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Acta neurochirurgica. Supplementum 1994

Partial deuteration and blood-brain barrier (BBB) permeability.

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Y Nakagawa
H Hatanaka
M Moritani
K Kitamura
K Matsumoto
M Kobayashi

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Boron neutron capture therapy (BNCT) is one method of radio-surgery used for malignant brain tumor. The theory of this method is based on the nuclear reaction that occurs when boron-10 is radiated with and absorbs neutrons. When treating deep-seated brain tumor, partial deuteration of body water is used to improve the penetration of neurons into the tissue. In order to investigate the change in the BBB function under partial deuteration, we measured brain water content and the permeability of protein. Wistar rats were given 99% heavy water (approx. 10% of body weight/day) as drinking water. On the day of the experiment, all animals received 125-I labeled albumin as a tracer of protein. Light water in the control group or heavy water (D2O) in the experimental group was given by drip infusion for 60 min. Heavy water was measured by infrared spectroscopic analysis. Water content was measured by the freeze-dry method. The radioactivity of 125-I was determined with a gamma scintillation counter. Mean values of D2O concentration in the tissue were 17.9-36.5%. Water content increased in the cortex in all animals. The ratio of 125-I in the brain tissue to blood showed significant differences between the control group and animals deuterated to more than 30% of body water. Brain tissue deuterated over 10% showed a mild leakage of water, indicating the early stage of brain edema. Deuteration higher than 30% caused a leakage of protein, which might indicate the leakage of boron compound from the vessels into the normal brain tissue.

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