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Increased substance P immunoreactivity and edema formation following reversible ischemic stroke

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Brain Edema XIII

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 96))

Summary

Previous results from our laboratory have shown that neurogenic inflammation is associated with edema formation after traumatic brain injury (TBI). This neurogenic inflammation was characterized by increased substance P (SP) immunoreactivity and could be attenuated with administration of SP antagonists with a resultant decrease in edema formation. Few studies have examined whether neurogenic inflammation, as identified by increased SP immunoreactivity, occurs after stroke and its potential role in edema formation. The present study examines SP immunoreactivity and edema formation following stroke.

Experimental stroke was induced in halothane anaesthetized male Sprague-Dawley rats using a reversible thread model of middle cerebral artery occlusion. Increased SP immunoreactivity at 24 hours relative to the non-infarcted hemisphere was observed in perivascular, neuronal, and glial tissue, and within the penumbra of the infarcted hemisphere. It was not as apparent in the infarct core. This increased SP immunoreactivity was associated with edema formation. We conclude that neurogenic inflammation, as reflected by increased SP immunoreactivity, occurs following experimental stroke, and that this may be associated with edema formation. As such, inhibition of neurogenic inflammation may represent a novel therapeutic target for the treatment of edema following reversible, ischemic stroke.

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References

  1. Alberts MJ (2003) Update on the treatment and prevention of ischaemic stroke. Curr Med Res Opin 19: 438–441

    Article  PubMed  CAS  Google Scholar 

  2. Alves RV, Campos MM, Santos AR, Calixto JB (1999) Receptor subtypes involved in tachykinin-mediated edema formation. Peptides 20: 921–927

    Article  PubMed  CAS  Google Scholar 

  3. Anderson MF, Sims NR (1999) Mitochondrial respiratory function and cell death in focal cerebral ischemia. J Neurochem 73: 1189–1199

    Article  PubMed  CAS  Google Scholar 

  4. Ayata C, Ropper AH (2002) Ischaemic brain oedema. J Clin Neurosci 9: 113–124

    Article  PubMed  Google Scholar 

  5. Belayev L, Alonso OF, Busto R, Zhao W, Ginsberg MD (1996) Middle cerebral artery occlusion in the rat by intraluminal suture. Neurological and pathological evaluation of an improved model. Stroke 27: 1616–1622; discussion 1623

    PubMed  CAS  Google Scholar 

  6. Black PH (2002) Stress and the inflammatory response: a review of neurogenic inflammation. Brain Behav Immun 16: 622–653

    Article  PubMed  CAS  Google Scholar 

  7. Campos MM, Calixto JB (2000) Neurokinin mediation of edema and inflammation. Neuropeptides 34: 314–322

    Article  PubMed  CAS  Google Scholar 

  8. Gartshore G, Patterson J, Macrae IM (1997) Influence of ischemia and reperfusion on the course of brain tissue swelling and blood-brain barrier permeability in a rodent model of transient focal cerebral ischemia. Exp Neurol 147: 353–360

    Article  PubMed  CAS  Google Scholar 

  9. Green PG, Luo J, Heller PH, Levine JD (1993) Neurogenic and non-neurogenic mechanisms of plasma extravasation in the rat. Neuroscience 52: 735–743

    Article  PubMed  CAS  Google Scholar 

  10. Holzer P (1998) Neurogenic vasodilatation and plasma leakage in the skin. Gen Pharmacol 30: 5–11

    PubMed  CAS  Google Scholar 

  11. Kuroiwa T, Cahn R, Juhler M, Goping G, Campbell G, Klatzo I (1985) Role of extracellular proteins in the dynamics of vasogenic brain edema. Acta Neuropathol (Berl) 66: 3–11

    Article  PubMed  CAS  Google Scholar 

  12. Kuroiwa T, Ting P, Martinez H, Klatzo I (1985) The biphasic opening of the blood-brain barrier to proteins following temporary middle cerebral artery occlusion. Acta Neuropathol (Berl) 68: 122–129

    Article  PubMed  CAS  Google Scholar 

  13. Lo EH, Singhal AB, Torchilin VP, Abbott NJ (2001) Drug delivery to damaged brain. Brain Res Brain Res Rev 38: 140–148

    Article  PubMed  CAS  Google Scholar 

  14. Otsuka M, Yoshioka K (1993) Neurotransmitter functions of mammalian tachykinins. Physiol Rev 73: 229–308

    PubMed  CAS  Google Scholar 

  15. Quast MJ, Huang NC, Hillman GR, Kent TA (1993) The evolution of acute stroke recorded by multimodal magnetic resonance imaging. Magn Reson Imaging 11: 465–471

    Article  PubMed  CAS  Google Scholar 

  16. Severini C, Improta G, Falconieri-Erspamer G, Salvadori S, Erspamer V (2002) The tachykinin peptide family. Pharmacol Rev 54: 285–322

    Article  PubMed  CAS  Google Scholar 

  17. Stumm R, Culmsee C, Schafer MK, Krieglstein J, Weihe E (2001) Adaptive plasticity in tachykinin and tachykinin receptor expression after focal cerebral ischemia is differentially linked to GABAergic and glutamatergic cerebrocortical circuits and cerebrovenular endothelium. J Neurosci 21: 798–811

    PubMed  CAS  Google Scholar 

  18. Vink R, Young A, Bennett CJ, Hu X, Connor CO, Cernak I, Nimmo AJ (2003) Neuropeptide release influences brain edema formation after diffuse traumatic brain injury. Acta Neurochir [Suppl] 86: 257–260

    CAS  Google Scholar 

  19. Warlow CP (1998) Epidemiology of stroke. Lancet 352[Suppl] 3: SIII1–4

    PubMed  Google Scholar 

  20. Williams LS, Weinberger M, Harris LE, Biller J (1999) Measuring quality of life in a way that is meaningful to stroke patients. Neurology 53: 1839–1843

    PubMed  CAS  Google Scholar 

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© 2006 Springer-Verlag

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Turner, R.J., Blumbergs, P.C., Sims, N.R., Helps, S.C., Rodgers, K.M., Vink, R. (2006). Increased substance P immunoreactivity and edema formation following reversible ischemic stroke. In: Hoff, J.T., Keep, R.F., Xi, G., Hua, Y. (eds) Brain Edema XIII. Acta Neurochirurgica Supplementum, vol 96. Springer, Vienna. https://doi.org/10.1007/3-211-30714-1_56

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  • DOI: https://doi.org/10.1007/3-211-30714-1_56

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-30712-0

  • Online ISBN: 978-3-211-30714-4

  • eBook Packages: MedicineMedicine (R0)

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