Globus M Y, Ginsberg M D, Harik S I, Busto R, Dietrich W D
Department of Neurology, University of Miami School of Medicine, Fl 33101.
Neurology. 1987 Nov;37(11):1712-9. doi: 10.1212/wnl.37.11.1712.
We studied the effect of a prior unilateral substantia nigra lesion on the recovery of local cerebral glucose utilization (lCMRgl) and blood flow (lCBF), measured autoradiographically, following 30 minutes of forebrain ischemia in rats. On the lesioned side, striatal dopamine (DA) and its metabolites were depleted by more than 95% and did not change after ischemia. In contrast, significant increases in striatal DA metabolites occurred on the nonlesioned side following ischemia. Despite unilateral DA depletion, no side-to-side lCBF differences were observed. However, the normally occurring postischemic restoration of lCMRgl in the dorsolateral striatum at 2 and 4 hours of recirculation was suppressed on the DA-depleted side, and the degree of lCMRgl/lCBF uncoupling diminished. These results suggest that integrity of the DA system accentuates postischemic metabolism/flow uncoupling in the striatum and may therefore contribute to selective ischemic injury of this structure.
我们研究了大鼠单侧黑质预先损伤对前脑缺血30分钟后局部脑葡萄糖利用率(lCMRgl)和血流量(lCBF)恢复的影响,这些指标通过放射自显影法测量。在损伤侧,纹状体多巴胺(DA)及其代谢产物耗竭超过95%,且缺血后无变化。相反,缺血后未损伤侧纹状体DA代谢产物显著增加。尽管单侧DA耗竭,但未观察到lCBF的左右侧差异。然而,在再灌注2小时和4小时时,DA耗竭侧背外侧纹状体中正常出现的缺血后lCMRgl恢复受到抑制,lCMRgl/lCBF解偶联程度降低。这些结果表明,DA系统的完整性会加剧缺血后纹状体中的代谢/血流解偶联,因此可能导致该结构的选择性缺血性损伤。