Stroke, Vol 21, 1452-1457, Copyright © 1990 by American Heart Association
PJ Lindsberg, TL Yue, KU Frerichs, JM Hallenbeck and G Feuerstein
Platelet-activating factor is a potent mediator of inflammation, which has
untoward effects on cerebrovascular and neural elements. While several
investigators have reported attenuation of ischemic damage after treatment
with antagonists of platelet-activating factor, no study has proved
endogenous production of platelet-activating factor in ischemia of the
central nervous system. We hypothesized that endogenous production of
platelet-activating factor participates in the early pathologic
manifestations of deteriorating stroke. In 12 rabbits, we found tissue
levels of platelet-activating factor measured by the release of serotonin
from washed platelets to be elevated by approximately 20-fold in spinal
cord injured by 25 minutes of ischemia and 2 hours of reperfusion (2.80 +/-
0.98 ng/g) compared with that in normal spinal cord (0.15 +/- 0.06 ng/g, p
less than 0.01). Given during ischemia to seven rabbits, 10 mg/kg i.p. of a
highly selective and potent antagonist of platelet-activating factor (BN
50739) accentuated the early postischemic hyperemia and prevented the
delayed hypoperfusion measured by on-line laser-Doppler flowmetry (-35 +/-
7% of baseline [n = 7] without versus 33 +/- 14% with treatment, p less
than 0.01) and the edema formation measured as the increase in tissue water
content (4.4 +/- 0.7% without [n = 6] versus 2.1 +/- 0.6% with [n =
7]treatment, p less than 0.05) after 2 hours of reperfusion. This
neurochemical and pharmacologic evidence emphasizes a new perspective of
ischemia-induced phospholipid degradation and suggests an important role
for platelet-activating factor in the early manifestations of stroke.
ARTICLES
Evidence for platelet-activating factor as a novel mediator in experimental stroke in rabbits
Department of Neurology, Uniformed Services University of the Health Sciences, Hebert School of Medicine, Bethesda, Md 20814.
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