机构:[1]Institute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China,首都医科大学宣武医院低氧医学研究室[2]Department of Neurosurgery, The Affiliated Hospital of Weifang Medical College, China,[3]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA,[4]Institute of Cerebrovascular Disease, Xuanwu Hospital, Capital Medical University, Beijing, China,首都医科大学宣武医院脑血管病研究室[5]Xuanwu Hospital, Capital Medical University, Beijing, China首都医科大学宣武医院
Objectives: To determine the protective effects of remote post-conditioning on ischemic brain lesions caused by middle cerebral artery (MCA) occlusion in rats. Methods: A total of 54 animals were used in this present study. An ischemic stroke model was generated by 90-minute occlusion of right MCA (n=42). Twelve rats were used as control for studying edema and blood-brain barrier (BBB) integrity. Remote post-conditioning was conducted immediately after MCA occlusion in the bilateral lower limb by occluding and releasing the femoral artery for three cycles; each occlusion and release lasted for 10 minutes. After 24 hours of reperfusion, the cerebral infarct volumes were quantified by 2,3,4-triphenytetrazolium-chloride, brain water content was determined by dry/wet weight method, and damage to the BBB was determined by Evans blue extravasation. Results: Remote post-conditioning significantly reduced brain infarct damage (P<0.0001). Brain edema was significantly (P<0.01) reduced after stroke in the remote post-conditioning group. BBB leakage was significantly reduced in the remote post-conditioning group when compared to the control ischemic groups (P<0.05). Conclusion: These results provide evidence that remote post-conditioning, which was initiated after ischemia and before reperfusion, protects against brain injury in experimental ischemic stroke.
基金:
Support Project of New Century Excellent Talents of Ministry of Education (no. NCET-08-0625) and Chinese National Science Foundation (no. 30870854).