Hemorrhagic transformation and microvascular integrity during focal cerebral ischemia/reperfusion

被引:230
作者
Hamann, GF
Okada, Y
delZoppo, GJ
机构
[1] Scripps Res Inst, DEPT MOL & EXPT MED, LA JOLLA, CA 92037 USA
[2] UNIV SAARLAND, DEPT NEUROL, D-6650 HOMBURG, GERMANY
[3] NATL KYUSHU MED CTR HOSP, CEREBROVASC DIS CLIN, FUKUOKA, JAPAN
关键词
basal lamina; cerebral ischemia; hemorrhage; laminin;
D O I
10.1097/00004647-199611000-00036
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hemorrhagic transformation after cerebral ischemia is a well known clinical concern. The frequency of intact basal lamina (BL), identified by laminin antigen, in hemorrhagic and nonhemorrhagic zones after middle cerebral artery occlusion (MCA:O) and 3-h MCA:O with reperfusion in adolescent male baboons was assessed. Parenchymal hemoglobin was not detected prior to 24-h reperfusion. A significant decrease in the density of laminin (BL) in hemorrhagic zones (6.2 +/- 2.4) compared with nonhemorrhagic ischemic zones (10.5 +/- 2.4) (p < 0.05) and nonischemic basal ganglia (17.0 +/- 2.7) (p < 0.01) was observed. Time-dependent changes in BL integrity appear linked to the extravasation of blood components.
引用
收藏
页码:1373 / 1378
页数:6
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