Wednesday, September 12, 2018

Roles of Nicotine in the Development of Intracranial Aneurysm Rupture

You'll have to ask your doctor if the problem is the nicotine or the many thousands of unknown sustances in cigarettes.  Because I'm going to get nicotine patches for my next stroke. Don't follow me, I'm not medically trained in stroke. Is your doctor? What proof does your doctor show you of the results they provide on recovering from stroke? Just listening to my doctor talk about my stroke it was incredibly obvious he knew absolutely nothing about stroke recovery.

34 posts on nicotine which your doctor will know zilch about. Time for you to train your doctor again. I'm going to do the nicotine patches for my next stroke even though I have no clue on dosage.

Roles of Nicotine in the Development of Intracranial Aneurysm Rupture

Originally publishedStroke. 2018;0:STROKEAHA.118.021706

Background and Purpose—

Tobacco cigarette smoking is considered to be a strong risk factor for intracranial aneurysmal rupture. Nicotine is a major biologically active constituent of tobacco products. Nicotine’s interactions with vascular cell nicotinic acetylcholine receptors containing α7 subunits (α7*-nAChR) are thought to promote local inflammation and sustained angiogenesis. In this study, using a mouse intracranial aneurysm model, we assessed potential contributions of nicotine exposure and activation of α7*-nAChR to the development of aneurysmal rupture.

Methods—

Intracranial aneurysms were induced by a combination of deoxycorticosterone-salt induced hypertension and a single-dose elastase injection into cerebrospinal fluid in mice.

Results—

Exposure to nicotine or an α7*-nAChR–selective agonist significantly increased aneurysm rupture rate. Coexposure to an α7*-nAChR antagonist abolished nicotine’s deleterious effect. In addition, nicotine’s promotion of aneurysm rupture was absent in smooth muscle cell–specific α7*-nAChR subunit knockout mice but not in mice lacking α7*-nAChR on endothelial cells or macrophages. Nicotine treatment increased the mRNA levels of vascular endothelial growth factor, platelet-derived growth factor-B, and inflammatory cytokines. α7*-nAChR antagonist reversed nicotine-induced upregulation of these growth factors and cytokines.

Conclusions—

Our findings indicate that nicotine exposure promotes aneurysmal rupture through actions on vascular smooth muscle cell α7*-nAChR.

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