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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003295naa a2200445 4500
001oai:DiVA.org:uu-17228
003SwePub
008080618s2007 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-172282 URI
024a https://doi.org/10.1016/S0079-6123(06)62023-22 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a for2 swepub-publicationtype
100a Sharma, Hari Shankeru Uppsala universitet,Institutionen för kirurgiska vetenskaper,Anaesthesiology and Intensive Care4 aut0 (Swepub:uu)hssharma
2451 0a Blood-cerebrospinal fluid barrier in hyperthermia
264 1c 2007
338 a print2 rdacarrier
520 a The blood-CSF barrier (BCSFB) in choroid plexus works with the blood-brain barrier (BBB) in cerebral capillaries to stabilize the fluid environment of neurons. Dysfunction of either transport interface, i.e., BCSFB or BBB, causes augmented fluxes of ions, water and proteins into the CNS. These barrier disruptions lead to problems with edema and other compromised homeostatic mechanisms. Hyperthermic effects on BCSFB permeability and transport are not as well known as for BBB. However, it is becoming increasingly appreciated that elevated prostaglandin synthesis from fever/heat activation of cyclooxygenases (COXs) in the BCSFB promotes water and ion transfer from plasma to the ventricles; this harmful fluid movement into the CSF-brain interior can be attenuated by agents that inhibit the COXs. Moreover, new functional data from our laboratory animal model indicate that the BCSFB (choroidal epithelium) and the CSF-bordering ependymal cells are vulnerable to whole body hyperthermia (WBH). This is evidenced from the fact that rats subjected to 4h of heat stress (38 degrees C) showed a significant increase in the translocation of Evans blue and (131)Iodine from plasma to cisternal CSF, and manifested blue staining of the dorsal surface of the hippocampus and caudate nucleus. Degeneration of choroidal epithelial cells and underlying ependyma, a dilated ventricular space and damage to the underlying neuropil were frequent. A disrupted BCSFB is associated with a marked increase in edema formation in the hippocampus, caudate nucleus, thalamus and hypothalamus. Taken together, these findings suggest that the breaching of the BCSFB in hyperthermia significantly contributes to cell and tissue injuries in the CNS.
653 a 131Iodine transport into CSF
653 a blood-brain barrier
653 a blood-cerebrospinal fluid barrier
653 a brain edema
653 a choroid plexus
653 a cyclooxygenases
653 a Evans blue
653 a fever
653 a heat stress
653 a neurodegeneration
653 a prostaglandins
653 a pyrogens
653 a whole body hyperthermia
653 a MEDICINE
653 a MEDICIN
700a Johanson, Conrad Earl4 aut
710a Uppsala universitetb Institutionen för kirurgiska vetenskaper4 org
773t Progress in Brain Researchg 162, s. 459-478q 162<459-478x 0079-6123x 1875-7855
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-17228
8564 8u https://doi.org/10.1016/S0079-6123(06)62023-2

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