Stroke, Vol 23, 1132-1137, Copyright © 1992 by American Heart Association
LR Ment, WB Stewart, TA Ardito, E Huang and JA Madri
BACKGROUND AND PURPOSE: Although indomethacin has been demonstrated to
prevent germinal matrix and intraventricular hemorrhage in clinical and
animal studies, the mechanism of action of this agent to prevent hemorrhage
remains unclear. Previous studies have demonstrated both that the
microvessels in the germinal matrix of newborn beagle pups undergo basement
membrane maturation during the first 4 postnatal days and that indomethacin
may promote laminin deposition in tumor cell culture systems. METHODS: We
employed the newborn beagle pup model to test the hypothesis that
indomethacin may stimulate laminin deposition in germinal matrix
microvessels. Newborn pups were randomized to receive either 0.1 mg/kg/dose
i.p. indomethacin or an equal volume of saline diluent. Pups received doses
of study medication once a day for 1, 2, or 3 days and were studied on
postnatal days 1, 2, 3, or 4. Pups were anesthetized and systemically
perfused with buffered formalin; the brains were removed and prepared for
immunohistochemical study. RESULTS: Sections stained with Bandeiraea lectin
demonstrated that there was no difference in germinal matrix vessel density
among the postnatal ages studied; similarly, there were no differences in
vessel density between saline- and indomethacin-treated animals at any
postnatal age. Quantification of germinal matrix stained intensity by
confocal microscopy demonstrated significant increases in indomethacin-
treated pups for both laminin staining at postnatal days 2 (p = 0.05) and 3
(p = 0.0009) and type V collagen staining at postnatal day 2 (p = 0.011).
Although staining for beta 1 integrins increased across postnatal ages,
there were no differences between saline- and indomethacin-treated animals.
CONCLUSIONS: These data suggest that indomethacin may stimulate basement
membrane deposition in the germinal matrix microvessels of newborn beagle
pups to prevent germinal matrix and/or intraventricular hemorrhage.
ARTICLES
Indomethacin promotes germinal matrix microvessel maturation in the newborn beagle pup
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06510.
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