Effectiveness of Retrograde Perfusion of the Cerebral Vein for Attenuating Neuronal Injury After Transient Ischemia Following Reperfusion in the Rat Brain

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The effect of retrograde perfusion of the cerebral vein (RPCV) with antioxidant LY231617 on neuronal injury after transient ischemia in rat brain was examined. Transient ischemia was caused by left middle cerebral artery (MCA) occlusion and reperfusion. Rats were assigned to three groups: Group A (n = 6), MCA occlusion only; Group B (n = 8), RPCV with saline (flow rate 4.95 ml/hr) into the left inferior cerebral vein; and Group C (n = 6), RPCV with LY231617 (20 mg/kg/hr, flow rate 4.95 ml/hr). RPCV in Groups B and C was performed simultaneously with occlusion. Both occlusion and RPCV were performed for 30 minutes in awake animals. Seven days later, all rats were investigated for rotational behavior elicited by apomorphine (1.0 mg/kg), and then immunohistochemical analysis of brain specimens was carried out using calcineurin as a neuronal marker in the striatum to detect the ischemic damaged area. The number of turns to the left (lesioned side) in both Groups B (42 ± 12) and C (46 ± 14) was significantly lower (p lt 0.01) than in Group A (222 ± 45), but there was no significant difference between Groups B and C. The percentage ischemic damaged area in both Groups B (17.9 ± 6.2%) and C (1.6 ± 1.0%) was significantly less (p lt 0.01) in Group A (51.1 ± 2.1%). RPCV with and without LY231617 during occlusion was effective for attenuating reperfusion injury.
日本脳神経外科学会の論文
1997-03-15