Martin L J, Brambrink A M, Lehmann C, Portera-Cailliau C, Koehler R, Rothstein J, Traystman R J
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21205-2196, USA.
Ann Neurol. 1997 Sep;42(3):335-48. doi: 10.1002/ana.410420310.
The neonatal striatum degenerates after hypoxia-ischemia (H-I). We tested the hypothesis that damage to astrocytes and loss of glutamate transporters accompany striatal neurodegeneration after H-I. Newborn piglets were subjected to 30 minutes of hypoxia (arterial O2 saturation, 30%) and then 7 minutes of airway occlusion (O2 saturation, 5%), producing cardiac arrest, followed by cardiopulmonary resuscitation. Piglets recovered for 24, 48, or 96 hours. At 24 hours, 66% of putaminal neurons were injured, without differing significantly thereafter, but neuronal densities were reduced progressively (21-44%). By DNA nick-end labeling, the number of dying putaminal cells per square millimeter was increased maximally at 24 to 48 hours. Glial fibrillary acidic protein-positive cell body densities were reduced 48 to 55% at 24 to 48 hours but then recovered by 96 hours. Early postischemia, subsets of astrocytes had fragmented DNA; later postischemia, subsets of astrocytes proliferated. By immunocytochemistry, glutamate transporter 1 (GLT1) was lost after ischemia in the astroglial compartment but gained in cells appearing as neurons, whereas neuronal excitatory amino acid carrier 1 (EAAC1) dissipated. By immunoblotting, GLT1 and EAAC1 levels were 85% and 45% of control, respectively, at 24 hours of recovery. Thus, astroglial and neuronal injury occurs rapidly in H-I newborn striatum, with early gliodegeneration and glutamate transporter abnormalities possibly contributing to neurodegeneration.
缺氧缺血(H-I)后新生纹状体发生退化。我们检验了以下假设:H-I后纹状体神经变性伴随着星形胶质细胞损伤和谷氨酸转运体丧失。新生仔猪经历30分钟缺氧(动脉血氧饱和度30%),随后7分钟气道阻塞(血氧饱和度5%),导致心脏骤停,接着进行心肺复苏。仔猪恢复24、48或96小时。在24小时时,66%的壳核神经元受损,此后无显著差异,但神经元密度逐渐降低(21%-44%)。通过DNA缺口末端标记法,每平方毫米死亡的壳核细胞数量在24至48小时时达到最大值。胶质纤维酸性蛋白阳性细胞体密度在24至48小时时降低48%至55%,但在96小时时恢复。缺血早期,部分星形胶质细胞DNA片段化;缺血后期,部分星形胶质细胞增殖。通过免疫细胞化学方法检测,缺血后星形胶质细胞区室中的谷氨酸转运体1(GLT1)丢失,但在看似神经元的细胞中增加,而神经元兴奋性氨基酸载体1(EAAC1)消散。通过免疫印迹法检测,恢复24小时时,GLT1和EAAC1水平分别为对照的85%和45%。因此,H-I新生纹状体中星形胶质细胞和神经元损伤迅速发生,早期胶质细胞变性和谷氨酸转运体异常可能导致神经变性。