Journal of Capital Medical University ›› 2014, Vol. 35 ›› Issue (6): 748-754.doi: 10.3969/j.issn.1006-7795.2014.06.014

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Effect of local intraarterial infusion of low-dose erythropoietin in combination with tissue plasminogen activator on focal cerebral ischemia in rats

Wang Rongliang, Zhao Haiping, Wu Xiaoning, Gao Jinhuan, Ji Xunming, Luo Yumin   

  1. Cerebrovascular Diseases Research Institute, Xuanwu Hospital, Capital Medical University, Beijing Geriatric Medical Research Center, Beijing 100053, China
  • Received:2014-08-18 Published:2014-12-15
  • Supported by:

    This study was supported by National Natural Science Foundation of China(81071058, 81201028, 81271461).

Abstract:

Objective To investigate the effect of local intraarterial infusion of low-dose erythropoietin(EPO) in combination with tissue plasminogen activator(tPA) on focal cerebral ischemic stroke. Methods Adult male Sprague-Dawley rats were subjected to middle cerebral artery occlusion for 2 or 4 h, followed by a tPA infusion over 30 min at the onset of reperfusion, with or without EPO(800 IU/kg) infusion via middle cerebral artery. A total of 50 male rats were randomly divided into 5 groups. Results Local intraarterial infusion of low-dose EPO in combination with tPA protected against transient focal cerebral ischemia in rats, manifested by a decrease in mortality, neurological deficit scores, brain edema and hemorrhage with no hematological side effects after 24 h reperfusion. The levels of p-AKT and p-ERK were both increased in response to administration of EPO, suggesting a concurrent activation of AKT and ERK pathways. Conclusion Local intraarterial infusion of low-dose EPO in combination with tPA protected against focal cerebral ischemia in rats with no significant side effects, involving activation of AKT and ERK pathways.

Key words: erythropoietin, tissue plasminogen activator, neuroprotection, cerebral ischemia, reperfusion

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