机构:[1]Department of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China内科系统神经内科神经科系统科技平台神经内科中美神经科学研究所江苏省人民医院[2]Stroke Center, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China[3]Pittsburgh Institute of Brain Disorders & Recovery and Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA内科系统神经内科江苏省人民医院[4]Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, PA, USA[5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China外科系统神经外科神经科系统神经外科江苏省人民医院
Ischemic injury can be alleviated by the judicious use of hypothermia. However, the optimal regimens and the temporal kinetics of post-stroke neurovascular responses to hypothermic intervention have not been systematically studied. These gaps slow the clinical translation of hypothermia as an anti-stroke therapy. Here, we characterized the effects of transient selective brain hypothermia (TSBH) from the hyperacute to chronic stages of focal ischemia/reperfusion brain injury induced by transient middle cerebral artery occlusion in mice. A simple cooling device was used to induce TSBH during cerebral ischemia. This treatment reduced mortality from 31.8% to 0% and improved neurological outcomes for at least 35 days post-injury. TSBH mitigated blood-brain barrier leakage during the hyperacute and acute injury stages (1-23 h post-reperfusion). This early protection of the blood-brain barrier was associated with anti-inflammatory phenotypic polarization of microglia/macrophages, reduced production of pro-inflammatory cytokines, and less brain infiltration of neutrophils and macrophages during the subacute injury stage (three days post-reperfusion). TSBH elicited enduring protective effects on both grey and white matter for at least 35 days post-injury and preserved the long-term electrophysiological function of fiber tracts. In conclusion, TSBH ameliorates ischemia/reperfusion injury in the neurovascular unit from hyperacute to chronic injury stages after experimental stroke.
第一作者机构:[1]Department of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Stroke Center, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China[3]Pittsburgh Institute of Brain Disorders & Recovery and Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA
通讯作者:
通讯机构:[1]Department of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China[2]Stroke Center, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China[5]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Jingyan Zhao,Hongfeng Mu,Liqiang Liu,et al.Transient selective brain cooling confers neurovascular and functional protection from acute to chronic stages of ischemia/reperfusion brain injury[J].JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM.2019,39(7):1215-1231.doi:10.1177/0271678X18808174.
APA:
Jingyan Zhao,Hongfeng Mu,Liqiang Liu,Xiaoyan Jiang,Di Wu...&Xunming Ji.(2019).Transient selective brain cooling confers neurovascular and functional protection from acute to chronic stages of ischemia/reperfusion brain injury.JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM,39,(7)
MLA:
Jingyan Zhao,et al."Transient selective brain cooling confers neurovascular and functional protection from acute to chronic stages of ischemia/reperfusion brain injury".JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM 39..7(2019):1215-1231