Chi O Z, Chang Q, Wang G, Liu X, Weiss H R
Department of Anesthesia, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08901-1977, USA.
Neurol Res. 1999 Apr;21(3):299-304. doi: 10.1080/01616412.1999.11740935.
This study was performed to test whether GYKI 52466, a nonNMDA receptor antagonist, would improve microregional oxygen supply and consumption balance in the focal cerebral ischemic area. Rats were anesthetized with 1.4% isoflurane. For the GYKI Group (n = 8), 10 min before middle cerebral artery (MCA) occlusion, a bolus of 5 mg kg-1 of GYKI 52466 i.v. was administered and was followed by an infusion of 5 mg kg-1 h-1. For the Control Group (n = 8), the same volume of the vehicle was administered. One hour after MCA occlusion, regional cerebral blood flow (rCBF) was measured using the 14C-iodoantipyrine autoradiographic technique. Microscopic arterial and venous oxygen saturations were determined using microspectrophotometry. In the cortex contralateral to MCA occlusion, the average rCBF and the average O2 consumption were lower in the GYKI Group than in the Control Group (rCBF: GYKI 65.5 +/- 24.1 ml 100 g-1 min-1, Control 97.7 +/- 33.4 ml 100 g-1 min-1; O2 consumption: GYKI 3.9 +/- 1.2 ml O2 100 g-1 min-1, Control 6.2 +/- 2.5 ml O2 100 g-1 min-1) without a significant difference in the number of veins with SvO2 < 50%. In the ischemic cortex, the number of veins with SvO2 < 50% was significantly smaller in the GYKI Group (21 veins out of 63) than in the Control Group (45 out of 59) without a significant difference in the average rCBF (GYKI 44.9 +/- 17.7, Control 29.7 +/- 10.4) or regional O2 consumption between these two groups (GYKI 3.3 +/- 1.4, Control 2.7 +/- 1.2). Our data demonstrated that GYKI 52466 was effective in improving microscopic O2 balance in the focal ischemic cortical area of the brain and it decreased O2 consumption in the non-ischemic cortex.
本研究旨在测试非NMDA受体拮抗剂GYKI 52466是否能改善局灶性脑缺血区域的微区氧供与氧耗平衡。大鼠用1.4%异氟烷麻醉。对于GYKI组(n = 8),在大脑中动脉(MCA)闭塞前10分钟,静脉推注5 mg/kg的GYKI 52466,随后以5 mg/kg·h-1的速度输注。对于对照组(n = 8),给予相同体积的溶媒。MCA闭塞1小时后,采用14C-碘安替比林放射自显影技术测量局部脑血流量(rCBF)。用显微分光光度法测定微血管动脉和静脉血氧饱和度。在MCA闭塞对侧的皮质中,GYKI组的平均rCBF和平均氧耗低于对照组(rCBF:GYKI组为65.5±24.1 ml/100 g-1·min-1,对照组为97.7±33.4 ml/100 g-1·min-1;氧耗:GYKI组为3.9±1.2 ml O2/100 g-1·min-1,对照组为6.2±2.5 ml O2/100 g-1·min-1),而SvO2<50%的静脉数量无显著差异。在缺血皮质中,GYKI组SvO2<50%的静脉数量(63条中有21条)明显少于对照组(59条中有45条),两组间平均rCBF(GYKI组为44.9±17.7,对照组为29.7±10.4)或局部氧耗无显著差异(GYKI组为3.3±1.4,对照组为2.7±1.2)。我们的数据表明,GYKI 52466能有效改善脑局灶性缺血皮质区域的微观氧平衡,并降低非缺血皮质的氧耗。