Hemorrhagic transformation and microvascular integrity during focal cerebral ischemia/reperfusion

J Cereb Blood Flow Metab. 1996 Nov;16(6):1373-8. doi: 10.1097/00004647-199611000-00036.

Abstract

Hemorrhagic transformation after cerebral ischemia is a well known clinical concern. The frequency of intact basal lamina (BL), identified by laminin antigen, in hemorrhagic and nonhemorrhagic zones after middle cerebral artery occlusion (MCA:O) and 3-h MCA:O with reperfusion in adolescent male baboons was assessed. Parenchymal hemoglobin was not detected prior to 24-h reperfusion. A significant decrease in the density of laminin (BL) in hemorrhagic zones (6.2 +/- 2.4) compared with nonhemorrhagic ischemic zones (10.5 +/- 2.4) (p < 0.05) and nonischemic basal ganglia (17.0 +/- 2.7) (p < 0.01) was observed. Time-dependent changes in BL integrity appear linked to the extravasation of blood components.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Basement Membrane / physiopathology
  • Brain Ischemia / physiopathology*
  • Cerebral Hemorrhage / physiopathology*
  • Laminin / analysis
  • Male
  • Microcirculation / metabolism
  • Microcirculation / pathology
  • Microcirculation / physiopathology*
  • Papio
  • Reperfusion Injury / physiopathology*

Substances

  • Laminin