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Blood transfusions can protect stroke patients from brain damage, studies in mice show

 


Research on mice suggests that blood transfusion may protect patients from brain damage after stroke.

Strokes, caused by inadequate blood supply reaching parts of the brain through either thrombus or ruptured blood vessels, often lead to long-term disability.

This condition is also one of the largest murderers in Britain. More than 100,000 strokes occur each year in the UK, killing about 38,000 people.

Researchers in the US have found that stroke-inducing mice had reduced symptoms after being infused with blood from a healthy companion.

The team believes that infusion helps lower post-stroke levels of proteins that can damage brain cells.

Blood substitution is an area of ​​increasing interest in medicine. COVID-19 (New Coronavirus Infection) (# If there is no character limit, add parentheses when first appearing And Parkinson’s disease..

Blood transfusions may protect patients from brain damage after stroke, studies suggest in mice (stock image).

Blood transfusions may protect patients from brain damage after stroke, studies suggest in mice (stock image).

“Acute stroke causes a complex pathological and systemic response that could not be treated with a single drug therapy,” says Sophie Wren, a neuroscientist at the University of West Virginia.

‘A new treatment strategy is proposed. There, blood replacement definitely reduces damage and improves neuropathy in mice. ‘

Among the side effects of stroke is the risk of the blood-brain barrier breaking down-allowing the plasma component of blood to damage brain cells-along with the adverse systemic reactions that can occur outside the brain.

In a study, Professor Ren and colleagues showed that blood replacement therapy could minimize this injury in 333 male mice injected with blood 7 hours after receiving an induced stroke. ..

This treatment worked by reducing the levels of protein matrix metalloproteinase-9 (abbreviated MMP-9) in the bloodstream of mice, along with inflammatory chemicals and immune cells. It may also provide oxygen and other neuroprotective factors.

In the healthy body, MMP-9 is involved in the destruction of the so-called “extracellular matrix,” which provides cells with structural and biochemical support.

This protein plays a role in normal body functions such as bone growth, embryogenesis, and wound healing, but it can also harm gray matter.

“It is known that blood levels of MMP-9 increase in mice (and humans) in the first few hours of a stroke,” Len explained.

Researchers found that blood infusion reduced the amount of dead tissue as a result of oxygen deprivation, but it also improved brain function.

In contrast, replacement therapy did not work when MMP-9 was artificially added to the infused blood — proving that protein removal was important.

In their study, Len and colleagues demonstrated that blood replacement therapy can minimize this injury in 333 male mice injected with blood seven hours after receiving an induced stroke. Done (stock image)

In their study, Len and colleagues demonstrated that blood replacement therapy can minimize this injury in 333 male mice injected with blood seven hours after receiving an induced stroke. Done (stock image)

“These findings suggest that blood replacement fights inflammation by lowering blood and brain MMP-9 levels in post-stroke mice,” said Ren.

Our study is the first to show that therapy leads to very good results controlled via MMP-9. It provides new insights into the damage mechanism of stroke.

Although stroke still remains the leading cause of illness and death worldwide, treatment of current conditions tends to focus on surgical resection or drug destruction of blood clots, says Len. ..

However, these methods have limited time windows. In the clinical field of stroke, the mantra is “time is the brain.” Because damage evolves every minute,” said Ren.

“Currently, blood-based therapies are emerging as a treatment to combat aging and combat neurodegenerative diseases,” continued Professor Ren.

“The results of this study could represent a breakthrough in stroke treatment, as this innovative treatment strategy could reduce mortality in stroke patients and improve stroke outcomes.”

“These results can provide the basis for future use of blood replacement therapy in clinical trials to improve treatment of stroke.”

All research results were published in the journal Natural communication..

Causes of stroke

There are two types of strokes.

1. Ischemic stroke

Ischemic stroke, which accounts for 80% of strokes, occurs when there is a blockage of blood vessels that prevents blood from reaching part of the brain.

2. Hemorrhagic stroke

The less common, hemorrhagic stroke occurs when a blood vessel ruptures, spilling excess blood into a portion of the brain while robbing other areas of the proper blood supply.

This can be the result of AVMs in the brain, or arteriovenous malformations (abnormal clusters of blood vessels).

30% of patients with subarachnoid hemorrhage die before reaching the hospital. An additional 25% die within 24 hours. Also, 40% of survivors die within a week.

Risk factor

Age, high blood pressure, smoking, obesity, a sedentary lifestyle, diabetes, atrial fibrillation, family history, and a history of previous stroke or TIA are all risk factors for stroke.

Symptoms of stroke

  • Sudden numbness or weakness of the face, arms or legs, especially on one side of the body
  • Sudden confusion, trouble in conversation or understanding
  • Sudden or impaired vision in one or both eyes
  • Sudden walking difficulty, dizziness, loss of balance or impaired coordination
  • Sudden and severe headache of unknown cause

Achievement

Many of the approximately three in four people who survive a stroke have a lifelong disability.

This includes difficulty in walking, communicating, eating, and completing daily tasks and household chores.

processing

Both can be fatal and the patient must be saved within 3 hours with surgery or using a drug called tPA (tissue plasminogen activator). Causes of stroke

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