The overall hypothesis that cell death after intracerebral hemorrhage is me
diated in part by apoptolic mechanisms was tested. Intracerebral hemorrhage
was induced in rats using stereotactic infusions of 0.5 U of collagenase (
1-mu L volume) into the striatum. After 24 hours, large numbers of TUNEL-po
sitive stained cells with morphologies suggestive of apoptosis were present
in the center and periphery of the hemorrhage. Double staining with Nissl
and immunocytochemical labeling with antibodies against neuronal nuclei and
glial fibrillary acidic protein suggested that these TUNEL-positive cells
were mostly neurons and astrocytes. Electrophoresis of hemorrhagic brain ex
tracts showed evidence of DNA laddering into similar to 200-bp fragments. W
estern blots showed cleavage of the cytosolic caspase substrate gelsolin. T
he density of TUNEL-positive cells at 24 and 48 hours after hemorrhage was
significantly reduced by treatment with the broad-spectrum caspase inhibito
r zVADfmk. It was unlikely that apoptotic changes were due to neurotoxicity
of injected collagenase because TUNEL-positive cells and DNA laddering wer
e also obtained in an alternative model of hemorrhage where autologous bloo
d. was infused into the striatum. Furthermore, equivalent doses of collagen
ase did not induce cell death in primary neuronal cultures. These results p
rovide initial evidence that apoptotic mechanisms may mediate some of the i
njury in brain after intracerebral hemorrhage.