Cipolla Flashcards
Does pregnancy affect the expression of tight junction proteins?
no
Does pregnancy affect the permeability of the BBB to solutes?
no
How does eclampsia affect the BBB?
it increases permeability
What happens if you inhibit BBB efflux transporters during pregnancy?
seizures in pregnancy
latency to seizure onset correlates with circulating estrogen
What is the effect of pregnancy on CBF autoregulation?
pregnancy extends the CBF autoregulatory curve
Describe hippocampal blood flow
What is PE
Preeclampsia (PE) is a hypertensive disorder of pregnancy t
How is PE associated with cognitive decline?
Preeclampsia (PE) is a hypertensive disorder of pregnancy that is associated with memory impairment, cognitive decline and brain atrophy later in life in women at ages as young as early-to-mid 40 s.
PE increases the risk of vascular dementia three-fold
How does PE affect neurovascular coupling in the hippocampus?
Rats that had ePE were hypertensive and had impaired vasoreactivity of HAs to mediators involved in matching neuronal activity with local blood flow (i.e., neurovascular coupling).
Describe the mechanism of flow-induced dilation of pial collaterals during normotension
Shear stress activated Calcium channels on the membrane of endothelial cells, triggering an influx of calcium.
Increased intracellular calcium
1. activates eNOS which produces NO and triggers smooth muscle cells relaxation via cGMP
2. activates SK/IK potassium channels which lead to hyperpolarization of the smooth muscle cells
this leads to vasodilation
why might higher tone in pial collaterals be bad in the context of stroke?
Higher tone in pial collaterals basally and during occlusion/reperfusion could limit flow to the penumbra and promote evolution of infarction.
Do spontaneously hypertensive rats have pial collaterals with higher or lower tone, basally and during ischemia?
pial tone was higher in hypertensive rats at baseline and during ischemia
Does ischemia increase or decrease the tone of pial collaterals?
decrease
Were LMAs from SHRs (spontaneously hypertensive rats) were vasoconstricted or vasodilated compared with normotensive Wistar rats.
vasoconstricted
what treatment during chronic hypertension reversed vascular dysfunction and hyperconstriction of LMAs?
ACE inhibition