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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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Neurosurgery
Clinical Units
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