Publications by authors named "Roseleen John"

Brain injury, such as from stroke and trauma, can be complicated by elevated intracranial pressure (ICP). Although raised ICP can be a significant determinant of morbidity and mortality, clinical studies often report widely varying ICP measurements depending on location of measurement and technique used. For the same reasons, reported ICP measurements also vary widely in animal models.

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Therapeutic hypothermia (TH) mitigates neuronal injury in models of ischemic stroke. Although this therapy is meant for injured tissue, most protocols cool the whole body, including the contralesional hemisphere. Neuroplasticity responses within this hemisphere can affect functional outcome.

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Article Synopsis
  • - Dysfunction or death from intracerebral hemorrhage (ICH) can result from oxidative stress caused by free iron, which leads to neuronal damage.
  • - Iron chelators, like the hydroxyquinoline inhibitor adaptaquin, can help protect neurons and improve recovery after ICH by targeting iron-dependent enzymes called HIF-PHDs.
  • - Adaptaquin's protective effects against neuronal death appear to involve inhibiting the pro-death factor ATF4, rather than activating survival pathways, showing potential for better outcomes in ICH treatment.
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Brain injury, such as from intracerebral hemorrhage (ICH), causes edema and raises intracranial pressure (ICP)--a potentially life-threatening complication. Clinical studies suggest that therapeutic hypothermia (TH) reduces edema and ICP after ICH. Similarly, animal studies show that TH can sometimes reduce edema, but whether ICP would be attenuated is not known.

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Animal studies testing whether therapeutic hypothermia is neuroprotective after intracerebral hemorrhage (ICH) have been inconclusive. In rodents, ICH is often produced in the striatum by infusing collagenase, which causes prolonged hemorrhaging from multiple vessels. Our previous data shows that this bleeding (hematoma) is worsened by systemic hypothermia given soon after collagenase infusion.

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