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Biomedical subjects

G J Zipfel

Publications and source records attributed to G J Zipfel.

6 recordsLinked to original sources

Zinc translocation accelerates infarction after mild transient focal ischemia.

Excess release of chelatable zinc (Zn(2+)) from central synaptic vesicles may contribute to the pathogenesis of selective neuronal cell death following transient forebrain ischemia, but a role in neurodegeneration after focal ischemia has not been defined. Adult male Long-Evans rats subjected to middle cerebral artery occlusion (MCAO) for 30 min followed by reperfusion developed delayed cerebral infarction reaching completion 3 days after the insult. One day after the insult, many degenerating cerebral neurons exhibited increased intracellular Zn(2+), and some labeled with the antibody against activated caspase-3. I.c.v. administration of the Zn(2+) chelator, EDTA saturated with equimolar Ca(2+) (CaEDTA), 15 min prior to ischemia attenuated subsequent Zn(2+) translocation into cortical neurons, and reduced infarct volume measured 3 days after ischemia. Although the protective effect of CaEDTA at this endpoint was substantial (about 70% infarct reduction), it was lost when insult severity was increased (from 30 to 60 min MCAO), or when infarct volume was measured at a much later time point (14 days instead of 3 days after ischemia). These data suggest that toxic Zn(2+) translocation, from presynaptic terminals to post-synaptic cell bodies, may accelerate the development of cerebral infarction following mild transient focal ischemia.

Aminoquinolines↗

Neuronal apoptosis after CNS injury: the roles of glutamate and calcium.

While a role has been well established for excitotoxic necrosis in the pathogenesis of traumatic or ischemic damage to the CNS, accumulating evidence now suggests that apoptosis may also be a prominent contributor. In this review we focus on the role of glutamate and attendant intracellular calcium influx in triggering or modifying excitotoxic necrosis and apoptosis, raising the possibility that calcium influx may affect these two death pathways in opposite directions. Incorporating consideration of both pathways will probably be needed to develop the most effective neuroprotective treatments for CNS injury.

Animals↗

The changing landscape of ischaemic brain injury mechanisms.

Thrombolysis has become established as an acute treatment for human stroke. But despite multiple clinical trials, neuroprotective strategies have yet to be proved effective in humans. Here we discuss intrinsic tissue mechanisms of ischaemic brain injury, and present a perspective that broadening of therapeutic targeting beyond excitotoxicity and neuronal calcium overload will be desirable for developing the most effective neuroprotective therapies.

Apoptosis↗

Surgical treatment of paraclinoid and ophthalmic aneurysms.

Paraclinoid aneurysms include those arising from the ophthalmic segment and from the distal cavernous carotid artery or clinoid segment. Three aneurysm variants originate from the ophthalmic segment: ophthalmic artery, superior hypophyseal artery, and dorsal types. Clinoidal segment aneurysms arise from the carotid artery in the interval between the carotid oculomotor membrane proximally and the dural ring distally, and include anterior-lateral and medial variants. With proper exposure and a firm understanding of the parasellar osseous, dural, and vascular anatomy, most paraclinoid aneurysms are occluded with low risk to the brain or visual apparatus.

Carotid Artery Diseases↗