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Treatment with FTY720 has no beneficial effects on short-term outcome in an experimental model of intracerebral hemorrhage

机译:在脑出血的实验模型中,FTY720的治疗对短期结局没有有益的影响

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Background No evidence-based therapy is available for patients with acute intracerebral hemorrhage (ICH). In view of the profound inflammatory reaction in the perilesional tissue, we investigated in a well-characterized experimental model whether the administration of the immunomodulator fingolimod (FTY720) is neuroprotective in acute ICH. Methods ICH was induced by means of a stereotactic intrastriatal injection of collagenase type VII-S. FTY720 (1?mg/kg) was administered intraperitoneally 1?h after ICH induction. Hematoma volume was assessed spectrophotometrically at 24?h after ICH induction. The following endpoints were determined at 24 and 72?h, respectively: mortality rate and neurologic outcomes, edema formation, and MMP-9 activity. Results Twenty-four hour after ICH induction, hematoma volume was not statistically different between groups. No difference was found in mortality and neurologic outcomes at 24 and 72?h between FTY720 treated mice and controls. Edema formation was present in both groups on the ipsilateral side with no statistical difference between groups at both time points. No difference was found in MMP-9 levels after 24 and 72?h between groups. Conclusions Our results suggest that FTY720 has no beneficial effects in the acute phase of experimental ICH.
机译:背景尚无针对急性脑出血(ICH)患者的循证疗法。考虑到病灶周围组织中的深刻炎症反应,我们在一个功能完备的实验模型中研究了免疫调节剂芬戈莫德(FTY720)在急性ICH中是否具有神经保护作用。方法采用立体定向纹状体内注射VII-S型胶原酶诱导ICH。 ICH诱导后1小时腹膜内给予FTY720(1?mg / kg)。在ICH诱导后24小时用分光光度法评估血肿量。在24和72小时分别确定以下终点:死亡率和神经系统结局,水肿形成和MMP-9活性。结果ICH诱导后24小时,两组间血肿体积无统计学差异。 FTY720治疗的小鼠和对照组在24和72h时的死亡率和神经系统结局无差异。两组均在同侧出现水肿,两组之间在两个时间点均无统计学差异。两组之间在24和72小时后,MMP-9水平没有差异。结论我们的结果表明FTY720在实验性ICH的急性期没有有益作用。

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