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Intermittent hypoxia protects against hypoxic-ischemic brain damage by inducing functional angiogenesis

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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
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关键词: Cerebral blood flow cerebral microcirculation hypoxic preconditioning neurological dysfunction ischemic stroke

摘要:
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.

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出版当年[2022]版:
大类 | 1 区 医学
小类 | 1 区 神经科学 1 区 内分泌学与代谢 2 区 血液学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢 2 区 血液学 2 区 神经科学
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出版当年[2021]版:
Q1 ENDOCRINOLOGY & METABOLISM Q1 NEUROSCIENCES Q2 HEMATOLOGY
最新[2023]版:
Q1 ENDOCRINOLOGY & METABOLISM Q1 HEMATOLOGY Q1 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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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
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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.
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