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Open Access Research Article Issue
Step-down infusion of barbiturate improves neurofunction in a new rat model of rebleeding subarachnoid hemorrhage
Brain Hemorrhages 2025, 6(2): 64-68
Published: 06 July 2024
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Objective

Rebleeding from a ruptured aneurysm is a risk factor for fatal prognosis in subarachnoid hemorrhage (SAH). A novel barbiturate treatment, step-down infusion of barbiturate (sd-B), was previously developed; it showed beneficial effects on patients with severe traumatic brain injuries. The present study established a rebleeding SAH model in rats and evaluated the effect of sd-B.

Methods

Fifty male Sprague-Dawley rats were divided into sham-operation with distilled water, sham-operation with barbiturate, SAH-rebleeding with distilled water, and SAH-rebleeding with barbiturate groups. For posttreatment with sd-B, thiamylal was intraperitoneally administered at 3 mg/kg/h on days 0–1, 2 mg/kg/h on days 1–2, and 1 mg/kg/h on days 2–3 after SAH using osmotic minipumps. We monitored neurofunction and case fatality as the primary endpoints and evaluated brain injuries, including brain edema and cortical neuronal cell death, as the secondary endpoints

Results

Posttreatment with sd-B improved the modified Garcia test, reduced the brain water content, and inhibited the loss of neuronal cells and microglial expressions in the rat model.

Conclusions

Our results revealed that sd-B ameliorated neurofunction and brain injuries on the rebleeding SAH model, suggesting that the novel treatment is a good candidate drug for patients with SAH with rebleeding.

Open Access Review Article Issue
Anti-apoptotic effects of BDNF-TrkB signaling in the treatment of hemorrhagic stroke
Brain Hemorrhages 2020, 1(2): 124-132
Published: 22 May 2020
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Stroke is a primary cause of death and a leading cause of disability throughout the world. Although researchers have long studied ways for improving mortality and morbidity, few effective treatments are available for patients with stroke. Effective treatments for hemorrhagic stroke (HS) remain a major challenge, but basic research on HS has revealed pivotal cytotoxic processes and potent therapeutic candidates. Many cytotoxic changes such as apoptosis, oxidative stress, and inflammation participate in the pathogenesis of HS, and antiapoptotic effects have been the focus of therapeutic candidates for HS. Brain-derived neurotrophic factor (BDNF) and its specific receptor, tropomyosin-related kinase B (TrkB), are known to play a pivotal role in antiapoptotic effects and are widely studied in experimental stroke research. In this review, we focus on the antiapoptotic effects of BDNF-TrkB signaling activation in HS. We first introduce BDNF-TrkB signaling in the apoptotic cascade and then summarize the deficiency of the signaling. Subsequently, we discuss the antiapoptotic effect of BDNF-TrkB signaling on subarachnoid hemorrhage, intracerebral hemorrhage, hemorrhagic transformation after ischemic stroke, stroke onset, and vascular dementia. Finally, this review discusses the potential beneficial effects for patients with HS. These comprehensive findings of the antiapoptotic effects of BDNF-TrkB signaling can contribute to the development of a novel therapeutic agent for patients with HS.

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