Cipolla Flashcards

1
Q

Does pregnancy affect the expression of tight junction proteins?

A

no

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2
Q

Does pregnancy affect the permeability of the BBB to solutes?

A

no

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3
Q

How does eclampsia affect the BBB?

A

it increases permeability

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4
Q

What happens if you inhibit BBB efflux transporters during pregnancy?

A

seizures in pregnancy
latency to seizure onset correlates with circulating estrogen

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5
Q

What is the effect of pregnancy on CBF autoregulation?

A

pregnancy extends the CBF autoregulatory curve

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6
Q

Describe hippocampal blood flow

A
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7
Q

What is PE

A

Preeclampsia (PE) is a hypertensive disorder of pregnancy t

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8
Q

How is PE associated with cognitive decline?

A

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

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9
Q

How does PE affect neurovascular coupling in the hippocampus?

A

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).

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10
Q

Describe the mechanism of flow-induced dilation of pial collaterals during normotension

A

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

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11
Q

why might higher tone in pial collaterals be bad in the context of stroke?

A

Higher tone in pial collaterals basally and during occlusion/reperfusion could limit flow to the penumbra and promote evolution of infarction.

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12
Q

Do spontaneously hypertensive rats have pial collaterals with higher or lower tone, basally and during ischemia?

A

pial tone was higher in hypertensive rats at baseline and during ischemia

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13
Q

Does ischemia increase or decrease the tone of pial collaterals?

A

decrease

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14
Q

Were LMAs from SHRs (spontaneously hypertensive rats) were vasoconstricted or vasodilated compared with normotensive Wistar rats.

A

vasoconstricted

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15
Q

what treatment during chronic hypertension reversed vascular dysfunction and hyperconstriction of LMAs?

A

ACE inhibition

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16
Q

Was there a sex difference in relative cerebral blood flow in both MCA and pial collateral territories during occlusion and reperfusion? (rats)

A

no difference

17
Q

Was there a sex difference in the myogenic tone of pial collaterals in rats?

A

no difference

18
Q

What did the lab find regarding sex differences in collateral circulation?

A

Our findings suggest that the reduced severity of stroke in premenopausal women and reproductively intact female rodents is not likely due to improved primary and pial collateral circulations.

19
Q

What were the lab’s findings regarding the ways in which parenchymal arterioles adapt to chronic cerebral hypoperfusion?

A

Adaptive response of PAs to chronic cerebral hypoperfusion includes myogenic tone reduction and outward remodelling. TRPV4 channels were involved in tone reduction but not outward remodelling in response to UCCAo.

20
Q

What are transient receptor potential vanilloid 4 channels

A

Transient receptor potential vanilloid 4 (TRPV4) channels are ion channels that may be involved in the regulation of myogenic tone in the cerebral circulation. Activation of TRPV4 causes an increase in intracellular calcium. Increased intracellular calcium in vascular endothelial cells causes subsequent activation of small- and intermediate-conductance calcium-activated potassium channels (SKCa/IKCa), leading to endothelium-dependent hyperpolarization (EDH) and vasodilation.