Background and Purpose: Injection of arginine vasopressin into the cerebral ventricles in animals with brain injury increased brain water, whereas injection of atrial natriuretic peptide reduced water content. Therefore, to determine the role of endogenous arginine vasopressin in brain edema, we attempted to inhibit edema from a hemorrhagic lesion with an arginine vasopressin V t receptor antagonist or atrial natriuretic peptide.Methods: Adult Sprague-Dawley rats with hemorrhages induced by 0.4 IU bacterial collagenase were treated with 75 ng (n=9) or 8 jug (n=9) of the vasopressin Vi receptor antagonist (CH 2 ) s Tyr(Me)Arg, 3.2 ftg (n=4) atrial natriuretic peptide injected intracerebrally, or 5 itg/kg per hour (n=7) atrial natriuretic peptide intraperitoneally. They were compared with control groups injected with 0.4 IU collagenase only. Brain water and electrolytes were measured 24 hours later. Brain uptake of [ and atrial natriuretic peptide (ANP) regulate water and electrolyte homeostasis by a series of complex actions at multiple sites in the body. There is increasing evidence that they play an important role in fluid balance in the central nervous system. Intravenous injection of AVP enhanced sodium transport into the cerebrospinal fluid (CSF) and lowered CSF production. 1 -2 Intraventricular injection of AVP increased transport of labeled water from blood to brain, enhanced water movement across the arachnoid villi, increased brain water content, aggravated cold-injury edema, and increased ependymal permeability but did not alter CSF production. 3 -7 In an earlier study we showed that the intracerebral injection of AVP caused an increase in brain water content that could be inhibited by an antagonist to the V, receptor of vasopressin.
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See Editorial Comment, p 1773Intraventricular injection of ANP reduced CSF production and lowered brain water, 910 while intraventricular or continuous intravenous infusion of ANP reduced cerebral edema secondary to ischemia.
11- 12 Recently, we developed a model of brain edema secondary to a hemorrhage produced by the intracerebral injection of bacterial collagenase. 13 This model was used to study the action of intrinsic AVP in edema production and to test the effect on edema of either an antagonist to the AVP V! receptor or ANP.
Materials and MethodsOne hundred twenty-seven adult Sprague-Dawley rats (Harlan Farms, Altamont, N.Y.) weighing 250-350 g were used in the study. The method for induction of an intracerebral hemorrhage has been described. syringe, was placed in a microinfusion pump (Harvard Instruments, South Natick, Mass.). The needle was implanted 5 mm below the cortex in the left caudoputamen, and 2 fil fluid containing 0.4 IU bacterial collagenase (Type VIIs, Sigma Chemical Co., St. Louis, Mo.) with or without the agents to be tested was infused over 9 minutes. The experimental protocols, approved by the Animal Research Committees at the University of New Mexico School of Medicine and the Veterans Affairs Medical Center, conformed to the guidelines esta...