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Monoclonal leukocyte antibody does not decrease the injury of transient focal cerebral ischemia in cats
R Takeshima1, J R Kirsch, R C Koehler
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Md.
Stroke
|February 1, 1992
Summary
Monoclonal antibody 60.3 (MoAb 60.3) did not improve recovery or reduce brain injury in cats experiencing focal cerebral ischemia and reperfusion. Leukocyte inhibition did not protect against severe ischemic damage.
Area of Science:
- Neuroscience
- Immunology
- Cardiovascular Research
Background:
- Transient focal cerebral ischemia can lead to significant brain injury.
- Leukocyte activation and infiltration are implicated in ischemic brain damage.
- Monoclonal antibody 60.3 (MoAb 60.3) targets the CDw18 leukocyte antigen complex, inhibiting leukocyte function.
Purpose of the Study:
- To investigate if inhibiting leukocyte function with MoAb 60.3 improves electrophysiological recovery.
- To determine if MoAb 60.3 decreases brain injury volume following transient focal cerebral ischemia.
- To test the hypothesis that MoAb 60.3 provides neuroprotection in a feline model of stroke.
Main Methods:
- Feline model of transient focal cerebral ischemia (90 min occlusion, 180 min reperfusion).
- Administration of MoAb 60.3 (n=8) or placebo (n=10) at 45 minutes of ischemia.
- Assessment of blood flow, somatosensory evoked potentials, and infarct volume (2,3,5-triphenyltetrazolium chloride staining).
Main Results:
- Ischemia reduced cortical blood flow; reperfusion led to hyperemia in some regions, with no group differences.
- Somatosensory evoked potentials showed no significant recovery in either group.
- Left hemispheric injury volume was similar between MoAb 60.3 treated and placebo groups (37% vs. 38%).
Conclusions:
- Inhibition of leukocyte function using MoAb 60.3 does not protect against severe focal cerebral ischemia and reperfusion injury in cats.
- The CDw18 leukocyte antigen complex may not be a critical therapeutic target for acute ischemic stroke in this model.
- Further research is needed to explore alternative neuroprotective strategies.