[1]林琅,黎红华,武强,等.血管生成对慢性低灌注状态下血脑屏障及脑白质损害的影响[J].卒中与神经疾病杂志,2017,24(03):181-184.[doi:10.3969/j.issn.1007-0478.2017.03.003]
 Lin Lang,Li Honghua,Wu Qiang,et al.The effect of angiogenesis on blood-brain barrier disruption and white matter damage under chronic cerebral hypoperfusion status[J].Stroke and Nervous Diseases,2017,24(03):181-184.[doi:10.3969/j.issn.1007-0478.2017.03.003]
点击复制

血管生成对慢性低灌注状态下血脑屏障及脑白质损害的影响()
分享到:

《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第24卷
期数:
2017年03期
页码:
181-184
栏目:
论 著
出版日期:
2017-06-26

文章信息/Info

Title:
The effect of angiogenesis on blood-brain barrier disruption and white matter damage under chronic cerebral hypoperfusion status
文章编号:
1007-0478(2017)03-0181-04
作者:
林琅黎红华武强骆文静
430070 武汉,广州军区武汉总医院神经内科
Author(s):
Lin Lang Li Honghua Wu Qiang et al.
Department of Neurology, Wuhan General Hospital of Guangzhou Army, Wuhan 430070
关键词:
脑缺血 血脑屏障 血管生成 白质损害
Keywords:
Brain ischemia Blood-brain barrier Angiogenesis White matter impairment
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2017.03.003
摘要:
目的 了解脑血管生成是否参与脑白质区域慢性低灌注状态下血脑屏障的破坏机制。方法 将72只雄性Wistar大鼠随机分为3组:假手术组、脑缺血组、干预组,脑缺血组及干预组大鼠结扎双侧颈总动脉构建慢性低灌注模型,干预组给予血管生成抑制剂灌胃以抑制血管生成; 对各组大鼠在相同时间点检测脑深部白质区域微血管密度、白质纤维密度以及伊文思蓝静脉注射6 h后脑白质区域组织内伊文思蓝水平。结果 脑缺血组及干预组大鼠脑白质区域血管密度和伊文思蓝浓度均显著高于假手术组,白质纤维密度显著低于假手术组,干预组微血管密度、白质纤维密度及脑组织内伊文思蓝水平显著低于脑缺血组。结论 慢性低灌注诱导的血管生成可能导致血脑屏障通透性增加,但血管生成有助于减轻白质损伤,但这种保护作用大于血脑屏障通透性改变带来的不利影响。
Abstract:
ObjectiveTo estimate the influence of angiogenesis on blood-brain barrier damage mechanism under chronic cerebral hypoperfusion status of white matter.Methods Seventy-two male Wistar rats(250-350 g)were divided into three groups: sham-control group, ischemia group and anti-angiogenesis group. Permanent and bilateral common carotid artery occlusion was used to induce hypoperfusion of forebrain in the ischemia group and anti-angiogenesis group, and oral gavage with souvenir was used for anti-angiogenesis administration. Capillary density, Kluver-Barrera's myelin sheath staining and quantitative measurement of Evans Blue were made at the 30th day after the operation.Results Compare to the sham-control group, the ischemia group and anti-angiogenesis group had higher capillary density, higher concentration of Evans Blue and lower density of white matter fibers. The capillary density, the concentration of Evans Blue and the density of white matter fibers in the anti-angiogenesis group were much lower than those in the ischemia group.Conclusion The angiogenesis induced by chronic cerebral hypoperfusion states could lead to blood-brain barrier disruption. However, the protective effect of angiogenesis on white matter overwhelmed the bypass adverse effect of subsequent blood-brain barrier disruption.

参考文献/References:

[1] Thomas T,Miners S,Love S.Post-mortem assessment of hypoperfusion of cerebral cortex in Alzheimer's disease and vascular dementia[J].Brain,2015,138(4):1059-1069.
[2] Kandiah N,Goh O,Mak E,et al.Carotid stenosis: a risk factor for cerebral white-matter disease[J].Journal of Stroke & Cerebrovascular Diseases,2014,23(1):136-139.
[3] Schreiber S,Bueche CZ,Garz C,et al.Blood brain barrier breakdown as the starting point of cerebral small vessel disease? - New insights from a rat model[J].Exp Transl Stroke Med,2013,5(1):4.
[4] Yang Y,Rosenberg GA.Blood-brain barrier breakdown in acute and chronic cerebrovascular disease[J].Stroke,2011,42(11):3323-3328.
[5] Tsipis CP,Sun X,Xu K,et al.Hypoxia-induced angiogenesis and capillary density determination.//Milner R.Cerebral Angiogenesis[M].New York, USA:Humana press,2014:69-80.
[6] 林琅,黎红华,武强,等.慢性低灌注对大鼠脑白质血管生成与血脑屏障的影响[J].神经损伤与功能重建,2016,11(1):9-11.
[7] Gurol ME.Cerebral hypoperfusion and white matter disease in healthy elderly and patients with Alzheimer's disease[J].European Journal of Neurology,2013,20(2):214-215.
[8] Bridges LR,Andoh J,Lawrence AJ,et al.Blood-Brain barrier dysfunction and cerebral small vessel disease(arteriolosclerosis)in brains of older People[J].J Neuropathol Exp Neurol,2014,73(11):1026-1033.
[9] Huisa BN,Caprihan A,Thompson J,et al.Long-Term Blood-Brain barrier permeability changes in binswanger disease[J].Stroke,2015,46(9):2413-2418.
[10] Easton AS.Regulation of permeability Across the Blood-Brain Barrier.//Cheng CY.Biology and Rogulation of Blood-Tissue Barriers[M].New York, USA:Springer Science+Business Media,2012:1-19.
[11] Chapouly C,Argaw AT,Horng S,et al.Astrocytic TYMP and VEGFA drive blood-brain barrier opening in inflammatory central nervous system lesions[J].Brain,2015,138(6):1548-1567.
[12] Yang Y,Rosenberg GA.Matrix metalloproteinases as therapeutic targets for stroke[J].Brain Res,2015,1623(SI):30-38.
[13] 万博,刘煜.作用于VEGF信号通路的血管生成抑制剂[J].药学进展,2010,34(6):256-263.

更新日期/Last Update: 2017-06-20