K. Watanabe et al., Adrenomedullin reduces ischemic brain injury after transient middle cerebral artery occlusion in rats, ACT NEUROCH, 143(11), 2001, pp. 1157-1161
Background The effect of adrenomedullin. a vasodilatory, peptide on transie
nt middle cerebral artery (MCA) occlusion was investigated in rats.
Methods. Transient MCA occlusion for 2 hours was made by using the intra-ar
terial suture method, followed by reperfusion.
Findings. An intravenous infusion of adrenomedullin (1 mug/kg/min) From one
hour before ischemia to one hour after ischemia significantly reduced the
infarct size and improved neurological deficits (p < 0.05). without affecti
ng systemic blood pressure or other physiological parameters. The infarct s
ize was reduced with adrenomedullin by 25.4 +/- 12.7% 31.3 +/- 5.8%, 31.6 /- 6.1% respectively at the coronal level 6, 9 and 10 min posterior from th
e frontal pole. Adrenomedullin also significantly inhibited the increase in
myeloperoxidase (MPO) activity in the MCA area of the ischemic hemisphere
after 22-hour reperfusion (control: 0.205 +/- 0.054 unit/g wet tissue, adre
nomedullin group: 0.047 +/- 0.009 unit/g wet tissue. p < 0.0001).
Interpretation. These data suggest that adrenomedullin reduces acute ischem
ic brain injury and one of is neuroprotective mechanisms may be derived fro
m inhibition of the infiltration of neutrophils into the ischemic tissue.