16 results on '"Anzabi M"'
Search Results
2. POLG-related mitochondrial disease mimicking autoimmune encephalitis.
- Author
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Bayat M, Harbo T, Anzabi M, Bayat A, and Thomsen JLS
- Subjects
- Humans, Male, Diagnosis, Differential, Hashimoto Disease diagnosis, Hashimoto Disease genetics, Young Adult, DNA Polymerase gamma genetics, Encephalitis diagnosis, Mitochondrial Diseases diagnosis, Mitochondrial Diseases genetics
- Published
- 2024
- Full Text
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3. Unique Reactivity of Triazolyl Diazoacetates under Photochemical Conditions.
- Author
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Wosińska-Hrydczuk M, Yaghoobi Anzabi M, Przeździecki J, Danylyuk O, Chaładaj W, and Gryko D
- Abstract
Under light irradiation, aryldiazo acetates can generate either singlet or triplet carbenes depending on the reaction conditions, but heteroaryl diazo compounds have remained underexplored in this context. Herein, we found that triazolyl diazoacetates exhibit higher reactivity than their aryl counterparts. They even react with dichloromethane (DCM), a common, inert solvent, for photoreactions involving diazo reagents, giving halogenated products. Theoretical studies show that all reactions involve carbenes but progress via different pathways depending on the solvent used., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)
- Published
- 2024
- Full Text
- View/download PDF
4. A brief review of the methodology and cryoprotectants in selected fish and mammalian species.
- Author
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Aramli MS, Sarvi Moghanlou K, and Pourahad Anzabi M
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- Animals, Male, Semen, Cryoprotective Agents pharmacology, Cryopreservation veterinary, Cryopreservation methods, Semen Preservation veterinary, Semen Preservation methods, Mammals, Fishes physiology
- Abstract
Cryopreservation is a valuable technique used to assist in the genetic improvement of cultured stocks and provide a continuous supply of good-quality semen for artificial insemination. Conserving semen by cryopreservation serves several purposes (e.g. artificial reproductive technologies and species conservation) and is also used in the clinical treatment of human infertility. However, the lifespan of cryopreserved semen is influenced by a range of factors, including storage temperature, cooling rate, chemical composition of the extender, the concentration of cryoprotectant, reactive oxygen species, seminal plasma composition and hygienic control. The choice of cryoprotectant is a vital factor underlying the success of animal semen cryopreservation. In this regard, extensive research has been carried out on various cryoprotectants, such as egg yolk, dimethyl sulfoxide, methanol, ethylene glycol and dimethylacetamide. Recent studies have also described the use of a range of new cryoprotectants for cryopreservation, including compounds of plant origin (soy), amino acids, antifreeze proteins, carbohydrates and cyclodextrins. Moreover, semen cryopreservation and storage require the use of liquid nitrogen or ultralow refrigeration methods for both long- and short-term storage. This review summarizes the general methods used for freezing semen and discusses the use of traditional and newly emerging cryoprotectants (permeable and non-permeable) for the cryopreservation of semen in selected fish and mammalian species., (© 2024 Wiley‐VCH GmbH. Published by John Wiley & Sons Ltd.)
- Published
- 2024
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5. Supplementation of Siberian sturgeon (Acipenser baerii) diet with different zinc sources: effects on growth performance, digestive enzymes activity, hemato-biochemical parameters, antioxidant response and liver histology.
- Author
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Pourmoradkhani F, Sarvi Moghanlou K, Sohrabi T, Imani A, Gholizadeh V, and Pourahad Anzabi M
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- Animals, Antioxidants, Diet veterinary, Dietary Supplements, Fishes physiology, Superoxide Dismutase, Liver, Sulfates, Gluconates, Animal Feed analysis, Zinc pharmacology, Zinc Oxide pharmacology
- Abstract
An 8-week feeding trial was carried out to examine the effect of different sources of dietary Zn on some physiological responses (performance, digestive enzymes activity, hemato-biochemical parameters, antioxidant status and liver histology) of Siberian sturgeon, Acipenser baerii. For this purpose, fish with an average weight of 100 g ± 5 were randomly allocated into four groups including control, inorganic zinc (Zn-sulfate), organic zinc (Zn-gluconate), and zinc-oxide nanoparticles (ZnO-NPs) at 50 mg Zn kg
- 1 feed. Improved growth indices, namely weight gain (WG) and specific growth rate (SGR) and feed conversion ratio (FCR) were observed in fish fed Zn-gluconate supplemented diet (P < 0.0.5). The highest digestive enzymes activity was recorded in fish fed Zn-gluconate supplementation (P < 0.0.5). Hematological indices significantly increased in fish fed diet containing ZnO-NPs (P < 0.0.5). Serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) of fish fed ZnO-NPs contained diet were the highest (P < 0.0.5). The highest serum superoxide dismutase (SOD) and catalase (CAT) enzymes activity were observed in fish fed ZnO-NPs and inorganic/organic Zn contained diets, respectively. While liver tissue SOD and glutathione peroxidase (GPx) enzymes activity Zn were significantly increased in fish fed inorganic/organic Zn supplemented diet (P < 0.0.5). Based on liver histological results, a severe tissue changes such as necrosis and pyknosis were observed in fish fed with Zn-sulfate in comparison to other forms. In conclusion, the data of the present study confirmed that organic Zn (mainly) and nano-Zn (to some extent) could be more efficient Zn sources in Siberian sturgeon., (© 2023. The Author(s), under exclusive licence to Springer Nature B.V.)- Published
- 2024
- Full Text
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6. Selective transformations of friedelanes isolated from cork smoker wash solids.
- Author
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Yaghoobi Anzabi M, Cmoch P, Luboradzki R, and Pakulski Z
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- Humans, Smokers, Triterpenes
- Abstract
Friedelin (1) and 3-acetoxyfriedel-3-en-2-one (4), commonly known as friedelane triterpenoids, have been isolated from cork smoker wash solids (also known as black wax) on a multi-gram scale. These compounds are valuable starting materials for the synthesis of new friedelane derivatives. Stereoselective reduction of friedelin by treatment with LiAlH
4 , sodium, or catalytic hydrogenation results in the formation of both isomers of friedelinol (5 and 7) in excellent yields. Similarly, the reduction of 3-acetoxyfriedel-3-en-2-one gave epi-cerin (14) and a series of isomeric 2,3-diols or α-hydroxyketones. These transformations provide the most straightforward and convenient methods for the synthesis of A-ring functionalised friedelane derivatives using easily accessible starting materials., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)- Published
- 2024
- Full Text
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7. Natural history of infants with non-SCID T cell lymphopenia identified on newborn screen.
- Author
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Kubala SA, Sandhu A, Palacios-Kibler T, Ward B, Harmon G, DeFelice ML, Bundy V, Younger MEM, Lederman H, Liang H, Anzabi M, Ford MK, Heimall J, Keller MD, and Lawrence MG
- Subjects
- Infant, Infant, Newborn, Humans, Neonatal Screening, Genetic Testing, T-Lymphocytes, Severe Combined Immunodeficiency diagnosis, Severe Combined Immunodeficiency genetics, Lymphopenia genetics, Lymphopenia diagnosis
- Abstract
Newborn screening (NBS) for severe combined immunodeficiency (SCID) can identify infants with non-SCID T cell lymphopenia (TCL). The purpose of this study was to characterize the natural history and genetic findings of infants with non-SCID TCL identified on NBS. We analyzed data from 80 infants with non-SCID TCL in the mid-Atlantic region between 2012 and 2019. 66 patients underwent genetic testing and 41 (51%) had identified genetic variant(s). The most common genetic variants were thymic defects (33%), defects with unknown mechanisms (12%) and bone marrow production defects (5%). The genetic cohort had significantly lower median initial CD3+, CD4+, CD8+ and CD4/CD45RA+ T cell counts compared to the non-genetic cohort. Thirty-six (45%) had either viral, bacterial, or fungal infection; only one patient had an opportunistic infection (vaccine strain VZV infection). Twenty-six (31%) of patients had resolution of TCL during the study period., Competing Interests: Declaration of Competing Interest None., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2022
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8. Focal Subcortical White Matter Lesions Disrupt Resting State Cortical Interhemispheric Functional Connectivity in Mice.
- Author
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Aykan SA, Xie H, Lai JH, Zheng Y, Chung DY, Kura S, Anzabi M, Sugimoto K, McAllister LM, Yaseen MA, Boas DA, Whalen MJ, Sakadzic S, and Ayata C
- Subjects
- Animals, Corpus Callosum diagnostic imaging, Humans, Magnetic Resonance Imaging methods, Mice, Optical Imaging, White Matter diagnostic imaging
- Abstract
The corpus callosum is the largest white matter tract and critical for interhemispheric connectivity. Unfortunately, neurocognitive deficits after experimental white matter lesions are subtle and variable, limiting their translational utility. We examined resting state functional connectivity (RSFC) as a surrogate after a focal lesion in the lateral corpus callosum induced by stereotaxic injection of L-NIO in mice. RSFC was performed via optical intrinsic signal imaging through intact skull before and on days 1 and 14 after injection, using interhemispheric homotopic and seed-based temporal correlation maps. We measured the lesion volumes at 1 month in the same cohort. L-NIO induced focal lesions in the corpus callosum. Interhemispheric homotopic connectivity decreased by up to 50% 24 h after L-NIO, partially sparing the visual cortex. All seeds showed loss of connectivity to the contralateral hemisphere. Moreover, ipsilesional motor and visual cortices lost connectivity within the same hemisphere. Sham-operated mice did not show any lesion or connectivity changes. RSFC imaging reliably detects acute disruption of long interhemispheric and intrahemispheric connectivity after a corpus callosum lesion in mice. This noninvasive method can be a functional surrogate to complement neurocognitive testing in both therapeutic and recovery studies after white matter injury., (© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permission@oup.com.)
- Published
- 2021
- Full Text
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9. Optical coherence tomography of arteriolar diameter and capillary perfusion during spreading depolarizations.
- Author
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Anzabi M, Li B, Wang H, Kura S, Sakadžić S, Boas D, Østergaard L, and Ayata C
- Subjects
- Animals, Humans, Male, Mice, Arterioles physiology, Capillaries physiology, Cerebrovascular Circulation physiology, Tomography, Optical Coherence methods
- Abstract
Spreading depolarization (SD) is associated with profound oligemia and reduced oxygen availability in the mouse cortex during the depolarization phase. Coincident pial arteriolar constriction has been implicated as the primary mechanism for the oligemia. However, where in the vascular bed the hemodynamic response starts has been unclear. To resolve the origin of the hemodynamic response, we used optical coherence tomography (OCT) to simultaneously monitor changes in the vascular tree from capillary bed to pial arteries in mice during two consecutive SDs 15 minutes apart. We found that capillary flow dropped several seconds before pial arteriolar constriction. Moreover, penetrating arterioles constricted before pial arteries suggesting upstream propagation of constriction. Smaller caliber distal pial arteries constricted stronger than larger caliber proximal arterioles, suggesting that the farther the constriction propagates, the weaker it gets. Altogether, our data indicate that the hemodynamic response to cortical SD originates in the capillary bed.
- Published
- 2021
- Full Text
- View/download PDF
10. Non-invasively triggered spreading depolarizations induce a rapid pro-inflammatory response in cerebral cortex.
- Author
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Takizawa T, Qin T, Lopes de Morais A, Sugimoto K, Chung JY, Morsett L, Mulder I, Fischer P, Suzuki T, Anzabi M, Böhm M, Qu WS, Yanagisawa T, Hickman S, Khoury JE, Whalen MJ, Harriott AM, Chung DY, and Ayata C
- Subjects
- Animals, Female, Male, Mice, Mice, Transgenic, Cerebral Cortex physiopathology, Cortical Spreading Depression physiology, Inflammation physiopathology
- Abstract
Cortical spreading depolarization (CSD) induces pro-inflammatory gene expression in brain tissue. However, previous studies assessing the relationship between CSD and inflammation have used invasive methods that directly trigger inflammation. To eliminate the injury confounder, we induced CSDs non-invasively through intact skull using optogenetics in Thy1-channelrhodopsin-2 transgenic mice. We corroborated our findings by minimally invasive KCl-induced CSDs through thinned skull. Six CSDs induced over 1 h dramatically increased cortical interleukin-1β (IL-1β), chemokine (C-C motif) ligand 2 (CCL2) , and tumor necrosis factor-α (TNF-α) mRNA expression peaking around 1, 2 and 4 h, respectively. Interleukin-6 (IL-6) and intercellular adhesion molecule-1 (ICAM-1) were only modestly elevated. A single CSD also increased IL-1β, CCL2 , and TNF-α , and revealed an ultra-early IL-1β response within 10 min. The response was blunted in IL-1 receptor-1 knockout mice, implicating IL-1β as an upstream mediator, and suppressed by dexamethasone, but not ibuprofen. CSD did not alter systemic inflammatory indices. In summary, this is the first report of pro-inflammatory gene expression after non-invasively induced CSDs. Altogether, our data provide novel insights into the role of CSD-induced neuroinflammation in migraine headache pathogenesis and have implications for the inflammatory processes in acute brain injury where numerous CSDs occur for days.
- Published
- 2020
- Full Text
- View/download PDF
11. Capillary flow disturbances after experimental subarachnoid hemorrhage: A contributor to delayed cerebral ischemia?
- Author
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Anzabi M, Angleys H, Aamand R, Ardalan M, Mouridsen K, Rasmussen PM, Sørensen JCH, Plesnila N, Østergaard L, and Iversen NK
- Subjects
- Animals, Disease Models, Animal, Male, Mice, Capillaries pathology, Capillaries physiopathology, Cerebral Infarction pathology, Cerebral Infarction physiopathology, Cerebrovascular Circulation, Microcirculation, Subarachnoid Hemorrhage pathology, Subarachnoid Hemorrhage physiopathology
- Abstract
Background: The high mortality and morbidity after SAH is partly due to DCI, which is traditionally ascribed to development of angiographic vasospasms. This relation has been challenged, and capillary flow disturbances are proposed as another mechanism contributing to brain damage after SAH., Objective: To investigate capillary flow changes 4 days following experimental SAH., Methods: SAH was induced by endovascular perforation of circle of Willis. We used TPM to evaluate blood flow characteristics. Cortical capillary diameters were investigated by both TPM and histology., Results: We found elevated CTH and MTT of blood in SAH mice compared to sham animals. We observed capillaries with stagnant RBCs, and capillaries with increased RBC LD in the SAH group, suggesting severe blood maldistribution among cortical capillaries. Favoring that these capillary flow changes were primary to upstream vasoconstrictions, TPM showed no significant differences in arteriolar diameter between groups, while histological examination showed reduced capillary diameter in SAH group., Conclusion: Our study shows profound subacute hypoperfusion and capillary flow disturbances in a mouse SAH model and suggests that these changes are the result of changes in capillary function, rather than upstream vasospasm., (© 2019 John Wiley & Sons Ltd.)
- Published
- 2019
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12. Synthesis and characterization of novel P(HEMA-LA-MADQUAT) micelles for co-delivery of methotrexate and Chrysin in combination cancer chemotherapy.
- Author
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Davaran S, Fazeli H, Ghamkhari A, Rahimi F, Molavi O, Anzabi M, and Salehi R
- Subjects
- Cell Survival drug effects, Drug Liberation, Drug Therapy, Combination methods, Humans, MCF-7 Cells, Micelles, Particle Size, Polymerization, Surface Properties, Acrylic Resins chemical synthesis, Antineoplastic Agents pharmacology, Drug Carriers chemistry, Flavonoids pharmacology, Methacrylates chemical synthesis, Methotrexate pharmacology
- Abstract
A Novel poly [2-hydroxyethyl methacrylate-Lactide-dimethylaminoethyl methacrylate quaternary ammonium alkyl halide] [P(HEMA-LA-MADQUAT)] copolymer was synthesized through combination of ring opening polymerization (ROP) and 'free' radical initiated polymerization methods. This newly developed copolymer was fully characterized by FT-IR,
1 HNMR and13 CNMR spectroscopy. Micellization of the copolymer was performed by dialysis membrane method and obtained micelles were characterized by FESEM, dynamic light scattering (DLS), zeta potential (ξ), and critical micelle concentration (CMC) measurements. This copolymer was developed with the aim of co-delivering two different anticancer drugs: methotrexate (MTX) and chrysin. In vitro cytotoxicity effect of MTX@Chrysin-loaded P(HEMA-LA-MADQUAT) was also studied through assessing the survival rate of breast cancer cell line (MCF-7) and DAPI staining assays. Cationic micelle (and surface charge of + 7.6) with spherical morphology and an average diameter of 55 nm and CMC of 0.023 gL-1 was successfully obtained. Micelles showed the drug loaded capacity around 87.6 and 86.5% for MTX and Chrysin, respectively. The cytotoxicity assay of a drug-free nanocarrier on MCF-7 cell lines indicated that this developed micelles were suitable nanocarriers for anticancer drugs. Furthermore, the MTX@Chrysin-loaded micelle had more efficient anticancer performance than free dual anticancer drugs (MTX @ chrysin), confirmed by MTT assay and DAPI stainingmethods. Therefore, we envision that this recently developed novel micelle can enhance the efficacy of chemotherapeutic agents, MTX and Chrysin, combination chemotherapy and has the potential to be used as an anticancer drug delivery system for in vivo studies. Therefore, this recently developed novel micelle can enhance the efficacy of chemotherapeutic agents, MTX and Chrysin, combination chemotherapy and has the potential to be used as an anticancer drug delivery system for in vivo studies.- Published
- 2018
- Full Text
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13. Hippocampal Atrophy Following Subarachnoid Hemorrhage Correlates with Disruption of Astrocyte Morphology and Capillary Coverage by AQP4.
- Author
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Anzabi M, Ardalan M, Iversen NK, Rafati AH, Hansen B, and Østergaard L
- Abstract
Despite successful management of ruptured intracranial aneurysm following subarachnoid hemorrhage (SAH), delayed cerebral ischemia (DCI) remains the main cause of high mortality and morbidity in patients who survive the initial bleeding. Astrocytes play a key role in neurovascular coupling. Therefore, changes in the neurovascular unit including astrocytes following SAH may contribute to the development of DCI and long-term complications. In this study, we characterized morphological changes in hippocampal astrocytes following experimental SAH, with special emphasis on glia-vascular cross-talk and hippocampal volume changes. Four days after induction of SAH or sham-operation in mice, their hippocampal volumes were determined by magnetic resonance imaging (MRI) and histological/stereological methods. Glial fibrillary acid protein (GFAP) immunostained hippocampal sections were examined by stereological techniques to detect differences in astrocyte morphology, and global spatial sampling method was used to quantify the length density of Aquaporin-4 (AQP4) positive capillaries. Our results indicated that hippocampal volume, as measured both by MRI and by histological approaches, was significantly lower in SAH animals than in the sham-operated group. Accordingly, in this animal model of SAH, hippocampal atrophy existed already at the time of DCI onset in humans. SAH induced retraction of GFAP positive astrocyte processes, accompanied by a significant reduction in the length density of AQP4 positive capillaries as well as narrowing of hippocampal capillaries. Meanwhile, astrocyte volume was higher in SAH mice compared with the sham-operated group. Morphological changes in hippocampal astrocytes seemingly disrupt glia-vascular interactions early after SAH and may contribute to hippocampal atrophy. We speculate that astrocytes and astrocyte-capillary interactions may provide targets for the development of therapies to improve the prognosis of SAH.
- Published
- 2018
- Full Text
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14. Synthesis, characterization and in vitro evaluation of magnetic nanoparticles modified with PCL-PEG-PCL for controlled delivery of 5FU.
- Author
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Asadi N, Annabi N, Mostafavi E, Anzabi M, Khalilov R, Saghfi S, Mehrizadeh M, and Akbarzadeh A
- Subjects
- Chemistry Techniques, Synthetic, Drug Carriers chemical synthesis, Drug Liberation, Polyesters chemical synthesis, Polyethylene Glycols chemical synthesis, Polymerization, Antineoplastic Agents chemistry, Drug Carriers chemistry, Fluorouracil chemistry, Magnetite Nanoparticles chemistry, Polyesters chemistry, Polyethylene Glycols chemistry
- Abstract
Magnetic nanoparticles have properties that cause to apply them in cancer therapy and vehicles for the delivery of drugs such as 5FU, especially when they are modified with biocompatible copolymers. The aim of this study is to modify superparamagnetic iron oxide nanoparticles (SPIONPs) with PCL-PEG-PCL copolymers and then utilization of these nanoparticles for encapsulation of anticancer drug 5FU. The ring-opening polymerization (ROP) was used for the synthesis of PCL-PEG-PCL copolymer by ε-caprolactone (PCL) and polyethylene glycol (PEG2000). We used the double emulsion method (water/oil/water) to prepare 5FU-encapsulated Fe
3 O4 magnetic nanoparticles modified with PCL-PEG-PCL copolymer. Chemical structure and magnetic properties of 5FU-loaded magnetic-polymer nanoparticles were investigated systematically by employing FT-IR, XRD, VSM and SEM techniques. In vitro release profile of 5FU-loaded NPs was also determined. The results showed that the encapsulation efficiency value for nanoparticles were 90%. Moreover, the release of 5FU is significantly higher at pH 5.8 compared to pH 7.4. Therefore, these nanoparticles have sustained release and can apply for cancer therapy.- Published
- 2018
- Full Text
- View/download PDF
15. Capillary transit time heterogeneity and flow-metabolism coupling after traumatic brain injury.
- Author
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Østergaard L, Engedal TS, Aamand R, Mikkelsen R, Iversen NK, Anzabi M, Næss-Schmidt ET, Drasbek KR, Bay V, Blicher JU, Tietze A, Mikkelsen IK, Hansen B, Jespersen SN, Juul N, Sørensen JC, and Rasmussen M
- Subjects
- Animals, Brain metabolism, Brain physiopathology, Brain Injuries complications, Capillaries metabolism, Glucose metabolism, Hemodynamics, Humans, Oxygen metabolism, Pericytes metabolism, Pericytes pathology, Brain blood supply, Brain Injuries metabolism, Brain Injuries physiopathology, Capillaries physiopathology, Cerebrovascular Circulation
- Abstract
Most patients who die after traumatic brain injury (TBI) show evidence of ischemic brain damage. Nevertheless, it has proven difficult to demonstrate cerebral ischemia in TBI patients. After TBI, both global and localized changes in cerebral blood flow (CBF) are observed, depending on the extent of diffuse brain swelling and the size and location of contusions and hematoma. These changes vary considerably over time, with most TBI patients showing reduced CBF during the first 12 hours after injury, then hyperperfusion, and in some patients vasospasms before CBF eventually normalizes. This apparent neurovascular uncoupling has been ascribed to mitochondrial dysfunction, hindered oxygen diffusion into tissue, or microthrombosis. Capillary compression by astrocytic endfeet swelling is observed in biopsies acquired from TBI patients. In animal models, elevated intracranial pressure compresses capillaries, causing redistribution of capillary flows into patterns argued to cause functional shunting of oxygenated blood through the capillary bed. We used a biophysical model of oxygen transport in tissue to examine how capillary flow disturbances may contribute to the profound changes in CBF after TBI. The analysis suggests that elevated capillary transit time heterogeneity can cause critical reductions in oxygen availability in the absence of 'classic' ischemia. We discuss diagnostic and therapeutic consequences of these predictions.
- Published
- 2014
- Full Text
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16. The role of the microcirculation in delayed cerebral ischemia and chronic degenerative changes after subarachnoid hemorrhage.
- Author
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Østergaard L, Aamand R, Karabegovic S, Tietze A, Blicher JU, Mikkelsen IK, Iversen NK, Secher N, Engedal TS, Anzabi M, Jimenez EG, Cai C, Koch KU, Naess-Schmidt ET, Obel A, Juul N, Rasmussen M, and Sørensen JC
- Subjects
- Brain metabolism, Brain physiopathology, Brain Ischemia metabolism, Brain Ischemia physiopathology, Humans, Microvessels metabolism, Microvessels physiopathology, Subarachnoid Hemorrhage metabolism, Subarachnoid Hemorrhage physiopathology, Brain blood supply, Brain pathology, Brain Ischemia complications, Brain Ischemia pathology, Microcirculation, Microvessels pathology, Subarachnoid Hemorrhage complications, Subarachnoid Hemorrhage pathology
- Abstract
The mortality after aneurysmal subarachnoid hemorrhage (SAH) is 50%, and most survivors suffer severe functional and cognitive deficits. Half of SAH patients deteriorate 5 to 14 days after the initial bleeding, so-called delayed cerebral ischemia (DCI). Although often attributed to vasospasms, DCI may develop in the absence of angiographic vasospasms, and therapeutic reversal of angiographic vasospasms fails to improve patient outcome. The etiology of chronic neurodegenerative changes after SAH remains poorly understood. Brain oxygenation depends on both cerebral blood flow (CBF) and its microscopic distribution, the so-called capillary transit time heterogeneity (CTH). In theory, increased CTH can therefore lead to tissue hypoxia in the absence of severe CBF reductions, whereas reductions in CBF, paradoxically, improve brain oxygenation if CTH is critically elevated. We review potential sources of elevated CTH after SAH. Pericyte constrictions in relation to the initial ischemic episode and subsequent oxidative stress, nitric oxide depletion during the pericapillary clearance of oxyhemoglobin, vasogenic edema, leukocytosis, and astrocytic endfeet swelling are identified as potential sources of elevated CTH, and hence of metabolic derangement, after SAH. Irreversible changes in capillary morphology and function are predicted to contribute to long-term relative tissue hypoxia, inflammation, and neurodegeneration. We discuss diagnostic and therapeutic implications of these predictions.
- Published
- 2013
- Full Text
- View/download PDF
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