Ritz Marie-Françoise, Schmidt Petra, Mendelowitsch Aminadav
Department of Research, Neurosurgery Laboratory, Basel University Hospital, Klingelbergstrasse 50, 4056 Basel, Switzerland.
Brain Res. 2004 Oct 1;1022(1-2):157-63. doi: 10.1016/j.brainres.2004.07.004.
Elevation of extracellular levels of amino acids has been implicated in the pathogenesis of stroke. The failure of brain energy metabolism due to the lack of oxygen and glucose contributes also to cell loss. Estrogen has been shown to protect brain cells against ischemia by a still unclear mechanism. We used intracerebral microdialysis to monitor the effects of acute 17beta-estradiol treatment on the release of glutamate and aspartate and on the levels of the energy metabolites glucose and lactate. In male rats subjected to 90 min of transient middle cerebral artery occlusion followed by 24-h reperfusion, acute treatment with 17beta-estradiol (0.8 mg/kg, i.v.) at the time of occlusion reduced the ischemic infarct by about 50%. In these treated rats, the ischemia-induced increases of extracellular levels of glutamate and aspartate were significantly and rapidly reduced. The reduction of glucose level during occlusion was not affected by 17beta-estradiol treatment; however, the increase of extracellular lactate was reduced during occlusion and reperfusion, probably due to the reduced glutamate-driven astrocytic glycolysis. These data suggest that acute treatment with 17beta-estradiol at the onset of occlusion significantly reduces the ischemia-induced excitotoxicity in the cortex, a mechanism that may participate in the neuroprotective effect on cellular survival.
细胞外氨基酸水平升高与中风的发病机制有关。由于缺氧和葡萄糖导致的脑能量代谢衰竭也会导致细胞损失。雌激素已被证明可通过一种尚不清楚的机制保护脑细胞免受缺血损伤。我们使用脑内微透析来监测急性17β-雌二醇治疗对谷氨酸和天冬氨酸释放以及能量代谢物葡萄糖和乳酸水平的影响。在雄性大鼠中,进行90分钟的短暂大脑中动脉闭塞,随后再灌注24小时,在闭塞时用17β-雌二醇(0.8毫克/千克,静脉注射)进行急性治疗可使缺血性梗死面积减少约50%。在这些接受治疗的大鼠中,缺血诱导的细胞外谷氨酸和天冬氨酸水平的升高显著且迅速降低。闭塞期间葡萄糖水平的降低不受17β-雌二醇治疗的影响;然而,在闭塞和再灌注期间细胞外乳酸的增加减少,这可能是由于谷氨酸驱动的星形胶质细胞糖酵解减少所致。这些数据表明,在闭塞开始时用17β-雌二醇进行急性治疗可显著降低缺血诱导的皮质兴奋性毒性,这一机制可能参与了对细胞存活的神经保护作用。