PMID- 8939476 OWN - NLM STAT- MEDLINE DCOM- 19970314 LR - 20190701 IS - 0304-3940 (Print) IS - 0304-3940 (Linking) VI - 218 IP - 1 DP - 1996 Oct 25 TI - Inhibition of tumor necrosis factor-alpha reduces focal cerebral ischemic injury in the spontaneously hypertensive rat. PG - 41-4 AB - Tumor necrosis factor-alpha (TNF-alpha) is acutely expressed following focal cerebral ischemia, but its pathophysiological role remains to be extensively characterized. In this study we determined the effect of inhibiting TNF-alpha on the microvascular perfusion impairment and ischemic injury induced by permanent middle cerebral artery occlusion (MCAO). TNF-alpha activity was inhibited with recombinant type I soluble TNF receptor (TNFbp; 1 mg/kg i.v., 0.5 h pre- or post-MCAO). TNFbp significantly attenuated the microvessel perfusion impairment observed in vehicle treated rats, particularly in perifocal/penumbral regions of cortex, and significantly reduced (by 34-38%) the total volume of ischemic injury. These results demonstrate that TNF-alpha contributes to focal ischemic injury and that inhibition of TNF-alpha can confer dramatic neuroprotection. The association of the neuroprotective effect of TNFbp with improved microvascular perfusion suggests that inflammatory and vascular responses to TNF-alpha contribute to its pathological action. FAU - Dawson, D A AU - Dawson DA AD - Stroke Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA. FAU - Martin, D AU - Martin D FAU - Hallenbeck, J M AU - Hallenbeck JM LA - eng PT - Journal Article PL - Ireland TA - Neurosci Lett JT - Neuroscience letters JID - 7600130 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Brain Ischemia/*drug therapy MH - Hypertension/drug therapy MH - Male MH - Microcirculation/*drug effects MH - Rats MH - Rats, Inbred SHR MH - Tumor Necrosis Factor-alpha/*pharmacology EDAT- 1996/10/25 00:00 MHDA- 1996/10/25 00:01 CRDT- 1996/10/25 00:00 PHST- 1996/10/25 00:00 [pubmed] PHST- 1996/10/25 00:01 [medline] PHST- 1996/10/25 00:00 [entrez] AID - S0304394096131165 [pii] AID - 10.1016/0304-3940(96)13116-5 [doi] PST - ppublish SO - Neurosci Lett. 1996 Oct 25;218(1):41-4. doi: 10.1016/0304-3940(96)13116-5.