Toner C C, Stamford J A
Academic Department of Anaesthesia and Intensive Care, St. Bartholomew's and the Royal London School of Medicine and Dentistry, Royal London Hospital, Whitechapel, United Kingdom.
Brain Res Bull. 1999 Mar 1;48(4):395-9. doi: 10.1016/s0361-9230(99)00016-7.
Release of neurotransmitters, including dopamine (DA), plays a central role in neuronal death during cerebral ischaemia. We investigated the effects of changes in energy demand and supply on DA release in cerebral ischaemia in vitro. Rat striatal slices were superfused (400 ml/h) with an artificial cerebrospinal fluid at 34 degrees C, unless otherwise stated. Ischaemia were mimicked by removal of O2 and reduction in glucose concentration from 4 to 2 mM. DA release was monitored by voltammetry. The profile of ischaemia-induced DA release was temperature-dependent. Hypothermia (to 24 degrees C) delayed, slowed, and reduced ischaemia-induced DA release relative to 34 degrees C. Pretreatment of the slices for 3 h with creatine (25 mM) delayed and slowed ischaemia-induced DA release. Conversely, blockade of Na+/K+ ATPase with ouabain induced an anoxic depolarisation and rapid DA release similar to ischaemia. In summary, the onset of DA release in this model is controlled by the balance between energy supply and utilisation. Strategies that increase availability of energy substrates for the membrane sodium pump (i.e., pre-incubation with creatine) or decrease their utilisation (hypothermia) slow and delay DA release. Hypothermia may owe part of its neuroprotective effect to a delay and slowing of ischaemia-induced release of DA and/or other neurotransmitters.
包括多巴胺(DA)在内的神经递质释放,在脑缺血期间的神经元死亡中起着核心作用。我们在体外研究了能量需求和供应变化对脑缺血中DA释放的影响。除非另有说明,大鼠纹状体切片在34℃下用人工脑脊液以400ml/h的速度进行灌流。通过去除氧气并将葡萄糖浓度从4mM降至2mM来模拟缺血。通过伏安法监测DA释放。缺血诱导的DA释放情况与温度有关。相对于34℃,低温(降至24℃)延迟、减缓并减少了缺血诱导的DA释放。用肌酸(25mM)对切片预处理3小时可延迟并减缓缺血诱导的DA释放。相反,用哇巴因阻断Na+/K+ATP酶会诱导缺氧去极化并导致类似于缺血的快速DA释放。总之,该模型中DA释放的起始受能量供应与利用之间平衡的控制。增加膜钠泵能量底物可用性的策略(即与肌酸预孵育)或降低其利用率(低温)会减缓并延迟DA释放。低温可能部分归因于其神经保护作用,即延迟并减缓缺血诱导的DA和/或其他神经递质的释放。