Stroke, Vol 25, 864-868, Copyright © 1994 by American Heart Association
T Shishido, R Suzuki, L Qian and K Hirakawa
BACKGROUND AND PURPOSE: To determine the role of superoxide anions in the
pathogenesis of cerebral vasospasm after aneurysmal subarachnoid
hemorrhage, we studied the preventive effect of human recombinant
copper-zinc superoxide dismutase (h-r SOD) in a rabbit subarachnoid
hemorrhage (SAH) model. METHODS: Forty-five rabbits receiving
intracisternal injection of 3 mL autologous nonheparinized blood or 3 mL
saline were divided into four groups as follows: (1) saline injected and no
treatment (control group, n = 6); (2) blood injected and no treatment (SAH
group, n = 20); (3) blood injected and treated by multiple intracisternal
injections of 30,000 U of h-r SOD in 0.5 mL saline (SOD group, n = 9); and
(4) blood injected and treated by multiple intracisternal injections of 0.5
mL saline (saline group, n = 10). Serial angiograms were performed after
the blood injection, and the diameter of the basilar artery was measured.
Three animals from the control group and five animals from the SAH and SOD
groups each were killed 2 days after SAH, and their basilar arteries were
processed for transmission electron microscopic observations. RESULTS: In
the SAH and saline groups, the diameter of the basilar arteries was
significantly reduced (28 +/- 14% and 27 +/- 9%, respectively) at 2 days
after the blood injection, then recovered to pre-SAH levels until 11 days.
In the SOD group, the diameter of the basilar artery was only minimally
changed during the follow-up period. Transmission electron microscopy
revealed endothelial injury in all basilar arteries in the SAH group,
whereas endothelial injury was minimal in the SOD group. CONCLUSIONS: We
determined that h-r SOD prevents the occurrence of vasospasm, possibly as a
result of preventing endothelial injury initiated by superoxide anions.
ARTICLES
The role of superoxide anions in the pathogenesis of cerebral vasospasm
Department of Neurosurgery, Tokyo Medical and Dental University, Japan.
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