냉동성 뇌손상 Model 에서 Nitric Oxide 가 백서의 뇌부종 형성에 미치는 영향 = The Effect of Nitric Oxide on Edema Formation in Cryogenic Brain Injury Model of the Rat

다국어 초록 (Multilingual Abstract)

Background : Nitric oxide(NO) is a simple molecule with a complex involvement in a wide variety of biologic functions. However, whether NO protects or aggravates brain injury is still controversial. This study was conducted to determine the effect of nitric oxide on the formation of brain edema resulting from a focal cryogenic injury in rats.
Methods : Thirty nine Sprague-Dawley rats(200∼250 gm) were allowed food and water ad libitum. Anesthesia was induced in a specially designed plastic box with 5% halothane in oxygen. In experiment I(24 rats), animals were divided randomly into eight group(3 rats in each group) according to the decapitation time in control, 15, 30, 45, 60, 90, 120, and 180 min. Cryogenic injury was made by pouring liquid nitrogen to exposed temporo-parietal area through metal funnel for 60 seconds. After cryogenic injury, brain was quickly removed and cerebral hemispheres were seperated. Separated cerebral hemispheres were dried in a drying oven for 7 days at 60oC. Cerebral water content as assessed by dry-weight method. In experiment II(15 rats), one subgroup(n=8) was control group, normal saline 0.5 ml was injected intraperitoneally 30 minutes before injury. the other(n=7) was experimental group, and a competitive nitiric oxide synthase inhibitor, N-nitro-L-arginine methyl ester(L-NAME), was given intraperitoneally 30 minutes before injury in a dose of 20 mg/kg. Body temperature was monitored during whole experiment. Ninety minutes after injury, brain was quickly removed and cerebral hemispheres were seperated. The cerebral water content of separated cerebral hemisphere was assessed by dry-weight method.
Results : In time courses of cryogenic brain edema of experiment I, the amount of brain edema was increased till 90 minutes after cryogenic brain injury and then decreased. In L-NAME group of ex-periment II, the amount of cerebral edema was not changed significantly(p＞0.05). But, there was a tendency of decrease in brain edema formation in L-NAME group than control group.
Conclusions : It as not proved that nitric oxide had a major role in the edema formation after cryogenic brain injury, but it still seems that nitric oxide has at least partly involved in the pathogenesis of cerebral edema resulting from traumatic brain injury. (Korean J Anesthesiol 1998; 34: 1097∼1103)