Journal of Applied Physiology Watch the video to learn how APS reaches out to developing nations.
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


J Appl Physiol 91: 123-129, 2001;
8750-7587/01 $5.00
This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Harris, A. P.
Right arrow Articles by Gleason, C. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Harris, A. P.
Right arrow Articles by Gleason, C. A.
Vol. 91, Issue 1, 123-129, July 2001

Blood-brain barrier permeability during dopamine-induced hypertension in fetal sheep

Andrew P. Harris1, Roderick Robinson2, Raymond C. Koehler1, Richard J. Traystman1, and Christine A. Gleason3

Departments of 1 Anesthesiology/Critical Care Medicine and 2 Pediatrics, The Johns Hopkins University, Baltimore, Maryland 21287; and 3 Department of Pediatrics, University of Washington, Seattle, Washington 98195

Dopamine is often used as a pressor agent in sick newborn infants, but an increase in arterial blood pressure could disrupt the blood-brain barrier (BBB), especially in the preterm newborn. Using time-dated pregnant sheep, we tested the hypothesis that dopamine-induced hypertension increases fetal BBB permeability and cerebral water content. Barrier permeability was assessed in nine brain regions, including cerebral cortex, caudate, thalamus, brain stem, cerebellum, and spinal cord, by intravenous injection of the small tracer molecule [14C]aminoisobutyric acid at 10 min after the start of dopamine or saline infusion. We studied 23 chronically catheterized fetal sheep at 0.6 (93 days, n = 10) and 0.9 (132 days, n = 13) gestation. Intravenous infusion of dopamine increased mean arterial pressure from 38 ± 3 to 53 ± 5 mmHg in 93-day fetuses and from 55 ± 5 to 77 ± 8 mmHg in 132-day fetuses without a decrease in arterial O2 content. These 40% increases in arterial pressure are close to the maximum hypertension reported for physiological stresses at these ages in fetal sheep. No significant increases in the brain transfer coefficient of aminoisobutyric acid were detected in any brain region in dopamine-treated fetuses compared with saline controls at 0.6 or 0.9 gestation. There was also no significant increase in cortical water content with dopamine infusion at either age. We conclude that a 40% increase in mean arterial pressure during dopamine infusion in normoxic fetal sheep does not produce substantial BBB disruption or cerebral edema even as early as 0.6 gestation.

aminoisobutyric acid; blood pressure; cerebral edema; fetus


This article has been cited by other articles:


Home page
J. Appl. Physiol.Home page
D. E. Mayock, R. Bennett, R. D. Robinson, and C. A. Gleason
Dopamine does not limit fetal cerebrovascular responses to hypoxia
J Appl Physiol, January 1, 2007; 102(1): 130 - 134.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
A. B Blood, C. J Hunter, and G. G Power
Adenosine mediates decreased cerebral metabolic rate and increased cerebral blood flow during acute moderate hypoxia in the near-term fetal sheep
J. Physiol., December 15, 2003; 553(3): 935 - 945.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Visit Other APS Journals Online