Sommer Clemens, Fahrner Alexander, Kiessling Marika
Department of Neuropathology, Ruprecht-Karls University of Heidelberg, Heidelberg, Germany.
Stroke. 2002 Jun;33(6):1698-705. doi: 10.1161/01.str.0000016404.14407.77.
Excitotoxic activation of glutamate receptors is currently thought to play a pivotal role in delayed neuronal death (DND) of highly vulnerable CA1 neurons in the gerbil hippocampus after transient global ischemia. Postischemic degeneration of these neurons can be prevented by "preconditioning" with a short sublethal ischemic stimulus. The present study was designed to test whether ischemic preconditioning is associated with specific alterations of ligand binding to excitatory glutamate and/or inhibitory gamma-aminobutyric acid (GABA)A receptors compared with ischemia severe enough to induce DND.
With the use of quantitative receptor autoradiography, postischemic ligand binding of [3H]MK-801 and [3H]alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) to excitatory N-methyl-D-aspartate (NMDA) and AMPA receptors as well as [3H]muscimol to inhibitory GABA(A) receptors in hippocampal subfields CA1, CA3, and the dentate gyrus were analyzed in 2 experimental paradigms. Gerbils were subjected to (1) a 5-minute ischemic period resulting in DND of CA1 neurons and (2) a 2.5-minute period of ischemia mediating tolerance induction.
[3H]MK-801 and [3H]AMPA binding values to excitatory NMDA and AMPA receptors showed a delayed decrease in relatively ischemia-resistant CA3 and dentate gyrus despite maintained neuronal cell density. [3H]Muscimol binding to GABA(A) receptors in CA1 neurons was transiently but significantly increased after preconditioning but not after global ischemia with consecutive neuronal death.
Downregulation of ligand binding to glutamate receptors in relatively ischemia-resistant CA3 and dentate gyrus neurons destined to survive suggests marked synaptic reorganization processes despite maintained structural integrity. More importantly, upregulation of binding to inhibitory GABA(A) receptors in the hippocampus indicates a relative shift between inhibitory and excitatory neurotransmission that we suggest may participate in endogenous postischemic neuroprotection.
目前认为,谷氨酸受体的兴奋性毒性激活在沙土鼠海马短暂性全脑缺血后高度易损的CA1神经元延迟性神经元死亡(DND)中起关键作用。这些神经元的缺血后变性可通过短时间亚致死性缺血刺激的“预处理”来预防。本研究旨在测试与足以诱导DND的严重缺血相比,缺血预处理是否与配体与兴奋性谷氨酸和/或抑制性γ-氨基丁酸(GABA)A受体结合的特定改变有关。
采用定量受体放射自显影术,在2种实验范式中分析了海马CA1、CA3和齿状回亚区中,缺血后[3H]MK-801和[3H]α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)与兴奋性N-甲基-D-天冬氨酸(NMDA)和AMPA受体的配体结合情况,以及[3H]蝇蕈醇与抑制性GABA(A)受体的配体结合情况。沙土鼠接受(1)5分钟缺血期,导致CA1神经元DND,以及(2)2.5分钟缺血期以介导耐受性诱导。
尽管神经元细胞密度保持不变,但在相对抗缺血的CA3和齿状回中,[3H]MK-801和[3H]AMPA与兴奋性NMDA和AMPA受体的结合值显示出延迟下降。预处理后,CA1神经元中[3H]蝇蕈醇与GABA(A)受体的结合短暂但显著增加,而在伴有连续神经元死亡的全脑缺血后则未增加。
注定存活的相对抗缺血的CA3和齿状回神经元中,与谷氨酸受体结合的配体下调表明,尽管结构完整性得以维持,但仍存在明显的突触重组过程。更重要的是,海马中与抑制性GABA(A)受体结合的上调表明抑制性和兴奋性神经传递之间发生了相对转变,我们认为这可能参与了内源性缺血后神经保护。