Fornai F, Bassi L, Gesi M, Giorgi F S, Guerrini R, Bonaccorsi I, Alessandrì M G
Department of Human Morphology and Applied Biology, University of Pisa, Pisa, Italy.
Neuroscience. 2000;97(3):447-58. doi: 10.1016/s0306-4522(00)00038-5.
Previous studies have shown that physiological stimulation of brain activity increases anaerobic glucose consumption, both in humans and in experimental animals. To investigate this phenomenon further, we measured extracellular lactate levels within different rat brain regions, using microdialysis. Experiments were performed comparing the effects of natural, physiological olfactory stimulation of the limbic system with experimental limbic seizures. Olfactory stimulation was carried out by using different odors (i.e. both conventional odors: 2-isobutyl-3-methoxypyrazine, green pepper essence; thymol; and 2-sec-butylthiazoline, a sexual pheromone). Limbic seizures were either induced by systemic injection of pilocarpine (200-400 mg/kg) or focally elicited by microinfusions of chemoconvulsants (bicuculline 118 pmol and cychlothiazide 1.2 nmol) within the anterior piriform cortex. Seizures induced by systemic pilocarpine tripled lactic acid within the hippocampus, whereas limbic seizures elicited by focal microinfusion of chemoconvulsants within the piriform cortex produced a less pronounced increase in extracellular lactic acid. Increases in extracellular lactate occurring during olfactory stimulation with the sexual pheromone (three times the baseline levels) were non-significantly different from those occurring after systemic pilocarpine. Increases in lactic acid following natural olfactory stimulation were abolished both by olfactory bulbectomy and by the focal microinfusion of tetrodotoxin, while they were significantly attenuated by the local application of the N-methyl-D-aspartate antagonist AP-5. Increases in hippocampal lactate induced by short-lasting stimuli (olfactory stimulation or microinfusion of subthreshold doses of chemoconvulsants, bicuculline 30 pmol) were reproducible after a short delay (1 h) and cumulated when applied sequentially. In contrast, limbic status epilepticus led to a long-lasting refractoriness to additional lactate-raising stimuli and there was no further increase in lactate levels when the olfactory stimulation was produced during status epilepticus. Increases in lactic acid following olfactory stimulation occurred with site specificity in the rhinencephalon (hippocampus, piriform and entorhinal cortex) but not in the dorsal striatum. Site specificity crucially relied on the quality of the stimulus. For instance, other natural stimuli (i.e. tail pinch) produced a similar increase in extracellular lactate in all brain areas under investigation. The major conclusion of this work is that the presentation of an odor known to be a rat pheromone results in lactate production as great as that induced by the systemic convulsant pylocarpine (maximum: 2.286+/-0.195 mM and 1.803+/-0.108 mM, respectively). This supports the notion that the great magnitude of lactate production known to accompany seizures can result from the intensified neural activity per se ("aerobic gycolysis"), not merely from local anoxia or other pathological changes.
先前的研究表明,对大脑活动的生理刺激会增加无氧葡萄糖消耗,这在人类和实验动物中均有体现。为进一步研究这一现象,我们使用微透析法测量了不同大鼠脑区的细胞外乳酸水平。进行了实验,比较了边缘系统自然的、生理性嗅觉刺激与实验性边缘性癫痫发作的效果。通过使用不同气味(即传统气味:2 - 异丁基 - 3 - 甲氧基吡嗪、青椒香精;百里酚;以及2 - 仲丁基噻唑啉,一种性信息素)来进行嗅觉刺激。边缘性癫痫发作要么通过全身注射毛果芸香碱(200 - 400 mg/kg)诱导,要么通过在前梨状皮质内微量注射化学惊厥剂(荷包牡丹碱118 pmol和环噻嗪1.2 nmol)局部诱发。全身注射毛果芸香碱诱发的癫痫发作使海马体内乳酸增加了两倍,而在前梨状皮质内局部微量注射化学惊厥剂诱发的边缘性癫痫发作使细胞外乳酸增加的幅度较小。用性信息素进行嗅觉刺激时细胞外乳酸的增加(是基线水平的三倍)与全身注射毛果芸香碱后出现的增加无显著差异。自然嗅觉刺激后乳酸的增加在嗅球切除术后以及局部微量注射河豚毒素后均被消除,而在局部应用N - 甲基 - D - 天冬氨酸拮抗剂AP - 5后显著减弱。由短暂刺激(嗅觉刺激或微量注射阈下剂量的化学惊厥剂,荷包牡丹碱30 pmol)诱导的海马体乳酸增加在短暂延迟(1小时)后可重现,且依次应用时会累积。相比之下,边缘性癫痫持续状态导致对额外的乳酸升高刺激产生长期不应性,并且在癫痫持续状态期间进行嗅觉刺激时乳酸水平不再进一步升高。嗅觉刺激后乳酸的增加在嗅脑(海马体、梨状皮质和内嗅皮质)具有部位特异性,但在背侧纹状体中没有。部位特异性关键取决于刺激的性质。例如,其他自然刺激(即夹尾)在所有研究的脑区都会使细胞外乳酸产生类似的增加。这项工作的主要结论是,呈现已知为大鼠信息素的气味会导致乳酸产生量与全身惊厥剂毛果芸香碱诱导的量一样大(最大值分别为:2.286±0.195 mM和1.803±0.108 mM)。这支持了这样一种观点,即已知伴随癫痫发作的大量乳酸产生可能源于神经活动本身的增强(“有氧糖酵解”),而不仅仅是局部缺氧或其他病理变化。