《The Role of Bradykinin in Mediating》.pdfVIP

571 The Role of Bradykinin in Mediating Ischemic Brain Edema in Rats Tatsushi Kamiya, MD; Yasuo Katayama, MD ; Fumihiko Kashiwagi, MD ; and Akiro Terashi, MD Background and Purpose: We investigated the hypothesis that bradykinin generation may induce ischemic brain edema in spontaneously hypertensive rats. Methods: Cerebral ischemia lasting 3 hours was produced by bilateral common carotid artery occlusion in 67 rats. After the ischemic period, the rats were reperfused. Cerebral water content and energy metabolites adenosine triphosphate, lactate, and pyruvate , as well as plasma and tissue bradykinin, were measured. Additionally, using the same experimental paradigm, bradykinin synthesis inhibitors aprotinin [? 7] and soybean trypsin inhibitor [n 7] were administered immediately after ischemia induction to determine the relation of bradykinin generation to the progression of ischemic brain edema. Results: Cerebral water content increased during the 3-hour ischemic period, peaked at 30 minutes of reperfusion, and declined thereafter. Bradykinin levels in plasma and tissue rose markedly 30 minutes after reperfusion and fell thereafter. The progressive loss of adenosine triphosphate was mirrored by the rise in lactate. In the treated groups, aprotinin and soybean trypsin inhibitor administration significantly attenuated cerebral edema /? 0.01 and// 0.05, respectively . The treated groups also showed less lactate accumulation and more adenosine triphosphate preservation than did the controls. Conclusions: These results demonstrate that bradykinin levels in plasma and tissue corresponded to cerebral edema progression and that bradykinin suppression decreased edema formation. These novel findings indicate that bradykinin activation augments the progression of ischemic brain edema. Stroke 1993;24:571-576 KEY WORDS ? bradykinin ? brain edema ? cerebral ischemia ? rats radykinin is known to influ