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Brain uptake of mannitol and sucrose after cerebral ischemia: Effect of hyperglycemia
Authors:EUGENIUSZ SIEMKOWICZ
Abstract:The effect of 10 min cerebral ischemia on blood-brain barrier permeability to mannitol and sucrose was evaluated in normo-and hyperglycemic rats. In the period immediately after ischemia (1–4 min) the PS (permeability-surface area product) for mannitol was 159%± 75 of control (0.17 ± 0.02 ml/100g min) in the normoglycemic rats (plasma glucose 8mM) and 204%± 30 of control (0.09 ± 0.02ml/100g min) in the hyperglycemic rats (plasma glucose 28mM). Two hours after ischemia, PS for mannitol returned to the control levels in the normoglycemic rats and remained elevated in the hyperglycemic animals. The mannitol/sucrose ratios—2.3 ± 0.4 in normoglycemic rats and 2.6 p± 0.I in hyperglycemic rats—remained unchanged after ischemia. As there was no significant difference in the effects of ischemia on normo-and hyperglycemic rats, it was concluded that the deleterious effect of hyperglycemia on clinical recovery after cerebral ischemia in rats (Siemkowicz & Hansen 1978) is not related to enhancement of BBB damage.
Keywords:Brain ischemiay  mannitol and sucrose uptake
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