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Table of Content

    20 August 2008, Volume 3 Issue 08
    述评
    Roles of Hypoperfusion is Fundament of Cerebral infarction Treatment
    LIU Jun-Yan
    2008, 3(08):  0-0. 
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    热点报道
    Letter from the Editpr-Chief of Stroke
    QIN Hai-Qiang
    2008, 3(08):  0-0. 
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    论著
    Pathological Research on the Mechanism of the Brain Damage and Its Relationship with the Expression of Excitatory Amino Acids after Intracerebral Hemorrhage
    YIN Xiao-Liang;ZHANG Xin-Qing;ZHANG Zhi-Min;et al.
    2008, 3(08):  0-575. 
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    Objective To investigate the apoptosis expression in perihematoma region by collectingclinical pathological specimens from the operative patients with hypertensive intracerebralhemorrhage(HICH), and to explore its relationship with excitatory amino acids(EAAs) contents.Methods Total 19 samples were obtained from the perihematoma region of HICH patients anddivided into 3 groups according to the time from onset to operation: super-early phase(<8h), earlyphase(8-24h) and delayed phase(>24h). Five samples were obtained from distant regions as thenormal control group. Terminal deoxynucleotidyl transferase dUTP nick end labeling( TUNEL) wasused to detect apoptosis, and high performance liquid chromatography(HPLC) was used to determinethe EAAs contents.Results TUNEL positive cells were found in the perihematoma region of HICH patents andincreased to the peak during the time of 8-24 hours after onset. The expression of glutamic acid(Glu)and aspartic acid(Asp) increased significantly in super-early phase(<8h) compared with the controlgroup(P<0.01). Then both of them began to decline and Asp declined faster than Glu, and in earlyphase(8-24h) there was not significant difference of Asp compared with the control group(P>0.05).However the level of Glu remained significantly higher than that in control group in earlyphase(P<0.01).Conclusion Apoptosis as a pattern of cell death takes part in the neuronal injury after intracerebralhemorrhage(ICH). High levels of Glu and Asp during the early time of ICH may induce apoptosisthrough different ways.
    Effect of Ginkgo Biloba Extract-EGb 761 on Beta Sceretase of Rat Hippocampal
    LIU Wei;ZHANG Xiang-Jian;HU Ming;et al.
    2008, 3(08):  0-586. 
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    Objective To observe the expression of insulin-like growth factor-1(IGF-1) and the change ofhistopathology in the ischemic region of rats with focal cerebral ischemia-reperfusion, so as to explorethe neuron protection of IGF-1.Methods All the rats were divided into sham group and cerebral ischemia-reperfusion(CIR) grouprandomly, 36 rats for each group. After ischemia for 3h, according to the time of reperfusion(0h,6h,24h,48h,72h and 7d), the CIR group and sham group were both divided into 6 subgroups and everysubgroup was 6 rats. The neurological deficit score(NDS) was assessed with 3 different methods, andhistopathology changes were observed with hematoxylin and eosin(HE) staining. We observed theexpression of IGF-1 by immunohistochemistry.Results ①The ethology score increased after the operation and at 24 to 72h after reperfusion thescores of CIR group were more than those of sham group. At 7d after reperfusion the ethology scorewas almost normal in CIR group. ②In the CIR group, we found the inflammatory cell infiltration inthe infarction regions with the peak at 48h,and continued to 7d. ③The expression of IGF-1 was verylow in normal tissues, while increased mainly in infarction regions after cerebral ischemia. In CIRgroup the expressions of IGF-1 protein were 147±5, 153±6, 170±7, 169±5, 150±7, 147±5 at the timeof reperfusion(0h, 6h, 24h, 48h, 72h and 7d) respectively. At 0h and 6h after reperfusion the positivecells expressed IGF-1 in central and penumbra region increased and with the time prolonged,theexpressions were normal in the central region but still increased in penumbra region, and reachedthe peak at 24 h and 48h after reperfusion. At 72h after reperfusion the expression of IGF-1 proteindecreased but was also higher than that of sham group.Conclusion Enhanced expression of endogenous IGF-1 has protective effects on focal cerebralischemia reperfusion injury.
    Study on the Protection of NO Donator and Precursor in Cerebral Ischemia/Perfusion Model Rats
    LIN Yong-Zhong;SUN Chang-Kai;SHA Lin
    2008, 3(08):  0-580. 
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    Objective To observe the effect of interventional injection nitric oxide(NO) donor/precursor(Nitroglycerine / L-Arginine, NG/ARG ) on the expression of glial fibrillary acidic protein (GFAP)in rat’s hippocampus with cerebral ischemia/reperfusion, so as to investigate their possible protectivemechanism on cerebral ischemic injury.Methods We made the models of focal ischemic rat’s brain through middle cerebral artery occlusion(MACO). All the mice were divided into sham-operated group, MCAO group, NG group and ARGgroup randomly. At 2h after ischemic reperfusion, normal saline, NG and ARG were administeredrespectively to the MCAO, NG and ARG groups by interventional injection. At 3h and 24h afterreperfusion, we assessed the infarct volume by imagine analysis and detected the expression of GFAPby immunohistochemistry staining method, the level of NO in serum by fluorescence estimation.Results At 3h after reperfusion, the level of NO in serum increased significantly(P <0.01), whichwas more apparent in therapeutic group than in MCAO group(P <0.01). The quantity of positivecells which expressed GFAP in therapeutic group was less than that in MCAO group(P <0.01). Therewas no ischemic area in rat’s brain of all the groups at 3h after reperfusion. At 24h after reperfusion,the level of NO in serum decreased in therapeutic group compared with 3h after reperfusion, butincreased significantly in MCAO group(P <0.05). While, the quantity of positive cells whichexpressed GFAP was more than that at 3h after reperfusion(P <0.01), and the change in therapeuticgroup was less than in MCAO group(P <0.01). The infarct volume in therapeutic group was smallerthan that in MCAO group at 24h after reperfusion(P <0.05).Conclusion Administration of NG and ARG by means of interventional injection in the early stageof ischemia can increase the synthesis of NO, and inhibit high expression of GFAP after ischemicreperfusion in hippocampus, and it can also decrease the infarct volume. The protection of NG andARG against ischemic injury may be related to its inhibiting the activation of astrocytes.
    述评
    Roles of Hypoperfusion and Embolism in the Pathogenesis of Cerebral infarction
    LIU Jun-Yan
    2008, 3(08):  0-0. 
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    论著
    Effect of Ginkgo Biloba Extract-EGb-761 on Beta Secrelase of Rat Hoppocampal Neurons undergoing Chronic Hypoxia and Hypoglycemia
    GUAN Xue-Neng;YAN Fu-Ling.
    2008, 3(08):  0-590. 
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    Objective To observe the effect of Ginkgo biloba extract EGb 761 on beta secretase of rathippocampal neurons undergoing chronic hypoxia and hypoglycemia and to explore the possiblemechanism of EGb 761 in the prevention and therapy of dementia.Methods Primary cultures of Wistar rat hippocampal neurons were prepared for the followingprocedures. At 7th day after cells plating, hippocampal neurons were treated with hypoxic andhypoglycemic culture alone or together with EGb 761(Ginaton 100ug/ml)pretreatment for 12h, 24h,and 36h respectively. Fluorescence detection and Western Blot were applied respectively to assaybeta secretase enzyme activity and protein expression.Results Beta secretase enzyme activity was higher in hypoxic and hypoglycemic groups at all timepoint than that in the control group(P <0.05) and pretreatment groups(P <0.05). Beta secretase proteinexpression in hypoxic and hypoglycemic groups was increased compared with the control group(P<0.05) and compared with the pretreatment groups(P <0.05).Conclusion The beneficial influence of EGb 761 in the prevention and therapy of dementia may bemediated by the decrease of beta secretase enzyme activity and protein expression.
    热点报道
    Highlight Reports of Tiantan Intemational Stroke Conference 2008
    LIU Li-Ping
    2008, 3(08):  0-0. 
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    综述
    Progress of Insulin-like Growth Factor-1 in Nerve Protection
    LIU Wei;ZHANG Xiang-Jian.
    2008, 3(08):  0-602. 
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    Insulin-like growth factor-1(IGF-1) is a significant growth factor related withhistodifferentiation, generation and maturation.It promotes the effect of cytodifferentiation,parainsulin and anti-apoptosis by binding with IGF-1 receptor or cooperating with the otherneurotrophic factors. Its mechanisms of protection to cerebral ischemic injury probably are: neurocyteprotection of glycine-proline-glutamate(GPE); anti-apoptosis; prohibition to L-type calciumchannel opening; dual effects on nitricoxide synthase(NOS); anti-excitatory amino acids. With thedevelopment of clinical research, IGF-1 can be applied as a type of brain protectants in cerebralischemic injury medication.
    论著
    Roles of Myosin Light Chain Kinase and Rho Kinase in Migration of Rabbit Intracranial Vascular Smooth Muscle Cells
    LI Sheng;GAO Ying;LEI Yang;QI Zhong-Hua;WANG Ying;CUI Ying
    2008, 3(08):  0-0. 
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    【Abstract】Objective To explore the roles of myosin light chain kinase(MLCK) and Rho kinase in themigration of intracranial vascular smooth muscle cells(VSMCs).Methods VSMCs derived from the middle cerebral artery of rabbit were cultured in vitro. Toexamine the involvement of MLCK and Rho kinase in VSMC migration, an adenovirus vectorcarrying antisense MLCK cDNA was transfected into VSMCs to down-regulate MLCK expression,and Y-27632, a selective inhibitor of Rho kinase, was used to inhibit Rho kinase activity. Theexpression of MLCK and Rho kinase was detected by Western blot. VSMC migration in response toangiotensin Ⅱ (AT Ⅱ) was determined by using a modified Boyden chamber method. The myosinlight chain (MLC) phosphorylation assay was performed using glycerol-PAGE coupled with Westernblot.Results Transfection of the antisense MLCK cDNA reduced the expression of two MLCK isoformsby (84.6±5.8)%(P<0.01 versus LacZ gene-transfection VSMCs). However, the downregulationof MLCK by antisense cDNA hardly affected AT Ⅱ-induced MLC phosphorylation and VSMCmigration (P>0.05, respectively). In contrast, pretreatment of the MLCK-downregulated cells withY-27632, markedly suppressed AT Ⅱ-induced (as well as basal) MLC phosphorylation, and partiallybut significantly blocked AT Ⅱ-directed VSMC migration (P<0.05 versus AT Ⅱalone, respectively).Conclusion The molecular mechanism of VSMC migration is different between the intra- and extracranialarteries. MLCK appears to have little contribution in ATⅡ-induced migration of intracranialVSMC, while Rho kinase might play a crucial role via mechanism of Ca2+-independent MLCphosphorylation.
    专题论坛
    Stroke Accompanied with Menstruation: A Case Report
    LI Zi-Xiao;LU Jing-jing;YANG Zhong-Hua;ZHAO Xing-quan
    2008, 3(08):  0-594. 
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    综述
    Overview of the Methods for Making Model of Focal Cerebral Ischemia
    ZHENG Chong;WU Gang;
    2008, 3(08):  0-607. 
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    The animal model of focal cerebral ischemia plays an important role in the investigation of pathophysiology, pathogenesis, prevention and treatment in cerebrovascular disease. This article analyzed the methods for making model of focal cerebral ischemia and explained the basic principle and merits and demerits of these methods including opening skull to physically block the blood,embolization, suture-occluded, cerebral thrombosis, endothelin-induced vasoconstriction, and so on.
    Stroke Thrombolysis Normalization Mangement, in Clinic Partioular Conditions
    LI Xiao-Gang
    2008, 3(08):  0-617. 
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    In China, thrombolysis therapeutic regimen with rt-PA in acute ischemic stroke hasrefered as the international guidelines recommendation (the dose of rt-PA has been set at 0.9mg/kg)because of no Chinese evidence-based data. This strategy for early management of acute strokewhether or not suit for Chinese patients, lack a scientific basis. In addition, because intravenous rt-PA for stroke has become widely used in clinical practice, there have been some particular settingsneeded deeply investigation, suggest that more subjects might benefit from intravenous rt-PA. Thisdocument briefly reviews the literature on the use of intravenous rt-PA about these issues to achievethe effect of throwing out a minnow to catch a whale.
    Predictive, Preventive and Personalized Medicine in the Post-genomic Era
    LI Zhen-Guang;JIANG Dong-Xiao;ZHOU Li;et al.
    2008, 3(08):  0-611. 
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    3P medicine is short for predictive, preventive and personalized medicine which isknown as the new trend of the 21st century. 3P represents the ultimate aim and the highest stageof modern medicine. In the post-genomic era, the development of systems biology represents whatmay be the most important new and revolutionary endeavor of 21st century biology. It aims to studybiological organisms as a whole and change the health care and medical practice fundamentally, thusto lead the medical science and practice into the new era of 3P medicine. This review explains theconcept of “3P” and systems biology, as well as the role of the 3P medicine and systems biology insystems medicine.
    主编手记
    Concenled Commommess
    Wang Yong-jun
    2008, 3(08):  545-546. 
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    述评
    Well Brain Circulation is Fundament of Cerebral infarction Treatment
    Huang Ru-xun
    2008, 3(08):  547-0. 
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