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Acta Neurochir Suppl ; 111: 191-6, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21725754

RESUMO

Intracerebral hemorrhage (ICH) is a devastating stroke subtype characterized by severe brain edema formation leading to cerebral blood flow compromise and parenchymal damage. Arginine vasopressin (AVP), a non-peptide antidiuretic hormone, has recently been implicated as a modulator of brain edema following injury. In this study, we investigated the effects of SR49059, a highly specific AVP V1a receptor antagonist, on brain injury outcomes following ICH, specifically assessing the ability of SR49059 in reducing brain edema and improving neurobehavioral deficits. Male CD1 mice (n=35) were randomly assigned to the following groups: sham, ICH, ICH with SR49059 at 0.5 mg/kg, and ICH with SR49059 at 2 mg/kg. ICH was induced by using the collagenase injection model, and treatment was given 1 h after surgery. Post-assessment was conducted at 24 and 72 h after surgery, and included brain water content and neurobehavioral testing. The study found that SR49059 significantly reduced cerebral edema at 24 and 72 h post-ICH injury and improved neurobehavioral deficits at 72 h. Our study suggests that blockage of the AVP V1a receptor is a promising treatment target for improving ICH-induced brain injury. Further studies will be needed to confirm this relationship and determine future clinical direction.


Assuntos
Hemorragia Cerebral/prevenção & controle , Antagonistas de Hormônios/administração & dosagem , Indóis/administração & dosagem , Pirrolidinas/administração & dosagem , Animais , Encéfalo/efeitos dos fármacos , Encéfalo/patologia , Edema Encefálico/tratamento farmacológico , Hemorragia Cerebral/induzido quimicamente , Hemorragia Cerebral/complicações , Colagenases/efeitos adversos , Relação Dose-Resposta a Droga , Esquema de Medicação , Lateralidade Funcional/efeitos dos fármacos , Masculino , Camundongos , Desempenho Psicomotor/efeitos dos fármacos , Acidente Vascular Cerebral/complicações , Fatores de Tempo
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