K. Hegedus et al., BENEFICIAL VASCULAR AND METABOLIC EFFECTS OF COBALT-ATP IN SPONTANEOUSLY HYPERTENSIVE RABBITS WITH DIFFUSE CHRONIC CEREBRAL-ISCHEMIA, Journal of neurology, 242(4), 1995, pp. 243-248
The in vivo effects of adenosine triphosphate (ATP) have not been inve
stigated in cerebrovascular diseases. The use of the long-acting cobal
t-ATP complex (Co-ATP) permits us to observe the effects of ATP withou
t the influence of its metabolites. This study was designed to compare
the effects of intravenous Co-ATP on the cerebral blood flow (CBF), p
olarographically detected oxygen currents (O(2)a), mean arterial blood
pressure (MABP), heart rate, respiration rate, cerebral electrical ac
tivity, arterial blood gases, pH, and glucose in 13 normotensive (NT)
rabbits to those in 14 stroke-prone spontaneously hypertensive (HT) an
imals. CBF was measured by the hydrogen and heat clearance methods. In
response to Co-ATP, MABP decreased and CBF increased significantly in
both groups. The decrease in MABP was more marked in HT rabbits, whil
e CBF response was 25% smaller than in NT animals. The ratio of O(2)a
to CBF diminished moderately and simultaneously with the CBF increase
in NT rabbits. In HT rabbits, the decrease in O(2)a/CBF was larger and
began when CBF response reached its maximum. We suggest that despite
the restricted CBF response, long-acting ATP should still be taken int
o consideration as a supplementary treatment of hypertensive encephalo
pathy because of its beneficial effects on cerebral metabolism and hyp
ertension.