Microdialysis as clinical evaluation of therapeutic hypothermia in rat subdural hematoma model

Shoji Yokobori, Markus S. Spurlock, Stephanie W. Lee, Shyam Gajavelli, Ross Bullock

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations

Abstract

Cerebral microdialysis (MD) is a fine laboratory technique which has been established for studying physiological, pharmacological, and pathological changes in the experimental studies of traumatic brain injury (TBI). This technique has also been well translated and widely applied to clinical bedside monitoring to provide pathophysiological analysis in severe TBI patients. The MD technique is thus well suited for straightforward translation from basic science to clinical application. In this chapter, we describe our evaluation of MD method in acute subdural hematoma (ASDH) rat model. With 100 kDa cut-off microdialysis membrane, we could measure several biomarkers such as ubiquitin carboxy hydrolase L1 (UCH-L1), a neuronal marker and glial fibrillary acidic protein (GFAP), and a glial marker in extracellular fluid. In this experiment, we could detect that the peak of extracellular UCH- L1 in the early hypothermia group was significantly lower than in the normothermia group. Also, in the late phase of reperfusion (>2.5 h after decompression), extracellular GFAP in the early hypothermia group was lower than in the normothermia. These data thus suggested that early, preoperatively induced hypothermia could mediate the reduction of neuronal and glial damage in the reperfusion phase of ischemia/reperfusion brain injury. Microdialysis allows for the direct measurement of extracellular molecules in an attempt to characterize metabolic derangements before they become clinically relevant. Advancements in technology have allowed for the bedside assay of multiple markers of ischemia and metabolic dysfunction, and the applications for traumatic brain injury have been well established. As clinicians become more comfortable with these tools their widespread use and potential for clinical impact with continue to rise.

Original languageEnglish (US)
Title of host publicationMethods in Molecular Biology
PublisherHumana Press Inc.
Pages413-431
Number of pages19
Volume1462
DOIs
StatePublished - 2016
Externally publishedYes

Publication series

NameMethods in Molecular Biology
Volume1462
ISSN (Print)10643745

Keywords

  • Experimental model
  • Microdialysis
  • Pathophysiology
  • Subdural hematoma
  • Therapeutic hypothermia
  • Traumatic brain injury

ASJC Scopus subject areas

  • Molecular Biology
  • Genetics

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    Yokobori, S., Spurlock, M. S., Lee, S. W., Gajavelli, S., & Bullock, R. (2016). Microdialysis as clinical evaluation of therapeutic hypothermia in rat subdural hematoma model. In Methods in Molecular Biology (Vol. 1462, pp. 413-431). (Methods in Molecular Biology; Vol. 1462). Humana Press Inc.. https://doi.org/10.1007/978-1-4939-3816-2_23