Timothy Suttle
Preceptor: Gavin Britz, MD, MPH
Institution: University of Washington
Delayed cerebral vasospasm and the resulting ischemia remains a significant
cause of morbidity and mortality following subarachnoid hemorrhage (SAH). Given
the importance of nitric oxide (NO) in the maintenance of cerebral blood flow
(CBF), there is a substantial body of evidence suggesting that both the production,
as well as, the effector mechanisms of NO are adversely affected after SAH.
Since small diameter arterioles play a critical role in regulating CBF, our
hypothesis is that SAH alters NO-mediated cerebral arteriolar reactivity, preventing
normal physiologic responses, resulting in ischemia. In this proposal, we plan
to: (1) test the hypothesis that SAH results in increased PDE-5 expression
in cerebral arterioles. (2) test the hypothesis that attenuated NO-mediated
vasodilatation of cerebral arterioles following SAH is due to increased PDE-5
activity and (3) test the hypothesis that inhibition of PDE-5 activity
improves outcome following SAH.
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