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Rosiglitazone infusion therapy following minimally invasive surgery for intracerebral hemorrhage evacuation decreases matrix metalloproteinase-9 and blood-brain barrier disruption in rabbits.

Wu G, Wu J, Jiao Y, Wang L, Wang F, Zhang Y - BMC Neurol (2015)

Bottom Line: The Purdy score, perihematomal PPARγ levels, BBB permeability, and BWC were all significantly increased in the MC group compared to the NC group.After performing the MIS for evacuating the ICH, the Purdy score and the ICH volume were decreased on days 1, 3 and 7 compared to the MC group.The MIS + RSG group displayed a remarkable increase in PPARγ as well as significant decrease in MMP-9, BBB permeability and BWC compared with the MIS group.

View Article: PubMed Central - PubMed

Affiliation: Emergency Department, Guizhou Medical University, No. 28, Guiyijie Road, Liuguangmen, Postal code 550004, Guiyang City, Guizhou Province, People's Republic of China. wuguofeng3013@sina.com.

ABSTRACT

Background: The objective of this study was to investigate the effects of Rosiglitazone (RSG) infusion therapy following minimally invasive surgery (MIS) for intracerebral hemorrhage(ICH) evacuation on perihematomal secondary brain damage as assessed by MMP-9 levels, blood-brain barrier (BBB) permeability and neurological function.

Methods: A total of 40 male rabbits (2.8-3.4 kg) was randomly assigned to a normal control group (NC group; 10 rabbits), a model control group (MC group; 10 rabbits), a minimally invasive treatment group (MIS group; 10 rabbits) or a combined MIS and RSG group (MIS + RSG group; 10 rabbits). ICH was induced in all the animals, except for the NC group. MIS was performed to evacuate ICH 6 hours after the successful preparation of the ICH model in the MIS and MIS + RSG groups. The animals in the MC group underwent the same procedures for ICH evacuation but without hematoma aspiration, and the NC group was subjected to sham surgical procedures. The neurological deficit scores (Purdy score) and ICH volumes were determined on days 1, 3 and 7. All of the animals were sacrificed on day 7, and the perihematomal brain tissue was removed to determine the levels of PPARγ, MMP-9, BBB permeability and brain water content (BWC).

Results: The Purdy score, perihematomal PPARγ levels, BBB permeability, and BWC were all significantly increased in the MC group compared to the NC group. After performing the MIS for evacuating the ICH, the Purdy score and the ICH volume were decreased on days 1, 3 and 7 compared to the MC group. A remarkable decrease in perihematomal levels of PPARγ, MMP-9, BBB permeability and BWC were observed. The MIS + RSG group displayed a remarkable increase in PPARγ as well as significant decrease in MMP-9, BBB permeability and BWC compared with the MIS group.

Conclusions: RSG infusion therapy following MIS for ICH treatment might be more efficacious for reducing the levels of MMP-9 and secondary brain damage than MIS therapy alone.

No MeSH data available.


Related in: MedlinePlus

Changes of the Evans blue content among different groups (μg/ml, ). a The Evans blue content increased significantly compared to the NC group, P < 0.05; b Decreased significantly in the MIS group compared to the MC group, P < 0.05; c Decreased significantly compared to the MIS group or MC group, P < 0.05.
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Fig5: Changes of the Evans blue content among different groups (μg/ml, ). a The Evans blue content increased significantly compared to the NC group, P < 0.05; b Decreased significantly in the MIS group compared to the MC group, P < 0.05; c Decreased significantly compared to the MIS group or MC group, P < 0.05.

Mentions: Both the perihematomal EB (F = 495.501 and P < 0.001) and the BWC (F = 34.389 and P < 0.001) were significantly decreased in the MIS and MIS + RSG groups compared to the MC group. The MIS + RSG group displayed more significant decrease of EB content and the BWC compared to the MIS group. These results suggested that performing MIS procedures to evacuate the intracerebral hematoma decreases the EB and the BWC, and the results also showed that MIS followed by RSG treatment is more effective in reducing BBB permeability and cerebral edema (Figures 5-6).Figure 5


Rosiglitazone infusion therapy following minimally invasive surgery for intracerebral hemorrhage evacuation decreases matrix metalloproteinase-9 and blood-brain barrier disruption in rabbits.

Wu G, Wu J, Jiao Y, Wang L, Wang F, Zhang Y - BMC Neurol (2015)

Changes of the Evans blue content among different groups (μg/ml, ). a The Evans blue content increased significantly compared to the NC group, P < 0.05; b Decreased significantly in the MIS group compared to the MC group, P < 0.05; c Decreased significantly compared to the MIS group or MC group, P < 0.05.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4472168&req=5

Fig5: Changes of the Evans blue content among different groups (μg/ml, ). a The Evans blue content increased significantly compared to the NC group, P < 0.05; b Decreased significantly in the MIS group compared to the MC group, P < 0.05; c Decreased significantly compared to the MIS group or MC group, P < 0.05.
Mentions: Both the perihematomal EB (F = 495.501 and P < 0.001) and the BWC (F = 34.389 and P < 0.001) were significantly decreased in the MIS and MIS + RSG groups compared to the MC group. The MIS + RSG group displayed more significant decrease of EB content and the BWC compared to the MIS group. These results suggested that performing MIS procedures to evacuate the intracerebral hematoma decreases the EB and the BWC, and the results also showed that MIS followed by RSG treatment is more effective in reducing BBB permeability and cerebral edema (Figures 5-6).Figure 5

Bottom Line: The Purdy score, perihematomal PPARγ levels, BBB permeability, and BWC were all significantly increased in the MC group compared to the NC group.After performing the MIS for evacuating the ICH, the Purdy score and the ICH volume were decreased on days 1, 3 and 7 compared to the MC group.The MIS + RSG group displayed a remarkable increase in PPARγ as well as significant decrease in MMP-9, BBB permeability and BWC compared with the MIS group.

View Article: PubMed Central - PubMed

Affiliation: Emergency Department, Guizhou Medical University, No. 28, Guiyijie Road, Liuguangmen, Postal code 550004, Guiyang City, Guizhou Province, People's Republic of China. wuguofeng3013@sina.com.

ABSTRACT

Background: The objective of this study was to investigate the effects of Rosiglitazone (RSG) infusion therapy following minimally invasive surgery (MIS) for intracerebral hemorrhage(ICH) evacuation on perihematomal secondary brain damage as assessed by MMP-9 levels, blood-brain barrier (BBB) permeability and neurological function.

Methods: A total of 40 male rabbits (2.8-3.4 kg) was randomly assigned to a normal control group (NC group; 10 rabbits), a model control group (MC group; 10 rabbits), a minimally invasive treatment group (MIS group; 10 rabbits) or a combined MIS and RSG group (MIS + RSG group; 10 rabbits). ICH was induced in all the animals, except for the NC group. MIS was performed to evacuate ICH 6 hours after the successful preparation of the ICH model in the MIS and MIS + RSG groups. The animals in the MC group underwent the same procedures for ICH evacuation but without hematoma aspiration, and the NC group was subjected to sham surgical procedures. The neurological deficit scores (Purdy score) and ICH volumes were determined on days 1, 3 and 7. All of the animals were sacrificed on day 7, and the perihematomal brain tissue was removed to determine the levels of PPARγ, MMP-9, BBB permeability and brain water content (BWC).

Results: The Purdy score, perihematomal PPARγ levels, BBB permeability, and BWC were all significantly increased in the MC group compared to the NC group. After performing the MIS for evacuating the ICH, the Purdy score and the ICH volume were decreased on days 1, 3 and 7 compared to the MC group. A remarkable decrease in perihematomal levels of PPARγ, MMP-9, BBB permeability and BWC were observed. The MIS + RSG group displayed a remarkable increase in PPARγ as well as significant decrease in MMP-9, BBB permeability and BWC compared with the MIS group.

Conclusions: RSG infusion therapy following MIS for ICH treatment might be more efficacious for reducing the levels of MMP-9 and secondary brain damage than MIS therapy alone.

No MeSH data available.


Related in: MedlinePlus