PREVENTION OF DELAYED VASOSPASM BY AN ENDOTHELIN ET(A) RECEPTOR ANTAGONIST, BQ-123 - CHANGE OF ET(A) RECEPTOR MESSENGER-RNA EXPRESSION IN A CANINE SUBARACHNOID HEMORRHAGE MODEL

被引:77
作者
ITOH, S
SASAKI, T
ASAI, A
KUCHINO, Y
机构
[1] UNIV TOKYO, FAC MED, DEPT NEUROSURG, TOKYO 113, JAPAN
[2] NATL CANC CTR, RES INST, TOKYO 104, JAPAN
关键词
CEREBRAL VASOSPASM; ENDOTHELIN RECEPTOR; SUBARACHNOID HEMORRHAGE; BQ-123; DOG;
D O I
10.3171/jns.1994.81.5.0759
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors investigated the roles of endothelin (ET)-1 and the ET,receptor in the pathogenesis of delayed cerebral vasospasm following subarachnoid hemorrhage (SAH). A study was made of the preventive effect of a novel ET(A) receptor antagonist, BQ-123, on vasospasm and the expression of the ET(A) receptor messenger ribonucleic acid (mRNA) using a canine two-hemorrhage SAH model. Continuous intrathecal administration of BQ-123 (5 x 10(-6) mol/day) prevented narrowing of the basilar artery on Day 7 after SAH in 97.6% of cases in the study group versus 70.7% of cases in the control group (p < 0.05). While expression of the mRNA-coding ET(A) receptor was not detected in the control animals, it markedly increased on Day 3 after SAH and was also detected on Day 7. The results suggest that endothelin-1 and the ET(A) receptor participate in the pathogenesis of delayed cerebral vasospasm following SAH.
引用
收藏
页码:759 / 764
页数:6
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