BROAD SPECTRUM ANTI-PLATELET AGGREGATION THERAPY IMPROVES POSTISCHEMIC CEREBRAL BLOOD FLOW (CBF) AND CORTICAL SOMATOSENSORY EVOKED RESPONSE (CSER) RECOVERY, BUT FAILS TO BLOCK PLATELET ACCUMULATION IN THE DAMAGED HEMISPHERE

1987 ◽  
Vol 15 (4) ◽  
pp. 432
Author(s):  
Patrick M. Kochanek ◽  
Andrew J. Dutka ◽  
John M. Hallenbeck
Stroke ◽  
1992 ◽  
Vol 23 (10) ◽  
pp. 1515-1520 ◽  
Author(s):  
A J Dutka ◽  
R Mink ◽  
J McDermott ◽  
J B Clark ◽  
J M Hallenbeck

2018 ◽  
Vol 314 (5) ◽  
pp. H967-H977 ◽  
Author(s):  
Jennifer A. Shearer ◽  
Susan J. Coker ◽  
Hilary V. O. Carswell

2-Arachidonoylglycerol (2-AG) is a major modulator of blood flow and platelet aggregation and a potential neuroprotectant. The present study investigated, for the first time, the effects of 2-AG on cerebral blood flow (CBF) in the first critical hours during middle cerebral artery occlusion (MCAO) and on platelet aggregation in rats. Adult male Sprague-Dawley rats ( n = 30) underwent permanent MCAO under isoflurane anesthesia and were randomly assigned to receive either 2-AG (6 mg/kg iv), monoacylglycerol lipase inhibitor JZL-184 (10 mg/kg iv), or vehicle ( n = 6 rats/group) treatment. CBF and cardiovascular responses were measured, by a blinded investigator, for up to 4 h. In separate experiments, platelet aggregation by 2-AG (19–300 µM) was assessed by whole blood aggregometry ( n = 40). 2-AG and JZL-184 significantly increased the severity of the CBF deficit versus vehicle (20.2 ± 8.8% and 22.7 ± 6.4% vs. 56.4 ± 12.1% of pre-MCAO baseline, respectively, P < 0.05) but had no effect on blood pressure or heart rate. While JZL-184 significantly increased the number of thrombi after MCAO, this did not reach significance by 2-AG. 2-AG induced platelet aggregation in rat whole blood in a similar manner to arachidonic acid and was significantly reduced by the cyclooxygenase inhibitors indomethacin and flurbiprofen and the thromboxane receptor antagonist ICI 192,605 ( P < 0.05). This is the first study showing that 2-AG increases the severity of the CBF deficit during MCAO, and further interrogation confirmed 2-AG-induced platelet aggregation in rats. These findings are important because 2-AG had previously been shown to exert neuroprotective actions and therefore force us to reevaluate the circumstances under which 2-AG is beneficial. NEW & NOTEWORTHY 2-Arachidonoylglycerol (2-AG) has neuroprotective properties; however, the present study revealed that 2-AG increases the severity of the cerebral blood flow deficit during middle cerebral artery occlusion in rats. Further interrogation showed that 2-AG induces platelet aggregation in rats. These findings force us to reevaluate the circumstances under which 2-AG is beneficial.


1994 ◽  
Vol 22 (2) ◽  
pp. 273-281 ◽  
Author(s):  
THOMAS J. K. TOUNG ◽  
JEFFREY R. KIRSCH ◽  
YUICHI MARUKI ◽  
RICHARD J. TRAYSTMAN

1986 ◽  
Vol 44 (6) ◽  
pp. 817-828 ◽  
Author(s):  
P. Turcöni ◽  
F. Gotoh ◽  
N. Ishihara ◽  
K. Tanaka ◽  
S. Gomi ◽  
...  

1987 ◽  
Vol 47 (3-4) ◽  
pp. 190-196 ◽  
Author(s):  
Leigh James ◽  
Andrew Singer ◽  
Yvonne Zurynski ◽  
Evian Gordon ◽  
Claudia Kraiuhin ◽  
...  

1997 ◽  
Vol 17 (11) ◽  
pp. 1182-1190 ◽  
Author(s):  
Nancy E. Stagliano ◽  
Weizhao Zhao ◽  
Ricardo Prado ◽  
Mrinal K. Dewanjee ◽  
Myron D. Ginsberg ◽  
...  

The relative importance of hemodynamic factors in the pathogenesis of thrombotic or embolic stroke is unclear. Of particular therapeutic interest are those substances that facilitate vasodilation and the clearance of platelet aggregates in the compromised microvasculature. A likely contributor to these functions is nitric oxide because it is known to inhibit platelet aggregability and promote vascular relaxation. To investigate the involvement of nitric oxide in the hemodynamic changes after experimental ischemia, photochemically induced nonocclusive common carotid artery thrombosis (CCAT) was studied. CCAT is a rat model of unilateral carotid artery stenosis and platelet embolization to the brain. This study characterized the acute hemodynamic consequences of CCAT and the resultant pattern of platelet deposits with and without nitric oxide synthase inhibition by nitro-l-arginine methyl ester (l-NAME). In addition, the subacute local cerebral blood flow changes were studied at 24 hours. Right CCAT was produced in 30 male Wistar rats injected with 111In-labeled platelets. Between 5 and 15 minutes after thrombosis, rats were treated with either 15 mg/kg of l-NAME (intravenously) or saline vehicle. Hemodynamic changes were studied 30 to 45 minutes after thrombosis using [14C]iodoantipyrine autoradiography. Eight coronal levels were analyzed, and cortical and subcortical regions of interest were defined. Significant increases were observed in total platelets in the ipsilateral hemisphere after l-NAME treatment, and in the distribution of platelets in the anterior frontal and occipital cortices with nitric oxide synthase inhibition, encompassing the anterior and posterior border zone areas of the ipsilateral cortex. Otherwise, foci of labeled platelets were detected throughout the ipsilateral and contralateral hemispheres. Mean local cerebral blood flow images (n = 5) revealed a moderate bilateral global reduction in flow acutely, which normalized in the untreated thrombosed group by 24 hours. In contrast, the l-NAME–treated groups (sham and experimental) had lasting, widespread reductions in flow of approximately 25%. Pairwise comparisons between groups showed that CCAT/l-NAME was significantly different from shams in the corpus callosum and different from L-NAME shams in the internal capsule ( P < 0.05) These hemodynamic and platelet accumulation changes may partially account for the aggravation of cognitive and sensorimotor deficits previously reported in this model of thromboembolic stroke.


1992 ◽  
Vol 71 (6) ◽  
pp. 270-272
Author(s):  
E. Antebi ◽  
Yehudit Rubel ◽  
Yoav P. Talmi ◽  
Yehuda Finkelstein ◽  
Michael Nobel ◽  
...  

Auditory brainstem evoked response-(ABR) may be affected by changes in cerebral blood flow. Apart from its primary indications for prevention of stroke and transient ischemic attacks - (TIA's), internal carotid endarterectomy - (ICE) has been shown to improve cognitive function and cause diminution of tinnitus and vertigo. A one-week postoperative ABR previous study of patients undergoing ICE demonstrated no change in ABR recordings. In order to evaluate possible late changes, we have conducted a prospective study of the delayed effects of ICE on ABR in 13 patients. No initial pathology was noted and no significant change found in any of the absolute and interpeak latencies of ABR waves.


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