A Rat Model of Studying Tissue-Type Plasminogen Activator Thrombolysis in Ischemic Stroke With Diabetes

被引:67
作者
Fan, Xiang [1 ]
Qiu, Jianhua [1 ]
Yu, Zhanyang [1 ]
Dai, Haibin [1 ]
Singhal, Aneesh B. [1 ]
Lo, Eng H. [1 ]
Wang, Xiaoying [1 ]
机构
[1] Harvard Univ, Sch Med, Neurosci Program,Neuroprotect Res Lab, Massachusetts Gen Hosp,Dept Neurol & Radiol, Boston, MA 02115 USA
关键词
diabetes; rats; thrombolytics; tPA; HYPERGLYCEMIA; INHIBITOR; OCCLUSION; PREDICTS; THERAPY;
D O I
10.1161/STROKEAHA.111.635250
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Purpose-Poststroke hyperglycemia and diabetes mellitus are associated with lower thrombolytic efficacy and an increased risk of postischemic cerebral hemorrhage. We aimed to develop a rodent model of thrombolysis in diabetic stroke that mimics the clinical situation. Method-Male 6-week Type I diabetic rats (14 weeks old) were subjected to embolic focal stroke and treated with tissue-type plasminogen activator at 1.5 hours. Reperfusion and 24-hour neurological outcomes were measured and compared with nondiabetic control rats. Results-Diabetic rats exhibited resistance to thrombolytic reperfusion, larger infarction volumes, and increased intracerebral hemorrhage. Conclusions-This animal model would be relevant to future studies investigating pathophysiological mechanisms and in developing new therapeutic approaches to enhance the efficacy of tissue-type plasminogen activator thrombolysis in stroke patients with diabetes or poststroke hyperglycemia. (Stroke. 2012;43:567-570.)
引用
收藏
页码:567 / 570
页数:4
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