دورية أكاديمية

Efficacy Assessment of Cerebral Perfusion Augmentation through Functional Connectivity in an Acute Canine Stroke Model.

التفاصيل البيبلوغرافية
العنوان: Efficacy Assessment of Cerebral Perfusion Augmentation through Functional Connectivity in an Acute Canine Stroke Model.
المؤلفون: Warioba CS; From the Department of Radiology (C.S.W., M.L., S.P., T.J.C., S.F.), University of Chicago, Chicago, Illinois cswarioba@uchicago.edu., Liu M; From the Department of Radiology (C.S.W., M.L., S.P., T.J.C., S.F.), University of Chicago, Chicago, Illinois., Peñano S; From the Department of Radiology (C.S.W., M.L., S.P., T.J.C., S.F.), University of Chicago, Chicago, Illinois., Carroll TJ; From the Department of Radiology (C.S.W., M.L., S.P., T.J.C., S.F.), University of Chicago, Chicago, Illinois., Foxley S; From the Department of Radiology (C.S.W., M.L., S.P., T.J.C., S.F.), University of Chicago, Chicago, Illinois., Christoforidis G; Mount Carmel Health (G.C.), Columbus, Ohio.
المصدر: AJNR. American journal of neuroradiology [AJNR Am J Neuroradiol] 2024 Sep 09; Vol. 45 (9), pp. 1214-1219. Date of Electronic Publication: 2024 Sep 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: American Society of Neuroradiology Country of Publication: United States NLM ID: 8003708 Publication Model: Electronic Cited Medium: Internet ISSN: 1936-959X (Electronic) Linking ISSN: 01956108 NLM ISO Abbreviation: AJNR Am J Neuroradiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Oak Brook, IL : American Society of Neuroradiology
Original Publication: Baltimore, Williams & Wilkins.
مواضيع طبية MeSH: Disease Models, Animal* , Magnetic Resonance Imaging*/methods , Cerebrovascular Circulation*/drug effects , Cerebrovascular Circulation*/physiology, Animals ; Dogs ; Norepinephrine ; Infarction, Middle Cerebral Artery/diagnostic imaging ; Infarction, Middle Cerebral Artery/physiopathology ; Infarction, Middle Cerebral Artery/drug therapy ; Male ; Stroke/diagnostic imaging ; Stroke/physiopathology ; Stroke/drug therapy ; Vasodilator Agents/administration & dosage ; Vasodilator Agents/pharmacology
مستخلص: Background and Purpose: Ischemic stroke disrupts functional connectivity within the brain's resting-state networks (RSNs), impacting recovery. This study evaluates the effects of norepinephrine and hydralazine (NEH), a cerebral perfusion augmentation therapy, on RSN integrity in a hyperacute canine stroke model.
Materials and Methods: Fifteen adult purpose-bred mongrel canines, divided into treatment and control (natural history) groups, underwent endovascular induction of acute middle cerebral artery occlusion (MCAO). Postocclusion, the treatment group received intra-arterial norepinephrine (0.1-1.52 µg/kg/min, adjusted for 25-45 mm Hg above baseline mean arterial pressure) and hydralazine (20 mg). Resting-state fMRI (rs-fMRI) data were acquired with a 3T scanner by using a blood oxygen level dependent-EPI sequence (TR/TE = 1400 ms/20 ms, 2.5 mm slices, 300 temporal positions). Preprocessing included motion correction, spatial smoothing (2.5 mm full width at half maximum), and high-pass filtering (0.01 Hz cutoff). Functional connectivity within RSNs were analyzed through group-level independent component analysis and weighted whole-brain ROI-to-ROI connectome, pre- and post-MCAO.
Results: NEH therapy significantly maintained connectivity post-MCAO in the higher-order visual and parietal RSNs, as evidenced by thresholded statistical mapping (threshold-free cluster enhancement P corr > .95). However, this preservation was network-dependent, with no significant ( P corr < .95) changes in the primary visual and sensorimotor networks.
Conclusions: NEH demonstrates potential as a proof-of-concept therapy for maintaining RSN functional connectivity after ischemic stroke, emphasizing the therapeutic promise of perfusion augmentation. These insights reinforce the role of functional connectivity as a measurable end point for stroke intervention efficacy, suggesting clinical translatability for patients with insufficient collateral circulation.
(© 2024 by American Journal of Neuroradiology.)
References: Brain Struct Funct. 2015 Mar;220(2):1063-76. (PMID: 24399180)
J Neurointerv Surg. 2023 Sep;15(e1):e69-e75. (PMID: 35803730)
Med Image Anal. 2001 Jun;5(2):143-56. (PMID: 11516708)
Neuroimage. 2012 Aug 15;62(2):782-90. (PMID: 21979382)
Neuroradiol J. 2017 Aug;30(4):305-317. (PMID: 28353416)
Neuroimage. 2012 Oct 1;62(4):2271-80. (PMID: 22414990)
Neuroimage. 2004;23 Suppl 1:S208-19. (PMID: 15501092)
Neuroimage. 2002 Oct;17(2):825-41. (PMID: 12377157)
Proc Natl Acad Sci U S A. 2008 Oct 14;105(41):16039-44. (PMID: 18843113)
Proc Natl Acad Sci U S A. 1990 Dec;87(24):9868-72. (PMID: 2124706)
Neuroimage. 2009 Mar;45(1 Suppl):S173-86. (PMID: 19059349)
Magn Reson Med. 2019 Jun;81(6):3567-3577. (PMID: 30737833)
Stroke. 2019 Dec;50(12):e344-e418. (PMID: 31662037)
Front Cell Neurosci. 2017 Mar 16;11:76. (PMID: 28360842)
Invest Radiol. 2011 Jan;46(1):34-40. (PMID: 20856126)
Clin Neurophysiol. 2011 Jan;122(1):21-6. (PMID: 20591730)
PLoS One. 2013 Jun 18;8(6):e66556. (PMID: 23824302)
Sci Rep. 2021 Dec 13;11(1):23854. (PMID: 34903807)
Sci Rep. 2019 Oct 9;9(1):14473. (PMID: 31597927)
Stroke. 2015 Jan;46(1):296-301. (PMID: 25477218)
Neurology. 2021 Feb 22;96(8):e1167-e1179. (PMID: 33402437)
Circulation. 2022 Feb 22;145(8):e153-e639. (PMID: 35078371)
J Neurooncol. 2014 Jan;116(2):373-9. (PMID: 24234804)
Sci Rep. 2020 Mar 16;10(1):4781. (PMID: 32179861)
Front Neurol. 2017 May 10;8:200. (PMID: 28539914)
Nat Rev Neurosci. 2007 Sep;8(9):700-11. (PMID: 17704812)
Neurorehabil Neural Repair. 2013 Feb;27(2):153-63. (PMID: 22995440)
المشرفين على المادة: X4W3ENH1CV (Norepinephrine)
0 (Vasodilator Agents)
تواريخ الأحداث: Date Created: 20240429 Date Completed: 20240909 Latest Revision: 20240914
رمز التحديث: 20240914
مُعرف محوري في PubMed: PMC11392365
DOI: 10.3174/ajnr.A8320
PMID: 38684318
قاعدة البيانات: MEDLINE
الوصف
تدمد:1936-959X
DOI:10.3174/ajnr.A8320