Nakayama H
No To Shinkei. 1986 Nov;38(11):1043-50.
Focal brain lesion is known to induce changes of blood flow and glucose metabolism in the areas other than the lesioned part itself. A well known example of this remote effect is so called diaschisis. To clarify the role of neurotransmitters in this phenomenon, amino acid neurotransmitters were measured in rat basal ganglia after middle cerebral artery occlusion. In the same ischemia model, blood flow and glucose metabolism have been reported to increase in the ipsilateral substantia nigra and globus pallidus in the postischemia period. Our results showed that GABA and aspartate were reduced in ipsilateral substantia nigra and globus pallidus from the 3rd day on, with glutamate level showing no significant change. In the contralateral substantia nigra, GABA increased significantly from the 1st day through the 28th day, whereas glutamate or aspartate showed no significant change. The same, although less pronounced, tendency was observed in the contralateral globus pallidus. In contralateral striatum, GABA increased only during the 1st week. These results may be interpreted as follows. GABA and aspartate were reduced in ipsilateral substantia nigra and globus pallidus due to the afferent pathway interruption caused by focal ischemia. The reduction of inhibitory GABA probably set neurons in these nuclei in a relatively activated state, resulting in the elevation of glucose metabolism and blood flow. Increment of GABA in contralateral substantia nigra and globus pallidus can be attributed to a compensation for the reduction inn ipsilateral nuclei, because the increment was observed even in a chronic phase. This hitherto unknown phenomenon will raise an interesting problem as to the plasticity of the damaged brain.
已知局灶性脑损伤会在损伤部位本身以外的区域引起血流和葡萄糖代谢的变化。这种远隔效应的一个著名例子就是所谓的交叉性小脑失联络。为了阐明神经递质在这一现象中的作用,在大脑中动脉闭塞后对大鼠基底神经节中的氨基酸神经递质进行了测量。在同一缺血模型中,据报道在缺血后期同侧黑质和苍白球的血流和葡萄糖代谢增加。我们的结果显示,从第3天起,同侧黑质和苍白球中的γ-氨基丁酸(GABA)和天冬氨酸减少,而谷氨酸水平无显著变化。在对侧黑质中,从第1天到第28天GABA显著增加,而谷氨酸或天冬氨酸无显著变化。在对侧苍白球中也观察到同样的趋势,尽管不太明显。在对侧纹状体中,GABA仅在第1周增加。这些结果可以如下解释。同侧黑质和苍白球中的GABA和天冬氨酸减少是由于局灶性缺血导致传入通路中断。抑制性GABA的减少可能使这些核中的神经元处于相对激活状态,从而导致葡萄糖代谢和血流增加。对侧黑质和苍白球中GABA的增加可归因于对同侧核中减少的一种代偿,因为这种增加甚至在慢性期也能观察到。这种迄今未知的现象将引发一个关于受损大脑可塑性的有趣问题。