Age-dependent neonatal intracerebral hemorrhage in plasminogen activator inhibitor 1 knockout mice

J Neuropathol Exp Neurol. 2014 May;73(5):387-402. doi: 10.1097/NEN.0000000000000062.

Abstract

Intracerebral-intraventricular hemorrhages (ICH/IVH) in very preterm neonates are responsible for high mortality and subsequent disabilities. In humans, tissue plasminogen activator (t-PA) initiates fibrinolysis and activates endoluminal-endothelial receptors; dysfunction of the t-PA inhibitor (PAI-1) results in recurrent hemorrhages. We used PAI-1 knockout (PAI-1) mice to examine the role of t-PA in age-dependent intracranial hemorrhages as a possible model of preterm ICH/IVH. Intracortical injection of 2 μL of phosphate-buffered saline produced a small traumatic injury and a high rate of hemorrhage in PAI-1 pups at postnatal day 3 (P3) or P5, whereas it had no effect in wild-type neonates. This resulted in white matter and cortical lesions, ventricle enlargement, hyperlocomotion, and altered cortical levels of serotonin and dopamine in the adult PAI mice. N-methyl-D-aspartate receptor blockers, plasmin- and matrix metalloproteinases inhibitors reduced hemorrhage and tissue lesions. In contrast to P3 to P5, no significant hemorrhages were induced in P10 PAI-1 pups and there were no behavioral or neurochemical alterations in adulthood. These data suggest that microvascular immaturity up to P5 in mice is a determinant factor required for t-PA-dependent vascular rupture. Neonatal PAI-1 mice could be a useful ICH/IVH model for studying the ontogenic window of vascular immaturity and vascular protection against later neurodisabilities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aging / physiology*
  • Aminocaproic Acid / administration & dosage
  • Animals
  • Animals, Newborn
  • Aprotinin / administration & dosage
  • Cerebral Hemorrhage / genetics
  • Cerebral Hemorrhage / metabolism*
  • Cerebral Hemorrhage / physiopathology*
  • Disease Models, Animal
  • Female
  • Male
  • Mice
  • Mice, 129 Strain
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Motor Activity / drug effects
  • Motor Activity / physiology
  • Phenotype
  • Serpin E2 / antagonists & inhibitors
  • Serpin E2 / deficiency*
  • Serpin E2 / physiology

Substances

  • Serpin E2
  • Serpine2 protein, mouse
  • Aprotinin
  • Aminocaproic Acid