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research article

Non-invasive diagnostic biomarkers for estimating the onset time of permanent cerebral ischemia

Berthet, Carole
•
Xin, Lijing  
•
Buscemi, Lara
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2014
Journal of Cerebral Blood Flow & Metabolism

The treatments for ischemic stroke can only be administered in a narrow time-window. However, the ischemia onset time is unknown in ~30% of stroke patients (wake-up strokes). The objective of this study was to determine whether MR spectra of ischemic brains might allow the precise estimation of cerebral ischemia onset time. We modeled ischemic stroke in male ICR-CD1 mice using a permanent middle cerebral artery filament occlusion model with laser Doppler control of the regional cerebral blood flow. Mice were then subjected to repeated MRS measurements of ipsilateral striatum at 14.1[thinsp]T. A striking initial increase in [gamma]-aminobutyric acid (GABA) and no increase in glutamine were observed. A steady decline was observed for taurine (Tau), N-acetyl-aspartate (NAA) and similarly for the sum of NAA+Tau+glutamate that mimicked an exponential function. The estimation of the time of onset of permanent ischemia within 6[thinsp]hours in a blinded experiment with mice showed an accuracy of 33[plusmn]10[thinsp]minutes. A plot of GABA, Tau, and neuronal marker concentrations against the ratio of acetate/NAA allowed precise separation of mice whose ischemia onset lay within arbitrarily chosen time-windows. We conclude that 1H-MRS has the potential to detect the clinically relevant time of onset of ischemic stroke.

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Type
research article
DOI
10.1038/jcbfm.2014.155
Web of Science ID

WOS:000344428800013

Author(s)
Berthet, Carole
Xin, Lijing  
Buscemi, Lara
Benakis, Corinne
Gruetter, Rolf  
Hirt, Lorenz
Lei, Hongxia  
Date Issued

2014

Publisher

Nature Publishing Group

Published in
Journal of Cerebral Blood Flow & Metabolism
Volume

34

Issue

12

Start page

1848

End page

1855

Subjects

CIBM-AIT

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LIFMET  
CIBM  
Available on Infoscience
September 4, 2014
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/106691
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