Nisticò Robert, Piccirilli Silvia, Sebastianelli L, Nisticò Giuseppe, Bernardi G, Mercuri N B
Department of Experimental Neurology, S. Lucia Foundation IRCCS, Rome, Italy.
Int Rev Neurobiol. 2007;82:383-95. doi: 10.1016/S0074-7742(07)82021-6.
There is a common belief that the opening of K(+)-ATP channels during an ischemic episode has protective effects on neuronal functions by inducing a reduction in energy consumption. However, recent studies have also proposed that activation of these channels might have deleterious effects on cell's survival possibly after a stroke or during long-lasting neurodegenerative processes. Considering these contrasting results, we have used a hippocampal in vitro slice preparation in order to investigate the possible effects of K(+)-ATP channel blockers on the electrophysiological and morphological changes induced by a transient episode of ischemia (oxygen and glucose deprivation) on CA1 pyramidal neurons. Therefore, we found that tolbutamide and glibenclamide, both nonselective K(+)-ATP channel blockers, produce neuroprotective effects against in vitro ischemia. Interestingly, the mitochondrial K(+)-ATP channel blocker 5-hydroxydecanoate and various K(+) channel blockers did not exert neuroprotection. Our results are consistent with the concept that a decreased activity of the plasmalemmal K(+)-ATP conductances may have a protective effect during episodes of transient cerebral ischemia.
有一种普遍的观点认为,缺血发作期间K(+)-ATP通道的开放通过减少能量消耗对神经元功能具有保护作用。然而,最近的研究也提出,这些通道的激活可能在中风后或长期神经退行性过程中对细胞存活产生有害影响。考虑到这些相互矛盾的结果,我们使用海马体体外切片制备来研究K(+)-ATP通道阻滞剂对短暂缺血发作(氧和葡萄糖剥夺)诱导的CA1锥体神经元电生理和形态变化的可能影响。因此,我们发现,非选择性K(+)-ATP通道阻滞剂甲苯磺丁脲和格列本脲对体外缺血具有神经保护作用。有趣的是,线粒体K(+)-ATP通道阻滞剂5-羟基癸酸和各种K(+)通道阻滞剂并未发挥神经保护作用。我们的结果与以下概念一致,即在短暂性脑缺血发作期间,质膜K(+)-ATP电导活性降低可能具有保护作用。