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Extracellular Mitochondria in Cerebrospinal Fluid and Neurological Recovery After Subarachnoid Hemorrhage

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机构: [1]Neuroprotection Research Laboratories, Departments of Radiology and Neurology,Massachusetts General Hospital and Harvard Medical School, Boston [2]Clinical Proteomics Research Center, Department of Neurology,Massachusetts General Hospital and Harvard Medical School, Boston [3]Departments of Critical Care Medicine, Neurology, and Neurosurgery, University of Pittsburgh, PA [4]Department of Neurology, Brigham and Women’s Hospital, Boston, MA [5]Cerebrovascular Research Center, Xuanwu Hospital, Capital Medical University, Beijing, China [6]Department of Neurology, Massachusetts General Hospital and Program in Neuroscience, Harvard Medical School, Boston
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关键词: biomarker brain cerebrospinal fluid membrane potential mitochondrial stroke subarachnoid hemorrhage

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Background and Purpose-Recent studies suggest that extracellular mitochondria may be involved in the pathophysiology of stroke. In this study, we assessed the functional relevance of endogenous extracellular mitochondria in cerebrospinal fluid (CSF) in rats and humans after subarachnoid hemorrhage (SAH). Methods-A standard rat model of SAH was used, where an intraluminal suture was used to perforate a cerebral artery, thus leading to blood extravasation into subarachnoid space. At 24 and 72 hours after SAH, neurological outcomes were measured, and the standard JC1 (5,5', 6,6'-tetrachloro-1,1', 3,3'-tetraethyl-benzimidazolylcarbocyanineiodide) assay was used to quantify mitochondrial membrane potentials in the CSF. To further support the rat model experiments, CSF samples were obtained from 41 patients with SAH and 27 control subjects. Mitochondrial membrane potentials were measured with the JC1 assay, and correlations with clinical outcomes were assessed at 3 months. Results-In the standard rat model of SAH, extracellular mitochondria was detected in CSF at 24 and 72 hours after injury. JC1 assays demonstrated that mitochondrial membrane potentials in CSF were decreased after SAH compared with sham-operated controls. In human CSF samples, extracellular mitochondria were also detected, and JC1 levels were also reduced after SAH. Furthermore, higher mitochondrial membrane potentials in the CSF were correlated with good clinical recovery at 3 months after SAH onset. Conclusions-This proof-of-concept study suggests that extracellular mitochondria may provide a biomarker-like glimpse into brain integrity and recovery after injury.

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出版当年[2016]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 外周血管病
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 临床神经病学 1 区 外周血管病
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出版当年[2015]版:
Q1 PERIPHERAL VASCULAR DISEASE Q1 CLINICAL NEUROLOGY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Neuroprotection Research Laboratories, Departments of Radiology and Neurology,Massachusetts General Hospital and Harvard Medical School, Boston [3]Departments of Critical Care Medicine, Neurology, and Neurosurgery, University of Pittsburgh, PA [4]Department of Neurology, Brigham and Women’s Hospital, Boston, MA
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通讯机构: [*1]Departments of Radiology and Neurology, Neuroprotection Research Laboratories, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02129
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