Brain edema is a clinical disorder that significantly contributes to mortality and morbidity in patients with stroke, trauma and other forms of neurological disorders. While it is well-known that vasogenic edema is a result of the breakdown of blood-brain barrier (BBB) permeability and function, little is known about the cellular and molecular mechanisms that underlie the injury and repair process of endothelial and glial cells, the major cell types that constitute the barrier, and the metalloproteinases (MMPs), the extracellular matrix components. Our working hypothesis is that oxidative stress, generated during ischemia and reperfusion and during thrombolytic therapy, causes BBB dysfunction by activation of MMPs and microglia. These processes will exacerbate injury and retard repair of the cells (endothelium and astrocytes) that constitute the BBB. This Program consists of three interactive projects and two supporting cores. Project 1 investigates the role of oxidative stress on MMP activation and its association with BBB dysfunction in mice after transient focal stroke. Project 2 elucidates the repair mechanism following the initiation of cellular damage after cerebral ischemia Project 3 elucidates the role of oxidative stress and inflammation on microglia activation and endothelial cell injury after cerebral schema. We believe these are novel studies that will provide insights into the oxidative mechanisms on BBB dysfunction after cerebral ischemia the long-term goal of these studies is to develop therapeutic interventions that target the BBB function for stroke patients.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Specialized Center (P50)
Project #
5P50NS014543-28
Application #
7114867
Study Section
National Institute of Neurological Disorders and Stroke Initial Review Group (NSD)
Program Officer
Jacobs, Tom P
Project Start
1991-09-01
Project End
2007-08-14
Budget Start
2006-07-01
Budget End
2007-08-14
Support Year
28
Fiscal Year
2006
Total Cost
$1,316,361
Indirect Cost
Name
Stanford University
Department
Neurosurgery
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94305
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Tang, Xian Nan; Cairns, Belinda; Kim, Jong Youl et al. (2012) NADPH oxidase in stroke and cerebrovascular disease. Neurol Res 34:338-45
Cairns, Belinda; Kim, Jong Youl; Tang, Xian Nan et al. (2012) NOX inhibitors as a therapeutic strategy for stroke and neurodegenerative disease. Curr Drug Targets 13:199-206
Voloboueva, Ludmila A; Giffard, Rona G (2011) Inflammation, mitochondria, and the inhibition of adult neurogenesis. J Neurosci Res 89:1989-96
Tang, Xian N; Zheng, Zhen; Giffard, Rona G et al. (2011) Significance of marrow-derived nicotinamide adenine dinucleotide phosphate oxidase in experimental ischemic stroke. Ann Neurol 70:606-15
Chen, Hai; Kim, Gab Seok; Okami, Nobuya et al. (2011) NADPH oxidase is involved in post-ischemic brain inflammation. Neurobiol Dis 42:341-8
Yoshioka, Hideyuki; Niizuma, Kuniyasu; Katsu, Masataka et al. (2011) NADPH oxidase mediates striatal neuronal injury after transient global cerebral ischemia. J Cereb Blood Flow Metab 31:868-80
Xiong, Xiaoxing; Barreto, George E; Xu, Lijun et al. (2011) Increased brain injury and worsened neurological outcome in interleukin-4 knockout mice after transient focal cerebral ischemia. Stroke 42:2026-32

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