Ontology highlight
ABSTRACT: Background and purpose
Spreading depolarizations (SDs) are recurrent and ostensibly spontaneous depolarization waves that may contribute to infarct progression after stroke. Somatosensory activation of the metastable peri-infarct tissue triggers peri-infarct SDs at a high rate.Methods
We directly measured the functional activation threshold to trigger SDs in peri-infarct hot zones using optogenetic stimulation after distal middle cerebral artery occlusion in Thy1-ChR2-YFP mice.Results
Optogenetic activation of peri-infarct tissue triggered SDs at a strikingly high rate (64%) compared with contralateral homotopic cortex (8%; P=0.004). Laser speckle perfusion imaging identified a residual blood flow of 31±2% of baseline marking the metastable tissue with a propensity to develop SDs.Conclusions
Our data reveal a spatially distinct increase in SD susceptibility in peri-infarct tissue where physiological levels of functional activation are capable of triggering SDs. Given the potentially deleterious effects of peri-infarct SDs, the effect of sensory overstimulation in hyperacute stroke should be examined more carefully.
SUBMITTER: Sugimoto K
PROVIDER: S-EPMC7387208 | biostudies-literature | 2020 Aug
REPOSITORIES: biostudies-literature
Sugimoto Kazutaka K Chung David Y DY Böhm Maximilian M Fischer Paul P Takizawa Tsubasa T Aykan Sanem Aslihan SA Qin Tao T Yanagisawa Takeshi T Harriott Andrea A Oka Fumiaki F Yaseen Mohammad A MA Sakadžić Sava S Ayata Cenk C
Stroke 20200709 8
<h4>Background and purpose</h4>Spreading depolarizations (SDs) are recurrent and ostensibly spontaneous depolarization waves that may contribute to infarct progression after stroke. Somatosensory activation of the metastable peri-infarct tissue triggers peri-infarct SDs at a high rate.<h4>Methods</h4>We directly measured the functional activation threshold to trigger SDs in peri-infarct hot zones using optogenetic stimulation after distal middle cerebral artery occlusion in Thy1-ChR2-YFP mice.<h ...[more]