Medical College of Georgia
  Department of Neurosurgery A-Z Index  |  MCG Home  |  Site Search 
MCG Pediatric Neurosurgery
               
 

Cerebrovascular Research Home

Clinical Neurovascular Program

Cerebrovascular Research Program

Movies, etc

Clinical Vignettes

Research Programs Home

Contact Us

  Cerebrovascular Research Program

The broad goal of the Neurovascular Research Laboratory, established less than a year ago, is to elucidate neurobiologic mechanisms that play a role in the pathogenesis of cerebral ischemia and to explore the role and interaction of other cell types with the neuron in various cerebrovascular disorders.  Some of our specific goals are outlined below.
 

1.  We seek to the understand the pathogenesis of cerebral vasospasm resulting after subarachnoid hemorrhage (SAH) with the goal of identifying novel therapeutics.  Astrocytes, a type of glial cell and the most abundant cell type in the brain, are anatomically located in juxtaposition to blood vessels and participate in the development and maintenance of the blood-brain-barrier.  Traditionally, astrocytes have been regarded as a supportive cell, nourishing neurons and maintaining homeostasis in the brain.  However, recent work has suggested that astrocytes may actively participate in brain function, including protection of neurons during brain injury and in the control of cerebral blood flow.  In contrast to the recognized protective functions of glia, glial pathologies may represent an important component of neurological disease that has yet to be exploited.   


ventral view of brain taken 1h post-
SAH in the murine model of SAH.

Following SAH, inflammatory markers are rapidly increased within the CSF, suggesting brain inflammation may contribute to the pathogenesis of the complications of SAH, including the development of cerebral vasospasm and secondary brain ischemia.  However, the cell type(s) responsible for these changes remains unknown.  Presently,

we are investigating the possible role of astrocytes in this process, which may permit a better understanding of the mechanisms involved in the development of cerebral vasospasm.  Using a murine endovascular perforation model of SAH, inflammatory genes were increased within hours of brain injury. Interestingly, administration of an anti-inflammatory compound, curcumin, prevented the development of secondary brain ischemia, suggesting brain inflammation may contribute to the development of vasospasm.  We also observed a pronounced and rapid inflammatory response in cultured astrocytes, leading to the hypothesis that astrocyte-derived inflammatory factors may participate in the pathogenesis of subarachnoid hemorrhage and cerebral vasospasm.    Current work is focused on elucidating the molecular mechanisms underlying the induction of inflammatory genes as a way to develop targeted novel therapeutics to limit the development of cerebral vasospasm and secondary brain ischemia following SAH. 
 
Placebo      150 mg/kg       300mg/kg

Curcumin protects against tMCAo
injury in the mouse - assessed by
TTC staining 24h post occlusion
(2h/22h perfusion)

Ischemic stroke is a leading cause of death and disability.  Stroke-induced CNS injury is caused by a combination of factors including oxidative stress, which is implicated in many neurodegenerative diseases.  We explored the ability of curcumin to protect murine cortical neurons from

H2O2-, NMDA-, and hypoxia/reoxygenation-induced neuronal injury using a rodent suture model of acute stroke.  Our studies show that curcumin completely blocked the damage induced by hypoxia/reoxygenation and by H2O2, and significantly reduced MNDA-induced neuronal injury.  The findings suggest that curcumin may be a powerful compound to reduce oxidateive stress following ischemic brain injury.
 

3. After menopause, ovarian production of the steroid hormone 17b-estradiol ceases.  At this time women can ex-perience impaired cognitive functioning and exhibit an increased risk of neuro-degenerative diseases.  Our laboratory is elucidating the molecular and cellular events underlyingthe gender-specific protection of the brain and regulation of cognitive function.  Recently, we ident-ified estradiol-induced release of trans-forming growth factor-b from astrocytes


Hierarchal clustering of microarray data
taken from the cerebral cortex of rat
following treatment with
estrogen or tamoxifen.
as an important component of neuroprotection against stroke-induced injury.  In collaboration with Dr. Darrell Brann (IMMAG; Dept of Neurology), we have employed genomic and proteomic approaches to provide a mechanistic understanding underlying estradiol-induced synapse formation.  This knowledge will provide molecular and cellular insights into the gender-specific protection of the brain and regulation of cognition, which may have implications for neuroprotection and brain repair following stroke. 
 
4.  Another interest of the laboratory is the role of astrocytes in the regulation of synaptic plasticity.  We have recently determined an astrocyte-derived soluble factor(s) induces a robust increase in the expression of pre- and post-synaptic markers in cultured cortical neurons.  This increase appears in both glutamergic and GABAergic neurons, suggesting that astrocytes may globally enhance neuronal connectivity.  Current work is focused on the cellular regula-tion of these gene changes, with an
Effect of astrocyte-conditioned media
on synapse formation (assessed by
spine marker, spinophilin) and post-
synaptic marker (PSD-95; seen as puncta)
in cultured cortical neurons.
emphasis on the ERK/MAP kinase pathway.  These findings have relevance in the understanding of developmental neuroscience.  Furthermore, these pathways could potentially be exploited to promote plasticity and “rewiring of the brain” following neurological trauma, including stroke and traumatic brain injury.
 
go to Clinical Program
   
  © 2006 MCG

Questions and Comments to Cargill Alleyne, Jr. M.D.  


 September 25, 2006


Department of Neurosurgery  |  Medical College of Georgia