栓塞扩散是大脑微血管再通道化的一个替代机制
Carson K Lam1, Taehwan Yoo, Bennett Hiner
1Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Ilinois 60611 USA.
Nature
|May 28, 2010
概括
一个新的细胞机制允许大脑的微血管通过将栓塞移动到血管外来清除阻塞. 这种微血管可塑性对于恢复血液流动和预防大脑损伤至关重要,特别是在衰老中.
科学领域:
- 神经科学是一个神经科学.
- 血管生物学 血管生物学
- 细胞生物学 细胞生物学
背景情况:
- 大脑微血管封闭会导致大脑病理和功能缺陷.
- 目前对微血管再通道的理解侧重于血液动力学力和纤维素分解.
研究的目的:
- 确定参与大脑微血管再通道化的新型细胞机制.
- 研究微血管可塑性在解决微栓塞中的作用.
主要方法:
- 高分辨率固定组织显微镜和活小鼠的双光子成像.
- 通过内动脉输注微栓塞.
- 药物学上抑制矩阵金属蛋白酶 2/9.9.
主要成果:
- 微栓塞在2-7天内通过内皮膜的突出转移到血管外层,形成新的血管壁.
- 这一过程恢复了血液流动,并挽救了血管,代表了微血管可塑性的新机制.
- 通过阻断矩阵金属蛋白酶2/9活性来抑制栓塞扩散,并且在老年小鼠中被延迟,导致缺氧和细胞死亡.
结论:
- 涉及微血管可塑性的以前未知的细胞机制有助于大脑微血管的重新道化.
- 这种机制对于预防持续性闭塞,组织损伤和功能缺陷至关重要,特别是在衰老中.
- 这个过程的失调对中风恢复和与年龄相关的认知衰退有影响.
相关概念视频
Venous Thrombosis I: Introduction
818
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
818
Ischemic Stroke ll: Pathophysiology
53
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
53
Hemorrhagic Stroke l: Introduction
20
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
20
Hemorrhagic Stroke ll: Pathophysiology
28
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
28
Cerebral Edema ll: Pathophysiology
19
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this...
19


