低血糖
葡萄糖转运蛋白
医学
内科学
内分泌学
过剩3
缺血
冲程(发动机)
血脑屏障
乳酸脱氢酶
再灌注损伤
封堵器
碳水化合物代谢
己糖激酶
麻醉
新陈代谢
糖酵解
化学
胰岛素
中枢神经系统
生物化学
酶
过剩1
紧密连接
工程类
机械工程
作者
Shuai Zhang,Xiu-Yun Song,Changfa Xia,Qidi Ai,Jiao Chen,Shifeng Chu,Wen‐Bin He,Nai‐Hong Chen
出处
期刊:RSC Advances
[The Royal Society of Chemistry]
日期:2016-01-01
卷期号:6 (96): 93815-93825
被引量:10
摘要
Admission hyperglycemia is considered to be related to poor outcomes of ischemic stroke. However, there is controversy regarding effects of attempts to lower blood glucose in stroke patients. This study aimed at determining the effects of blood glucose fluctuation on stroke injury by detection of cerebral glucose levels. A single intraperitoneal injection of glucose (0, 0.5, 1, 1.5 or 2 g kg−1) at 5 min before reperfusion caused blood glucose fluctuation (5–15 mmol L−1) lasting for 2 h after reperfusion. Blood glucose levels of 6–10 mmol L−1 decreased stroke injury after reperfusion for 24 h and 28 days compared with conditions of hyperglycemia (>10 mmol L−1) and hypoglycemia (<6 mmol L−1). High glucose concentration increased neuronal injury and death after oxygen–glucose deprivation. Under hyperglycemia and hypoglycemia, elevations in expression of MMP-2/-9 and decrease of tight junction proteins including occludin, claudin-5 and ZO-1 contributed to blood–brain barrier (BBB) dysfunction in infarct regions after ischemia–reperfusion injury, and reduction of hexokinase, pyruvate kinase and lactate dehydrogenase activities significantly inhibited the glucose metabolism in cortex and striatum after 24 h of reperfusion. BBB damage and reduced glucose metabolism caused accumulation of glucose in infarct areas. An obvious increase in cerebral glucose levels aggravated stroke injury.
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