Fukuchi T, Katayama Y, Terashi A
Second Department of Internal Medicine, Nippon Medical School, Tokyo, Japan.
Nihon Ika Daigaku Zasshi. 1996 Apr;63(2):117-26. doi: 10.1272/jnms1923.63.117.
Pyruvate dehydrogenase (PDH) is one of the mitochondrial enzymes which regulate the glucose metabolism. The purpose of this study is to determine the effect of the duration of cerebral ischemia on PDH activity and the metabolites. Cerebral ischemia was produced by bilateral common carotid artery occlusion in Mongolian Gerbils. 20-minute (1) and 60-minute ischemic groups (2) were made. PDH activity and energy metabolites (ATP, PCr, lactate) were measured in the caudate nucleus and cortex at each time period. 1) 20 min ischemic group: PDH activity significantly increased after 20-min ischemia in both the caudate nucleus and cortex, and decreased to levels less than that of the control after 20 min reperfusion. At 60 and 120 min reperfusion, PHD activity returned to the control levels. ATP and PCr concentrations were significantly depleted after the ischemic insult, returning to 60-80% of the control level after reperfusion. Lactate concentrations increased significantly after ischemia, and were reduced by reperfusion. 2) 60 min ischemic group: PDH activity significantly increased after 60 min ischemia, and decreased but remained higher than the control level after 20 min reperfusion. At 60 and 120 min reperfusion, PDH activity gradually decreased towards control levels. ATP and PCr concentrations were depleted after ischemia, and were gradually restored after 20 min reperfusion, recovering to 50% after 60 min reperfusion. Lactate concentrations increased after the ischemic insult, and became more elevated after reperfusion. These findings indicate that there is a significant difference in the PDH activity and metabolism depending on the duration of ischemia. The data suggest that impaired metabolism and persistent elevation of PDH activity may be caused by damage to the mitochondria allowing the influx of Ca2+ during prolonged ischemia.
丙酮酸脱氢酶(PDH)是调节葡萄糖代谢的线粒体酶之一。本研究的目的是确定脑缺血持续时间对PDH活性和代谢产物的影响。通过双侧颈总动脉闭塞在蒙古沙鼠中制造脑缺血。设立了20分钟(1组)和60分钟缺血组(2组)。在每个时间段测量尾状核和皮质中的PDH活性以及能量代谢产物(ATP、磷酸肌酸、乳酸)。1)20分钟缺血组:尾状核和皮质在缺血20分钟后PDH活性显著增加,再灌注20分钟后降至低于对照组的水平。在再灌注60分钟和120分钟时,PHD活性恢复到对照水平。缺血损伤后ATP和磷酸肌酸浓度显著降低,再灌注后恢复到对照水平的60 - 80%。缺血后乳酸浓度显著增加,再灌注后降低。2)60分钟缺血组:缺血60分钟后PDH活性显著增加,再灌注20分钟后降低但仍高于对照水平。在再灌注60分钟和120分钟时,PDH活性逐渐降至对照水平。缺血后ATP和磷酸肌酸浓度降低,再灌注20分钟后逐渐恢复,再灌注60分钟后恢复到50%。缺血损伤后乳酸浓度增加,再灌注后进一步升高。这些发现表明,根据缺血持续时间,PDH活性和代谢存在显著差异。数据表明,代谢受损和PDH活性持续升高可能是由于长时间缺血期间线粒体受损导致Ca2+内流所致。