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Turk Neurosurg ; 19(4): 380-6, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19847759

RESUMO

AIM: Endothelin-1 (ET-1) has been implicated in the pathophysiology of cerebral vasospasm. Chloride (Cl-) channels exist in vascular smooth muscle and activation of these channels leads to depolarization and contraction. The aim of the present study was to test the effect of 5-nitro-2-(3-phenylpropylamino)-benzoate (NPPB), a Cl- channel antagonist, on the ET-1-induced cerebral vasospasm in rabbit basilar artery and thus investigate the contribution of Cl- channels. MATERIAL AND METHODS: Thirty rabbits were divided into five groups and received intra-arterial injection of isotonic saline (Group I, n=6), ET-1 (group II, n=6), ET-1 plus NPPB (Group III, n=6), dimethylsulfate (DMSO4) (Group IV, n = 6) and NPPB (Group V, n=6). Pre and post injection basilar artery diameters were measured in each group and transmission electron microscopic investigations on basilar arteries were performed. RESULTS: The mean pre-injection and post-injection vessel diameters were 0.8833 mm and 0.7000 mm in ET-1 group, 0.6833 mm and 0.8500 mm in ET-1 + NPPB group. NPPB administered prior to ET-1 injection, prevented the ET-1-induced vasoconstriction. Additionally, NPPB prevents the ET-1 induced changes in vessel wall and neurons in the brain stem. CONCLUSION: The results of this study add further insights to our armamentarium against cerebral vasospasm.


Assuntos
Inibidores da Angiogênese/farmacologia , Nitrobenzoatos/farmacologia , Vasoconstrição/efeitos dos fármacos , Vasoespasmo Intracraniano/tratamento farmacológico , Animais , Artéria Basilar/diagnóstico por imagem , Artéria Basilar/efeitos dos fármacos , Artéria Basilar/ultraestrutura , Angiografia Cerebral , Canais de Cloreto/antagonistas & inibidores , Canais de Cloreto/metabolismo , Endotelina-1/toxicidade , Feminino , Masculino , Microscopia Eletrônica de Transmissão , Músculo Liso Vascular/efeitos dos fármacos , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patologia , Neurônios/patologia , Neurônios/ultraestrutura , Coelhos , Vasoconstrição/fisiologia , Vasoespasmo Intracraniano/induzido quimicamente , Vasoespasmo Intracraniano/diagnóstico por imagem
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