2004
DOI: 10.1182/blood-2003-03-0835
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Essential role of endogenous tissue plasminogen activator through matrix metalloproteinase 9 induction and expression on heparin-produced cerebral hemorrhage after cerebral ischemia in mice

Abstract: Cerebral hemorrhage associated with antithrombotic and thrombolytic therapy in acute stroke continues to present a major clinical problem. Rupture of the cerebral microvasculature involves the degradation and remodeling of extracellular matrix. Here we demonstrated that the delayed administration of heparin 3 hours after photothrombotic middle cerebral artery occlusion (MCAO) caused cerebral hemorrhage in wild-type (WT) mice but not in tissue plasminogen activator (tPA)-deficient knockout (KO) mice. Heparin ad… Show more

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Cited by 75 publications
(63 citation statements)
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References 35 publications
(46 reference statements)
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“…Although Lo and colleagues (Asahi et al, 2001) could not unambiguously demonstrate degradation of laminin in the ischemic brain, they could not rule out this possibility. Our results support a model in which production of proMMP-9, and subsequent activation by NO (Gu et al, 2002) or tPA (Zhao et al, 2004), leads to laminin cleavage and resulting neuronal cell death. In fact, the effect of MMP-9 is functionally similar to that of tPA, which is also known to contribute to laminin degradation (Chen and Strickland, 1997;Wang et al, 1998;Indyk et al, 2003).…”
Section: Discussionsupporting
confidence: 85%
“…Although Lo and colleagues (Asahi et al, 2001) could not unambiguously demonstrate degradation of laminin in the ischemic brain, they could not rule out this possibility. Our results support a model in which production of proMMP-9, and subsequent activation by NO (Gu et al, 2002) or tPA (Zhao et al, 2004), leads to laminin cleavage and resulting neuronal cell death. In fact, the effect of MMP-9 is functionally similar to that of tPA, which is also known to contribute to laminin degradation (Chen and Strickland, 1997;Wang et al, 1998;Indyk et al, 2003).…”
Section: Discussionsupporting
confidence: 85%
“…2). In a mouse photothrombotic MCA occlusion model, delayed administration of heparin (3 hours after insult) failed to cause cerebral hemorrhage in tPA KO mice but significantly increased hemorrhage in WT (Zhao et al, 2004). Activity and mRNA levels of tPA were increased in microglial cells in the ischemic border of WT mice after heparin administration.…”
Section: Tpa Knockoutsmentioning
confidence: 94%
“…4,7,17 Male C57Bl/6 mice weighing 20 to 30 g were used. At 4 hours after MCA occlusion, 10 mg/kg of recombinant t-PA or the same volume of solvent was administered as a bolus in the tail or penile vein.…”
Section: Thrombotic Ischemic Stroke and Icbmentioning
confidence: 99%