Baker A J, Zornow M H, Scheller M S, Yaksh T L, Skilling S R, Smullin D H, Larson A A, Kuczenski R
Department of Anesthesiology, University of California San Diego, La Jolla.
J Neurochem. 1991 Oct;57(4):1370-9. doi: 10.1111/j.1471-4159.1991.tb08303.x.
Although considerable evidence supports a role for excitatory amino acids in the pathogenesis of ischemic neuronal injury, few in vivo studies have examined the effect of increasing durations of ischemia on the extracellular concentrations of these agents. Recently, other neurotransmitters (e.g., glycine and dopamine) have been implicated in the mechanism of ischemic neuronal injury. Accordingly, this study was undertaken to examine the patterns of changes of extracellular glutamate, aspartate, glycine concentrations in the hippocampus, and dopamine, serotonin, and dopamine metabolites in the caudate nucleus with varying durations (5, 10, or 15 minutes) of transient global cerebral ischemia as evidence to support their pathogenetic roles. Microdialysis was used to sample the brain's extracellular space before, during, and after the ischemic period. Glutamate and aspartate concentrations in the dialysate increased from baseline by 1-, 5-, and 13-fold and by 4-, 9-, and 31-fold, respectively, for the three ischemic durations. The concentrations returned to baseline rapidly after reperfusion. The peak concentrations of glutamate and aspartate were significantly higher with increasing ischemic duration. Dopamine concentrations increased by approximately 700-fold in response to all three ischemic durations and returned to baseline within 10 min of reperfusion. Glycine, in contrast, increased during ischemia by a mean of 4-fold, but remained elevated throughout the 80-min period of reperfusion. The final concentrations of glycine were significantly higher than baseline levels (p = 0.0002, Mann-Whitney test). That glutamate and aspartate concentrations in the hippocampus co-vary with the duration of global ischemia is taken as supportive evidence of their pathogenetic role in ischemic neuronal injury.(ABSTRACT TRUNCATED AT 250 WORDS)
尽管大量证据支持兴奋性氨基酸在缺血性神经元损伤发病机制中起作用,但很少有体内研究探讨缺血持续时间增加对这些物质细胞外浓度的影响。最近,其他神经递质(如甘氨酸和多巴胺)也被认为与缺血性神经元损伤机制有关。因此,本研究旨在检测在短暂性全脑缺血不同持续时间(5、10或15分钟)下,海马细胞外谷氨酸、天冬氨酸、甘氨酸浓度以及尾状核中多巴胺、5-羟色胺和多巴胺代谢产物的变化模式,以支持它们的致病作用。在缺血期之前、期间和之后,使用微透析法对脑的细胞外间隙进行采样。对于三种缺血持续时间,透析液中谷氨酸和天冬氨酸浓度分别比基线升高了1倍、5倍和13倍,以及4倍、9倍和31倍。再灌注后,浓度迅速恢复到基线。随着缺血持续时间增加,谷氨酸和天冬氨酸的峰值浓度显著升高。所有三种缺血持续时间下,多巴胺浓度均增加了约700倍,并在再灌注后10分钟内恢复到基线。相比之下,甘氨酸在缺血期间平均增加了4倍,但在整个80分钟的再灌注期内一直保持升高。甘氨酸的最终浓度显著高于基线水平(Mann-Whitney检验,p = 0.0002)。海马中谷氨酸和天冬氨酸浓度与全脑缺血持续时间共同变化,这被视为它们在缺血性神经元损伤中致病作用的支持证据。(摘要截断于250字)