Background and Purpose-To clarify the role of vascular NAD(P)H oxidase in the pathogenesis of cerebral vasospasm after subarachnoid hemorrhage (SAH), both the activity and/or activation mechanisms of NAD(P)H oxidase in the cerebral vasculature and the effect of oxidase inhibition on SAH-induced cerebral vasospasm were assessed. Methods-The changes in the luminal perimeter of the middle cerebral artery were measured histologically after SAH was induced according to a 2-hemorrhage model in rats. The NAD(P)H oxidase activity in the cerebral vasculature was measured with a lucigenin assay at different time intervals from 12 hours to 14 days after injection of autologous blood into cisterna magna. The membrane translocation of p47phox and the protein expression of membrane subunits (gp91phox and p22phox) of NAD(P)H oxidase were analyzed using Western blot analysis. Results-The luminal perimeter of the middle cerebral artery started to decrease on day 1 and peaked on day 5 after a second injection of blood, and these changes were significantly ameliorated by treatment with an NAD(P)H oxidase inhibitor, diphenyleneiodonium. At 24 hours after the second injection of blood, both vascular production of superoxide anion and NAD(P)H oxidase activity were markedly increased with enhanced membrane translocation of p47phox, but by 48 hours the enzyme activity had regained normal values. However, no significant changes in the expression of gp91phox and p22phox were observed throughout the experiments. Conclusions-These findings suggest that the activation of NAD(P)H oxidase through enhanced assembly of the oxidase components in the early stages of SAH might contribute to the delayed cerebral vasospasm in SAH rats.

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There has been debate as to whether there is a size difference between central and peripheral processes of dorsal root ganglion cells. In the present study, the mean areas of myelinated and unmyelinated fibers are measured as 27.8 micron2 and 0.55 micron2, respectively, in peripheral nerves and 13.72 micron2 and 0.14 micron2 in dorsal roots. Thus myelinated central processes of dorsal root ganglion cells have mean areas 50% less than the mean areas of the myelinated sensory axons in the same peripheral nerves, and the mean diameters of the central myelinated axons are 30% less than the peripheral myelinated axons. The mean areas of the unmyelinated sensory axons in the dorsal roots are 25% of the mean areas of the unmyelinated sensory unmyelinated axons are 50% of the mean diameters of the unmyelinated sensory axons in the same peripheral nerves. These data indicate that both myelinated and unmyelinated central processes of dorsal root ganglion cells are smaller than the peripheral processes of these same cells for lumbosacral segments in the rat. It is shown that axonal tapering is not responsible for these striking differences. Finally, documentation of differences in myelinated fiber histograms from dorsal roots of different segments in the rat is provided.

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