Geometries of vasculature bifurcation can affect the level of trophic damage during formation of a brain ischemic lesion

Biochem Soc Trans. 2017 Oct 15;45(5):1097-1103. doi: 10.1042/BST20160418. Epub 2017 Sep 12.

Abstract

Ischemic lesion is a common cause of various diseases in humans. Brain tissue is especially sensitive to this type of damage. A common reason for the appearance of an ischemic area is a stop in blood flow in some branch of the vasculature system. Then, a decreasing concentration gradient results in a low mean level of oxygen in surrounding tissues. After that, the biochemical ischemic cascade spreads. In this review, we examine these well-known events from a new angle. It is stressed that there is essential evidence to predict the formation of an ischemic micro-area at the base of vascular bifurcation geometries. Potential applications to improve neuroprotection are also discussed.

Keywords: diffusion; ischemia area; metabolic regulation; tropic level; vascular network.

Publication types

  • Review

MeSH terms

  • Animals
  • Blood Vessels / metabolism
  • Blood Vessels / pathology*
  • Brain / blood supply*
  • Brain / metabolism
  • Brain Ischemia / metabolism
  • Brain Ischemia / pathology*
  • Humans
  • Oxygen / metabolism

Substances

  • Oxygen