]; Beijing-Tianjin-Hebei Basic Research Cooperation Project [22JCZXJC00190]
第一作者机构:[1]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing Adv Innovat Ctr Big Data Based Precis Med,, Beijing, Peoples R China[2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing Adv Innovat Ctr Big Data Based Precis Med,, Beijing, Peoples R China[2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China[*1]Beijing Institute of Brain Disorders, Capital Medical University, 10 Xi Tou Tiao, You Anmen, Beijing 100069, China.
推荐引用方式(GB/T 7714):
Guan Yuying,Gu Yakun,Shao Haitao,et al.Intermittent hypoxia protects against hypoxic-ischemic brain damage by inducing functional angiogenesis[J].JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM.2023,43(10):1656-1671.doi:10.1177/0271678X231185507.
APA:
Guan, Yuying,Gu, Yakun,Shao, Haitao,Ma, Wei,Li, Gaifen...&Ji, Xunming.(2023).Intermittent hypoxia protects against hypoxic-ischemic brain damage by inducing functional angiogenesis.JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM,43,(10)
MLA:
Guan, Yuying,et al."Intermittent hypoxia protects against hypoxic-ischemic brain damage by inducing functional angiogenesis".JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM 43..10(2023):1656-1671