清理毛细血管栓塞新方法问世

Researchers at Northwestern University Feinberg School of Medicine have identified in mice a previously¹ unknown protective mechanism² by which the smallest blood vessels⁴（血管） remove blood clots⁵（血凝块，血栓） and other blockages⁷ from the brain. The findings provide insights into mechanisms⁸ that may be involved in age-related cognitive⁹（认知的，认识的） decline, Alzheimer's disease and recovery from stroke. These findings were described in the May 27 issue of Nature by Jaime Grutzendler, M.D., and colleagues. The study was supported by the National Institute on Aging (NIA), part of the National Institutes of Health.

Uninterrupted blood flow is critical for brain function, and the brain has developed various mechanisms to maintain it. Blockages（堵塞，妨碍） in the smallest blood vessels can be cleared by processes that disintegrate¹⁰（破碎，瓦解） or wash them out. However, not all blockages are cleared completely. Persistent¹¹ blockage⁶ can reduce or stop blood flow, limiting the supply of oxygen and nutrients¹² to the surrounding tissue and nerve cells. This, in turn, can lead to impaired¹³（受损的） communications between nerve cells and ultimately cell death.

The researchers used a newly developed imaging technique that can view the smallest blood vessels, known as microvessels（微脉管） , in the brains of living mice. They found that two to seven days after a blockage in brain microvessels, the cells lining¹⁴ the blood vessel³ wall engulf¹⁵（吞没） the remaining portion of the blockage, encapsulate（压缩，封装） it, seal it off from the interior of the blood vessel and finally expel the blocking material outside of the vessel. As a result of this process, blood flow is restored to the affected¹⁶ area.

"These are intriguing¹⁷（米人的，有趣的） findings," said NIA Director Richard J. Hodes, M.D. "They open new avenues of basic research that may increase our understanding of how microvessels are maintained in the brain and throughout the body."

The research team demonstrated that this complex protective mechanism involves the activity of an enzyme¹⁸（酶） , matrix metalloprotease 2/9, which breaks down large proteins and is known to play a role in blood vessel development and in stroke.

The researchers also found that the ability to move the blockage out of the blood vessel diminished（减少，削弱） with age. Young mice (age 4 months) were able to clear blockages more quickly and thoroughly¹⁹ than older mice (age 22 months). The incomplete removal of blockages in the brains of older mice led to a prolonged（延长的，拖延的） shortage of oxygen to the surrounding nerve cells and damaged the connections between nerve cells in the vicinity of（在……附近） the obstructed²⁰ blood vessels.

"The reduced efficiency of this protective mechanism in the older brain and its effect on the function of nerve cells in the brain may significantly contribute to age-related cognitive decline," said Suzana Petanceska, Ph.D., of the Neurobiology of Aging Branch in NIA's Division of Neuroscience, which funded the research. "This may also be part of the mechanism by which vascular²¹（血管的） risk factors such as high blood pressure and diabetes²²（糖尿病） increase the risk of Alzheimer's disease with age."