Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment

Stroke is predominantly a senescent disease, yet most preclinical studies investigate treatment in young animals. We recently demonstrated that short-duration hypothermia-treatment completely prevented the dramatic intracranial pressure (ICP) rise seen post-stroke in young rats. Here, our aim was to...

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Main Authors: Lucy Anne Murtha, Daniel Joseph Beard, Julia eBourke, Debbie ePepperall, Damian Donald McLeod, Neil James Spratt
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-05-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00124/full
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author Lucy Anne Murtha
Daniel Joseph Beard
Julia eBourke
Debbie ePepperall
Damian Donald McLeod
Neil James Spratt
author_facet Lucy Anne Murtha
Daniel Joseph Beard
Julia eBourke
Debbie ePepperall
Damian Donald McLeod
Neil James Spratt
author_sort Lucy Anne Murtha
collection DOAJ
description Stroke is predominantly a senescent disease, yet most preclinical studies investigate treatment in young animals. We recently demonstrated that short-duration hypothermia-treatment completely prevented the dramatic intracranial pressure (ICP) rise seen post-stroke in young rats. Here, our aim was to investigate whether a similar ICP rise occurs in aged rats and to determine whether short-duration hypothermia is an effective treatment in aged animals. Experimental Middle Cerebral Artery occlusion (MCAo - 3 hour occlusion) was performed on male Wistar rats aged 19-20 months. At one hour after stroke-onset, rats were randomized to 2.5 hours hypothermia-treatment (32.5 °C) or normothermia (37 °C). ICP was monitored at baseline, for 3.5 hours post-occlusion, and at 24 hours post-stroke. Infarct and edema volumes were calculated from histology. Baseline pre-stroke ICP was 11.2 ± 3.3 mmHg across all animals. Twenty-four hours post-stroke, ICP was significantly higher in normothermic animals compared to hypothermia-treated animals (27.4 ± 18.2 mmHg vs. 8.0 ± 5.0 mmHg, p = 0.03). Infarct and edema volumes were not significantly different between groups. These data demonstrate ICP may also increase 24 hours post-stroke in aged rats, and that short-duration hypothermia treatment has a profound and sustained preventative effect. These findings may have important implications for the use of hypothermia in clinical trials of aged stroke patients.
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spelling doaj.art-379d7449ae2843ffaed263d99a8844162022-12-22T00:47:24ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652016-05-01810.3389/fnagi.2016.00124198392Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia TreatmentLucy Anne Murtha0Daniel Joseph Beard1Julia eBourke2Debbie ePepperall3Damian Donald McLeod4Neil James Spratt5The University of NewcastleThe University of NewcastleThe University of NewcastleThe University of NewcastleThe University of NewcastleThe University of NewcastleStroke is predominantly a senescent disease, yet most preclinical studies investigate treatment in young animals. We recently demonstrated that short-duration hypothermia-treatment completely prevented the dramatic intracranial pressure (ICP) rise seen post-stroke in young rats. Here, our aim was to investigate whether a similar ICP rise occurs in aged rats and to determine whether short-duration hypothermia is an effective treatment in aged animals. Experimental Middle Cerebral Artery occlusion (MCAo - 3 hour occlusion) was performed on male Wistar rats aged 19-20 months. At one hour after stroke-onset, rats were randomized to 2.5 hours hypothermia-treatment (32.5 °C) or normothermia (37 °C). ICP was monitored at baseline, for 3.5 hours post-occlusion, and at 24 hours post-stroke. Infarct and edema volumes were calculated from histology. Baseline pre-stroke ICP was 11.2 ± 3.3 mmHg across all animals. Twenty-four hours post-stroke, ICP was significantly higher in normothermic animals compared to hypothermia-treated animals (27.4 ± 18.2 mmHg vs. 8.0 ± 5.0 mmHg, p = 0.03). Infarct and edema volumes were not significantly different between groups. These data demonstrate ICP may also increase 24 hours post-stroke in aged rats, and that short-duration hypothermia treatment has a profound and sustained preventative effect. These findings may have important implications for the use of hypothermia in clinical trials of aged stroke patients.http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00124/fullIntracranial Pressurecerebral edemamiddle cerebral artery occlusionischaemic strokeAged ratsTherapuetic Hypothermia
spellingShingle Lucy Anne Murtha
Daniel Joseph Beard
Julia eBourke
Debbie ePepperall
Damian Donald McLeod
Neil James Spratt
Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment
Frontiers in Aging Neuroscience
Intracranial Pressure
cerebral edema
middle cerebral artery occlusion
ischaemic stroke
Aged rats
Therapuetic Hypothermia
title Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment
title_full Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment
title_fullStr Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment
title_full_unstemmed Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment
title_short Intracranial Pressure Elevation 24 Hours after Ischemic Stroke in Aged Rats is Prevented by Early, Short Hypothermia Treatment
title_sort intracranial pressure elevation 24 hours after ischemic stroke in aged rats is prevented by early short hypothermia treatment
topic Intracranial Pressure
cerebral edema
middle cerebral artery occlusion
ischaemic stroke
Aged rats
Therapuetic Hypothermia
url http://journal.frontiersin.org/Journal/10.3389/fnagi.2016.00124/full
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AT danieljosephbeard intracranialpressureelevation24hoursafterischemicstrokeinagedratsispreventedbyearlyshorthypothermiatreatment
AT juliaebourke intracranialpressureelevation24hoursafterischemicstrokeinagedratsispreventedbyearlyshorthypothermiatreatment
AT debbieepepperall intracranialpressureelevation24hoursafterischemicstrokeinagedratsispreventedbyearlyshorthypothermiatreatment
AT damiandonaldmcleod intracranialpressureelevation24hoursafterischemicstrokeinagedratsispreventedbyearlyshorthypothermiatreatment
AT neiljamesspratt intracranialpressureelevation24hoursafterischemicstrokeinagedratsispreventedbyearlyshorthypothermiatreatment