Project Details
Abstract
Subarachnoid hemorrhage (SAH) resulting from aneurysmal rupture is a common
type of hemorrhagic stroke in humans. Vasospasm following SAH may lead to
delayed ischemic neurological deficit (DIND), which is the major cause of poor
outcome after surgery in patients. Hemoglobin in the subarachnoid space after
hemorrhage is involved with the occurrence of vasospasm and oxidative stress, but
there was no convincing evidence of oxidative damage until our recent publication
(Free Radical Biology & Medicine 40: 1466, 2006). We have found that levels of
CSF F2-isoprostanes (F2-IsoPs) were positively correlated with poor outcome of
patients. F2-IsoPs has become the golden marker of lipid peroxidation in vivo. It is
derived from arachidonic acid following lipid peroxidation reactions. It is initially
generated as esterified from on phospholipids and then released into surrounding body
fluids by certain enzymes. Moreover, the proportion of D/E-ring over F-ring IsoPs
will be increased when reducing substances are decreased. Certain isomers of
F2-IsoPs and E2-IsoPs have potent vasoconstrictive activity as PGF2. Furthermore,
F-ring and D/E-ring neuroprostanes (NPs) are generated from peroxidation of
docosahexaenoic acid with similar mechanisms. NPs are indicators of oxidative
damage from neuronal cells as DHA is enriched in neurons. However, currently only
the lab of the principle investigator of this project has the complete technique to
analyze free F2-IsoPs and F4-NPs in biological fluids by using gas
chromatography/mass spectrometry with negative-ion-chemical-ionization function
(GC/NICI-MS) in Taiwan. In this newly 3-year proposal, we will first need to
establish the platforms to analyze D/E-ring IsoPs and NPs; and esterified IsoPs and
NPs. Secondly, we will investigate whether levels of oxidative damage would be
increased before and after vasospasm following experimental SAH in rats with both
single-injection and double-injection models. We will measure esterified forms of
F2-IsoPs, D2/E2-IsoPs, F4-NP, and D4/E4-NPs in brain stem tissues at different time
points after initial injection of autologous arterial blood. On the other hand, we will
detect levels of different tocopherols and coenzyme Q by CoulArray HPLC in the
same brain stem tissues in order to obtain complementary information on the changes
of lipid-soluble antioxidants that can suppress lipid peroxidation. Finally, we would
like to separately study whether vitamin E (α-tocopherol), an inhibitor of lipid
peroxidaiton, and EUK-189, a superoxide dismutase/catalase mimetic, can suppress
oxidative damage, vasospasm, and neuronal damage induced by experimental SAH in
rats at the same time. Taken together, this study may provide more solid evidences
on the significance of different markers of lipid peroxidaiton or oxidative damage in
SAH-induced vasospasm using a rat model. This study may also establish an
important animal model to screen effective antioxidants that can suppress experimental
SAH-induced vasospasm and oxidative damage, which may be helpful in developing
strategies to improve therapy of SAH patients in the future.
Project IDs
Project ID:PC9902-0466
External Project ID:NSC97-2320-B182-012-MY3
External Project ID:NSC97-2320-B182-012-MY3
Status | Finished |
---|---|
Effective start/end date | 01/08/10 → 31/07/11 |
Keywords
- Experimental subarachnoid hemorrhage
- Vasospasm
- Oxidative damage
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