Stroke, Vol 20, 1027-1031, Copyright © 1989 by American Heart Association
GE Kikano, JC LaManna and SI Harik
Recent studies show that acute and chronic hyperglycemia cause a diffuse
decrease in regional cerebral blood flow and that chronic hyperglycemia
decreases the brain L-glucose space. Since these changes can be caused by a
decreased density of perfused brain capillaries, we used 30 adult male
Wistar rats to study the effect of acute and chronic hyperglycemia on 1)
the brain intravascular space using radioiodinated albumin, 2) the anatomic
density of brain capillaries using alkaline phosphatase histochemistry, and
3) the fraction of brain capillaries that are perfused using the
fluorescein isothiocyanate-dextran method. Our results indicate that acute
and chronic hyperglycemia do not affect the brain intravascular space nor
the anatomic density of brain capillaries. Also, there were no differences
in capillary recruitment among normoglycemic, acutely hyperglycemic, and
chronically hyperglycemic rats. These results suggest that the shrinkage of
the brain L-glucose space in chronic hyperglycemia is more likely due to
changes in the blood-brain barrier permeability to L-glucose.
ARTICLES
Brain perfusion in acute and chronic hyperglycemia in rats
Department of Neurology, University Hospitals of Cleveland, Ohio 44106.
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