(Stroke. 2001;32:516.)
© 2001 American Heart Association, Inc.
Original Contributions |
From the Departments of Neurosurgery and Microbiology (E.B.), University of Mississippi Medical Center, Jackson.
Correspondence to John H. Zhang, MD, PhD, Department of Neurosurgery, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216. E-mail jzhang{at}neurosurgery.umsmed.edu
Background and PurposeExtracellular ATP might induce cerebral vasospasm after subarachnoid hemorrhage through P2 receptor. To investigate the roles of P2 receptor subtypes in vasospasm, we examined the changes in mRNA expression of P2 receptor subtypes in basilar arteries from double cisternal blood injection rat models.
MethodsOne hundred male Sprague-Dawley rats, each weighing 350 to 400 g, were divided into 2 groups of 50. In the first group (n=50), the autologous arterial blood (0.2 to 0.3 mL) was injected into the cisterna magna on days 0 and 2. The rats were killed on day 3, 5, or 7 (n=10 in each group). In the sham group (n=10), the rats were injected with saline (0.3 mL) instead of blood. Ten rats were killed without blood or saline injection and served as control. The basilar arteries from rats in each group were used for reverse transcription and polymerase chain reaction. In another group of 50 rats, the same experiment was conducted, and the basilar arteries were collected for transmission electron microscopic study.
ResultsIn the subarachnoid hemorrhage groups, transmission electron microscopy showed the reduction in vessel perimeter on days 5 and 7 to be approximately 30% to 40%. The P2X1 mRNA level was significantly decreased on day 3 and recovered on days 5 and 7. The P2Y1 mRNA level was transiently increased on day 5, and the P2Y2 mRNA level was elevated from day 5 to day 7 (P<0.05).
ConclusionsThe differential expression of the P2 receptors indicates that P2X1 subtype might not play an important role in vasospasm. The upregulation of P2Y1 and P2Y2 receptors might enable ATP to produce contraction at low levels of concentration.
Department of Neurosurgery, University of CaliforniaDavis, Sacramento, California
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