Tanaka N
Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.
Hokkaido Igaku Zasshi. 1997 May;72(3):329-42.
Metabolic disruption resulted from cerebral ischemia and post-ischemia reperfusion injury was studied using proton magnetic resonance spectroscopy (1H MRS). We also analyzed the effect of 3-methyl-1-phenyl-2-pyrazolin-5-one (MCI-186) which can scavenge free radicals induced in the brain tissue due to ischemic-reperfusion in this experiment. The ischemic model was produced using rat forebrain ischemic model (Pulsinelli's 4 vessels occlusion model). Post-ischemic reperfusion was also induced by the re-opening of the occluded common carotid arteries. The occluded time was 30 min and reperfusion time 0, 10, 30, 60 min. We obtained the specimens in the cortex under microwave fixation. Choline and acetate increased during ischemia and gradually decreased during reperfusion period. These two signals seen in 1H MRS are supposed to represent cell membrane components (products) and the increase of these signals after reperfusion seems to be related to the post ischemic reperfusion injury due to the explosive increase of free radicals. Lactate, which is induced by anaerobic glycolysis, increased during ischemia and promptly disappeared after reperfusion. The treatment of pre-ischemic administration of MCI-186 significantly suppressed increases of choline and acetate. As far as lactate is concerned, post-ischemic administration of this drug significantly reduced its increase at the point of reperfusion. Our results suggest that MCI-186 alternates changes induced by ischemic-reperfusion injury in membranous metabolism, probably due to its free radical scavenging action.
采用质子磁共振波谱(1H MRS)研究脑缺血及缺血后再灌注损伤所致的代谢紊乱。在本实验中,我们还分析了3-甲基-1-苯基-2-吡唑啉-5-酮(MCI-186)的作用,该药物可清除因缺血再灌注在脑组织中诱导产生的自由基。缺血模型采用大鼠前脑缺血模型(普尔西内利四血管闭塞模型)制作。通过重新开放闭塞的颈总动脉诱导缺血后再灌注。闭塞时间为30分钟,再灌注时间为0、10、30、60分钟。我们在微波固定下获取皮质标本。胆碱和乙酸盐在缺血期间增加,在再灌注期间逐渐减少。1H MRS中看到的这两个信号被认为代表细胞膜成分(产物),再灌注后这些信号的增加似乎与自由基的爆发性增加导致的缺血后再灌注损伤有关。由无氧糖酵解诱导产生的乳酸在缺血期间增加,再灌注后迅速消失。缺血前给予MCI-186治疗可显著抑制胆碱和乙酸盐的增加。就乳酸而言,缺血后给予该药物可显著降低再灌注时其增加幅度。我们的结果表明,MCI-186可能通过其自由基清除作用改变缺血再灌注损伤诱导的膜代谢变化。