{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T18:21:15Z","timestamp":1771957275303,"version":"3.50.1"},"reference-count":39,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>The role of adenosine A<jats:sub>2A<\/jats:sub> receptors in the early vascular response after subarachnoid hemorrhage (SAH) is unknown. In other forms of cerebral ischemia both activation and inhibition of A<jats:sub>2A<\/jats:sub> receptors is reported to be beneficial. However, these studies mainly used pharmacological receptor modulation, and most of the agents available exhibit low specificity. The authors used adenosine A<jats:sub>2A<\/jats:sub> receptor knockout mice to study the role of A<jats:sub>2A<\/jats:sub> receptors in the early vascular response to SAH.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Subarachnoid hemorrhage was induced in wild-type mice (C57BL\/6) and A<jats:sub>2A<\/jats:sub> receptor knockout mice by endovascular puncture. Cerebral blood flow, intracranial pressure, and blood pressure were recorded, and cerebral perfusion pressure was deduced. Animals were sacrificed at 1, 3, or 6 hours after SAH or sham surgery. Coronal brain sections were immunostained for Type IV collagen, the major protein of the basal lamina. The internal diameter of major cerebral arteries and the area fraction of Type IV collagen\u2013positive microvessels (&lt; 100 \u03bcm) were determined.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The initial increase in intracranial pressure and decrease in cerebral perfusion pressure at SAH induction was similar in both types of mice, but cerebral blood flow decline was significantly smaller in A<jats:sub>2A<\/jats:sub> receptor knockout mice as compared with wild-type cohorts. The internal diameter of major cerebral vessels decreased progressively after SAH. The extent of diameter reduction was significantly less in A<jats:sub>2A<\/jats:sub> receptor knockout mice than in wild-type mice. Type IV collagen immunostaining decreased progressively after SAH. This decrease was significantly less in A<jats:sub>2A<\/jats:sub> receptor knockout mice than in wild-type mice.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>These results demonstrate that global inactivation of A<jats:sub>2A<\/jats:sub> receptors decreases the intensity of the early vascular response to SAH. Early inhibition of A<jats:sub>2A<\/jats:sub> receptors after SAH might reduce cerebral injury.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2009.9.jns09802","type":"journal-article","created":{"date-parts":[[2009,11,6]],"date-time":"2009-11-06T14:50:29Z","timestamp":1257519029000},"page":"826-834","source":"Crossref","is-referenced-by-count":26,"title":["Adenosine A2A receptors in early ischemic vascular injury after subarachnoid hemorrhage"],"prefix":"10.3171","volume":"113","author":[{"given":"Fatima A.","family":"Sehba","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Neuroscience, Mount Sinai School of Medicine, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rowena","family":"Flores","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur","family":"Muller","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Friedrich","sequence":"additional","affiliation":[{"name":"Neuroscience, Mount Sinai School of Medicine, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiang-Fan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Boston University School of Medicine, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin W.","family":"Britz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Duke University, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. Richard","family":"Winn","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Neuroscience, Mount Sinai School of Medicine, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua B.","family":"Bederson","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-jns09802","series-title":"Stroke","first-page":"739","article-title":"Aggravated brain damage after hypoxic ischemia in immature adenosine A2A knockout mice","volume":"34","author":"Aden","year":"2003"},{"key":"b2-jns09802","series-title":"J Neurosurg","first-page":"454","article-title":"Pathogenetic role of no-reflow phenomenon in experimental subarachnoid hemorrhage in dogs","volume":"46","author":"Asano","year":"1977"},{"key":"b3-jns09802","series-title":"J Cereb Blood Flow Metab","first-page":"744","article-title":"Laser speckle 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