Department of Medical Physics and Informatics, Faculty of Medicine & Faculty of Science and Informatics, University of Szeged, H-6720 Szeged, Korányi fasor 9, Hungary.
Sci Rep. 2017 Apr 25;7(1):1154. doi: 10.1038/s41598-017-01284-4.
Spreading depolarizations (SDs) occur spontaneously in the cerebral cortex of subarachnoid hemorrhage, stroke or traumatic brain injury patients. Accumulating evidence prove that SDs exacerbate focal ischemic injury by converting zones of the viable but non-functional ischemic penumbra to the core region beyond rescue. Yet the SD-related mechanisms to mediate neurodegeneration remain poorly understood. Here we show in the cerebral cortex of isoflurane-anesthetized, young and old laboratory rats, that SDs propagating under ischemic penumbra-like conditions decrease intra and- extracellular tissue pH transiently to levels, which have been recognized to cause tissue damage. Further, tissue pH after the passage of each spontaneous SD event remains acidic for over 10 minutes. Finally, the recovery from SD-related tissue acidosis is hampered further by age. We propose that accumulating acid load is an effective mechanism for SD to cause delayed cell death in the ischemic nervous tissue, particularly in the aged brain.
在蛛网膜下腔出血、中风或创伤性脑损伤患者的大脑皮层中,会自发出现扩散性去极化(SD)。越来越多的证据证明,SD 通过将存活但无功能的缺血半影区的区域转化为无法挽救的核心区域,从而加重局部缺血性损伤。然而,介导神经退行性变的 SD 相关机制仍知之甚少。在这里,我们在异氟烷麻醉的年轻和老年实验室大鼠大脑皮层中显示,在类似于缺血半影区的条件下传播的 SD 会使细胞内和细胞外组织 pH 短暂下降到已被认为会导致组织损伤的水平。此外,每次自发 SD 事件后,组织 pH 仍保持酸性超过 10 分钟。最后,年龄进一步阻碍了与 SD 相关的组织酸中毒的恢复。我们提出,积累的酸负荷是 SD 在缺血性神经组织中引起迟发性细胞死亡的有效机制,特别是在老年大脑中。