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Impact of mild hypothermia after ischemia/reperfusion on the cerebral blood perfusion of rats with chronic cerebral hypoperfusion

机译:缺血/再灌注后轻度低温对慢性脑灌注不足大鼠脑血流灌注的影响

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This study aimed to investigate the impact of mild hypothermia on cerebral blood perfusion in rats with chronically hypoperfused brain. Afterischemia/reperfusion,12 male healthy Sprague Dawley (SD) rats were randomly divided into normal temperature group (group NT, n=6) and mild hypothermia group (group MH, n=6). The cerebral hypoperfusion model was successfully established by end-to-end anastomosis of the right common carotid artery and the right external jugular vein. After hypoperfusion for 6 weeks, blood perfusion restored, and rectal temperature was maintained at 37°C with a controllable incubation pad in the NT group, while the rectal temperature was maintained at 32°C in the MH group. Rats were re-warmed 3 h after reperfusion. Local cerebral blood perfusion (LCBP) was determined with a laser Doppler flow perfusion imager before reperfusion (T1), immediately after reperfusion (T2) and 48 h after reperfusion (T3). Rats were sacrificed 48 h after reperfusion to observe the ultramicrostructure of brain tissues under transmission electron microscope. In the MH group, LCBP was slightly decreased immediately after reperfusion, and LCBP 48 h after reperfusion restored to the baseline before reperfusion. However, LCBP was significantly decreased immediately and 48 h after reperfusion in the NT group, and the LCBP did not restore to the baseline before reperfusion. In both groups, brain cells at the reperfusion side were swollen, degenerated or even necrotic at different degrees, but the degree of brain damage was slighter in the MH group. The results indicate appropriate early-stage mild hypothermia which may reversecerebral hypoperfusion and ischemia in rats withchronic cerebral hypoperfusionafter reperfusion.
机译:这项研究旨在调查亚低温对慢性低灌注脑大鼠脑血流灌注的影响。缺血/再灌注后,将12只健康的Sprague Dawley(SD)雄性大鼠随机分为正常温度组(NT组,n = 6)和亚低温治疗组(MH组,n = 6)。通过右颈总动脉和右颈外静脉端到端吻合成功建立了脑灌注不足模型。在低灌注6周后,血液灌流恢复,并且在NT组中通过可控制的温育垫将直肠温度维持在37℃,而在MH组中将直肠温度维持在32℃。在再灌注后3小时将大鼠重新加热。在再灌注之前(T1),再灌注之后(T2)和再灌注后48小时(T3),用激光多普勒血流灌注成像仪确定局部脑血流灌注(LCBP)。再灌注48小时后处死大鼠,用透射电镜观察脑组织的超微结构。在MH组中,再灌注后LCBP略有下降,再灌注后48 h LCBP恢复到再灌注前的基线。但是,NT组立即和再灌注后48 h LCBP显着降低,并且再灌注前LCBP没有恢复到基线。在两组中,再灌注侧的脑细胞都在不同程度上肿胀,变性甚至坏死,但是在MH组中,脑损伤的程度较轻。结果表明适当的早期轻度体温过低可能会逆转再灌注后慢性脑灌注不足的大鼠的脑灌注不足和局部缺血。

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