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Human Recombinant Tissue-Plasminogen Activator (Alteplase): Why Not Use the ‘Human’ Dose for Stroke Studies in Rats?
Author(s) -
Benoît Haelewyn,
JeanJacques Risso,
Jacques H. Abraini
Publication year - 2010
Publication title -
journal of cerebral blood flow and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.167
H-Index - 193
eISSN - 1559-7016
pISSN - 0271-678X
DOI - 10.1038/jcbfm.2010.33
Subject(s) - recombinant tissue plasminogen activator , tissue plasminogen activator , medicine , stroke (engine) , t plasminogen activator , pharmacology , thrombolysis , plasminogen activator , fibrinolytic agent , recombinant dna , anesthesia , ischemia , ischemic stroke , chemistry , myocardial infarction , biochemistry , mechanical engineering , modified rankin scale , engineering , gene
Since a pioneer work that has shown in vitro that the rat's fibrinolytic system is 10-fold less sensitive to recombinant tissue-plasminogen activator (rtPA) than the human system, most preclinical studies are performed with 10 instead of 0.9 mg/kg rtPA (the clinical dose in stroke patients). In this study, we compared the effects of these doses on mean time to reperfusion, reperfusion slope, brain infarct volume and edema in a rat model of thrombo-embolic stroke. Our data provide evidence that the dose of 0.9 mg/kg rtPA is as appropriate as that of 10 mg/kg for preclinical stroke studies in rodents.

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