Increased platelet-activating factor-induced periventricular brain microvascular constriction associated with

Xin Hou1, Fernand Gobeil, Anne Marilise Marrache

  • 1Centre de Recherche de l'Hôpital Sainte-Justine, Department of Pediatrics and Pharmacology, Université de Montréal, Montréal, H3T 1C5.

Insights

Platelet-activating factor (PAF) constricts brain blood vessels in newborns but not adults. This age-dependent effect, linked to PAF receptors and thromboxane A2, may explain why immature brains are vulnerable to hypoxic-ischemic injury.

Area of Science:

  • Neuroscience
  • Vascular Biology
  • Perinatal Medicine

Background:

  • Oxidant stress is implicated in hypoxic-ischemic encephalopathies.
  • Platelet-activating factor (PAF) is produced during oxidant stress.

Purpose of the Study:

  • To investigate the age-dependent effects of PAF on periventricular (PV) microvessels.
  • To elucidate the mechanisms underlying PAF-induced vasoconstriction in immature subjects.

Main Methods:

  • Studied vasomotor responses of PV microvessels from fetal, newborn, and adult pigs.
  • Assessed specific [3H]PAF binding and PAF-induced inositol phosphate formation.
  • Utilized thromboxane A2 (TXA2) synthase and receptor inhibitors, calcium channel blockers, and endothelium removal.

Main Results:

  • PAF caused significant constriction in fetal and newborn PV microvessels, but not in adults.
  • Higher specific [3H]PAF binding and inositol phosphate formation were observed in younger subjects.
  • PAF-induced vasoconstriction was dependent on thromboxane A2 (TXA2) formation from the endothelium.

Conclusions:

  • Greater PAF-induced PV microvascular constriction in immature pigs is attributed to increased PAF receptor density and TXA2 generation.
  • Reduced blood flow due to PAF action may increase vulnerability to oxidant stress-induced brain injury in neonates.

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