A global phenomenological model of ischemic stroke with stress on spreading depressions.

In this paper, we establish a new global phenomenological model of ischemic stroke. It takes into account local ischemia, energy reduction, propagation of spreading depressions (SD), damages to the cells and cellular death by apoptosis or necrosis. The spatial diffusion of the ions in the extracellular space which triggers the propagation of SD is a central point here. First we expose the various biological hypotheses that we have made in this model, and then we explain how to determine the parameters and solve the system of equations that we obtain. Next we present some results of this model: we simulate a KCl injection and then a local ischemia. Finally we discuss results and propose some improvements for this model.

[1]  R. Ojemann,et al.  Thresholds of focal cerebral ischemia in awake monkeys. , 1981, Journal of neurosurgery.

[2]  Uwe Heinemann,et al.  Ceiling of stimulus induced rises in extracellular potassium concentration in the cerebral cortex of cat , 1977, Brain Research.

[3]  D. Spray,et al.  Gap Junction-Mediated Bidirectional Signaling between Human Fetal Hippocampal Neurons and Astrocytes , 2002, Developmental Neuroscience.

[4]  Aaron L Fogelson,et al.  A mathematical study of volume shifts and ionic concentration changes during ischemia and hypoxia. , 2003, Journal of theoretical biology.

[5]  Claude Gasquet,et al.  Analyse de Fourier et applications : filtrage, calcul numérique, ondelettes , 1990 .

[6]  Claude Gasquet,et al.  Analyse de Fourier et applications : filtrage, calcul numérique, ondelettes , 1990 .

[7]  J. Girvin,et al.  Spreading depression of Leao in rodent and human cortex , 1995 .

[8]  D Le Bihan,et al.  Prediction of tissue survival after middle cerebral artery occlusion based on changes in the apparent diffusion of water. , 2001, Journal of neurosurgery.

[9]  S. Laughlin,et al.  An Energy Budget for Signaling in the Grey Matter of the Brain , 2001, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[10]  Bruce E. Shapiro,et al.  Osmotic Forces and Gap Junctions in Spreading Depression: A Computational Model , 2004, Journal of Computational Neuroscience.

[11]  R. Bogacz,et al.  Progress in Biophysics and Molecular Biology , 2010 .

[12]  Rüdiger Köhling,et al.  Spreading depression in human neocortical slices , 2001, Brain Research.

[13]  J A Reggia,et al.  Spreading Depression in Focal Ischemia: A Computational Study , 1998, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[14]  G. Somjen,et al.  Conditions for the triggering of spreading depression studied with computer simulations. , 2002, Journal of neurophysiology.

[15]  S. Cory,et al.  The Bcl-2 protein family: arbiters of cell survival. , 1998, Science.

[16]  P Trouillas,et al.  Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Second European-Australasian Acute Stroke Study Investigators. , 1998, Lancet.

[17]  Charles Nicholson,et al.  Perspectives on spreading depression , 2000, Brain Research Reviews.

[18]  Steven Goldman,et al.  Gap-junction-mediated propagation and amplification of cell injury , 1998, Nature Neuroscience.

[19]  A. Heimann,et al.  Spreading depression induces permanent cell swelling under penumbra conditions. , 2000, Acta neurochirurgica. Supplement.

[20]  P. Barber,et al.  Understanding and managing ischemic stroke. , 2001, Canadian journal of physiology and pharmacology.

[21]  Idan Segev,et al.  Methods in Neuronal Modeling , 1988 .

[22]  G. Dienel,et al.  Neighborly interactions of metabolically-activated astrocytes in vivo , 2003, Neurochemistry International.

[23]  D. Warner,et al.  Cortical spreading depression recorded from the human brain using a multiparametric monitoring system , 1997 .

[24]  Ali Gorji,et al.  Spreading depression: a review of the clinical relevance , 2001, Brain Research Reviews.

[25]  M. Lauritzen,et al.  Spreading and Synchronous Depressions of Cortical Activity in Acutely Injured Human Brain , 2002, Stroke.

[26]  E. Avignone,et al.  Gap junctions and connexin expression in the normal and pathological central nervous system , 2002, Biology of the cell.

[27]  A. A. Leão,et al.  SPREADING DEPRESSION OF ACTIVITY IN THE CEREBRAL CORTEX , 1944 .

[28]  J. Girvin,et al.  Spreading depression of Lea˜o in rodent and human cortex , 1994, Brain Research.

[29]  Michael F. James,et al.  Cortical spreading depression and migraine: new insights from imaging? , 2001, Trends in Neurosciences.

[30]  Stig Larsson,et al.  Partial differential equations with numerical methods , 2003, Texts in applied mathematics.

[31]  Dwaine F Emerich Clinical trials with neuroprotective drugs in acute ischaemic stroke: are we doing the right thing? , 2000, Trends in Neurosciences.

[32]  C. Iadecola,et al.  Caspase inhibitors reduce neuronal injury after focal but not global cerebral ischemia in rats. , 2000, Stroke.

[33]  J. Bureš,et al.  Functional ablation by spreading depression: possible use in human stereotactic neurosurgery. , 1977, Applied neurophysiology.

[34]  C. Nair,et al.  Epidemiology of stroke in Canada. , 1994, Health reports.

[35]  M. Nedergaard,et al.  Gap junctions are required for the propagation of spreading depression. , 1995, Journal of neurobiology.

[36]  A. Gass,et al.  Failure to Demonstrate Peri-Infarct Depolarizations by Repetitive MR Diffusion Imaging in Acute Human Stroke , 2000, Stroke.

[37]  Jean-Pierre Boissel,et al.  Mathematical Modelling of an Ischemic Stroke: An Integrative Approach , 2004, Acta biotheoretica.

[38]  Avraham Mayevsky,et al.  Cortical spreading depression recorded from the human brain using a multiparametric monitoring system , 1996, Brain Research.

[39]  G. Mies,et al.  Correlation between peri-infarct DC shifts and ischaemic neuronal damage in rat. , 1993, Neuroreport.

[40]  A. Buchan,et al.  Caspase inhibitors reduce neuronal injury in animal ischemic models , 1999 .

[41]  Jean-Pierre Boissel,et al.  A mathematical model of ion movements in grey matter during a stroke. , 2006, Journal of theoretical biology.

[42]  M. Kaste,et al.  Intravenous thrombolysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The European Cooperative Acute Stroke Study (ECASS) , 1995, JAMA.

[43]  H C Tuckwell,et al.  Predictions and properties of a model of potassium and calcium ion movements during spreading cortical depression. , 1980, The International journal of neuroscience.

[44]  F. Dudek,et al.  Cell-Specific Expression of Connexins and Evidence of Restricted Gap Junctional Coupling between Glial Cells and between Neurons , 2001, The Journal of Neuroscience.

[45]  M. Moskowitz,et al.  Pathobiology of ischaemic stroke: an integrated view , 1999, Trends in Neurosciences.

[46]  K. Kogure,et al.  Biochemical and Molecular Characteristics of the Brain with Developing Cerebral Infarction , 1999, Cellular and molecular neurobiology.

[47]  M. Kaste,et al.  Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II) , 1998, The Lancet.

[48]  Robert M Friedlander,et al.  Apoptosis and caspases in neurodegenerative diseases. , 2003, The New England journal of medicine.

[49]  Elisabeth Tournier-Lasserve,et al.  The Genetics of Migraine , 2002, The Lancet Neurology.

[50]  Sylvie Chabaud,et al.  Physiologically Based Model of Acute Ischemic Stroke , 2002, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[51]  George G. Somjen,et al.  Ions in the Brain: Normal Function, Seizures, and Stroke , 2004 .

[52]  R. Andrew,et al.  Glutamate Does Not Mediate Acute Neuronal Damage after Spreading Depression Induced by O2/Glucose Deprivation in the Hippocampal Slice , 2000, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[53]  J A Reggia,et al.  A computational model of visual hallucinations in migraine , 1996, Comput. Biol. Medicine.

[54]  G. Donnan,et al.  Salvaging The Ischaemic Penumbra: More Than Just Reperfusion? , 2002, Clinical and experimental pharmacology & physiology.

[55]  Alain Destexhe,et al.  Ions in the Brain, Normal Function, Seizures, and Stroke, G.G. Somjen. Oxford University Press, Oxford, UK (2004), 432 pages, ISBN: 0195151712 , 2005 .

[56]  Dwaine F. Emerich Clinical trials with neuroprotective drugs in acute ischaemic stroke: are we doing the right thing? , 1999 .

[57]  Guillemette Chapuisat,et al.  Discussion of a simple model of spreading depressions , 2007 .