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Laboratory For
Cerebrovascular Biophysics John Peterson, Ph.D.
Cerebral vasospasm after subarachnoid
hemorrhage leads to mortality and disability in a large number of patients annually.
The basic mechanisms by which adventitial blood clot produces chronic cerebral
arterial constriction are not well understood; consequently, therapy has been
only partially effective. The main research goal then has been to isolate and
define those processes most important to the development of this pathology, so
that truly effective pharmacological intervention can be devised.
Previous studies in the laboratory have shown that the erythrocyte component of
subarachnoid blood is essential to the process. Lysis of those erythrocytes and
release of vasoactive hemoglobinis a potent contributor. In vitro studies of human
and animal erythrocytes have shown that these cells, which incubated under conditions
which mimic subarachnoid blood clot, become immunologically reactive: activating
the complement protein cascade leading ultimately to formation of "membrane
attack complex" and erythrocyte lysis. Other effects of complement activation
include stimulation of inflammation (which additionally contributes significantly
to vasoconstriction) and increased vascular permeability (which acts to reinforce
the cycle by admitting increased amounts of complement protein).
The laboratory is currently purifying various complement factors in our animal
model and using radiolabelled materials to monitor movement into and accumulation
in the subarachnoid clot (in particular C5, C8 and C9). The laboratory plans then
to produce specific antibodies against these factors to observe the effect of
specific decomplementation on the development of cerebrovascular constriction
and perivascular inflammation. Other studies
in our laboratory focus on the specific mechanisms which activate smooth muscle
contraction in cerebral arteries. Early studies suggest that agonists which activate
long-lasting constriction may work though the diacylglycerol (DAG)-activated protein
kinase C (PKC) system. Using in vitro methods we are studying DAG levels and PKC
activity in cerebral vessels and the connection between these factors and the
long lasting vasoconstriction which is the hallmark pathology of cerebral vasospasm.
In particular, we hope to clarify the extent to which the vasoactivity of hemoglobin
is expressed through this system.
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