Choi K T, Chung J K, Kwak C S, Kim H K
Department of Anesthesiology, Keimyung University School of Medicine, Taegu, Korea.
Ann N Y Acad Sci. 1995 Sep 15;765:86-97. doi: 10.1111/j.1749-6632.1995.tb16563.x.
Glutamate (GLU) is a neurotransmitter. Massive release of GLU and glycine (GLY) into the brain's extracellular space may be triggered by ischemia, and may result in acute neuronal lysis or delayed neuronal death. The aim of this study was to evaluate the possible relationship between hyperventilation and the level of GLU and GLY during brain ischemia. Rabbits were anesthetized with halothane and oxygen. Group 1 was allowed to hyperventilate (PaCO2 25-35 mmHg). PaCO2 was maintained throughout the study. Group 2 was a normal control group that maintained normocapnia. Two global cerebral ischemic episodes were produced. Microdialysate was collected during the periischemic and reperfusion periods from the dorsal hippocampus. GLU and GLY concentrations were determined using high-performance liquid chromatography. In the control group, GLU and GLY were significantly elevated during each episode of ischemia; these levels returned to baseline within 10 minutes after reperfusion. In contrast, in the hyperventilation group GLU and GLY concentrations increased during ischemia, but they were not statistically significant. Two way ANOVA for the periischemic periods (t = 15,80; p = 0.06) revealed lower GLU values for the hyperventilated animals. A similar analysis for periischemic GLY concentrations revealed significantly lower values in the hyperventilated group (t = 10,15,75,80: p = 0.03) as compared to normal controls. We were able to demonstrate that hypocapnia during periischemic period lowered extracellular GLU and GLY concentrations. These results can explain a part of the protective action of hypocapnia during cerebral ischemia.
谷氨酸(GLU)是一种神经递质。缺血可能引发大量谷氨酸和甘氨酸(GLY)释放到脑的细胞外间隙,这可能导致急性神经元溶解或迟发性神经元死亡。本研究的目的是评估脑缺血期间过度通气与谷氨酸和甘氨酸水平之间的可能关系。用氟烷和氧气麻醉兔子。第1组进行过度通气(动脉血二氧化碳分压[PaCO2]为25 - 35 mmHg)。在整个研究过程中维持PaCO2水平。第2组为维持正常碳酸血症的正常对照组。制造两次全脑缺血发作。在缺血周围期和再灌注期从背侧海马体收集微量透析液。使用高效液相色谱法测定谷氨酸和甘氨酸浓度。在对照组中,每次缺血发作期间谷氨酸和甘氨酸显著升高;这些水平在再灌注后10分钟内恢复到基线。相比之下,在过度通气组中,缺血期间谷氨酸和甘氨酸浓度升高,但无统计学意义。对缺血周围期进行的双向方差分析(t = 15.80;p = 0.06)显示,过度通气动物的谷氨酸值较低。对缺血周围期甘氨酸浓度进行的类似分析显示,与正常对照组相比,过度通气组的值显著较低(t = 10.15、75.80:p = 0.03)。我们能够证明,缺血周围期的低碳酸血症降低了细胞外谷氨酸和甘氨酸浓度。这些结果可以解释低碳酸血症在脑缺血期间的部分保护作用。