Kawai K, Nakagomi T, Kirino T, Tamura A, Kawai N
Department of Neurosurgery, Teikyo University School of Medicine, Tokyo, Japan.
J Cereb Blood Flow Metab. 1998 Mar;18(3):288-96. doi: 10.1097/00004647-199803000-00007.
Preconditioning with sublethal ischemia induces tolerance to subsequent lethal ischemia in neurons. We investigated electrophysiologic aspects of the ischemic tolerance phenomenon in the gerbil hippocampus. Gerbils were subjected to 2 minutes of forebrain ischemia (preconditioning ischemia). Some of them were subjected to a subsequent 5 minutes of forebrain ischemia 2 to 3 days after the preconditioning ischemia (double ischemia). Hippocampal slices were prepared from these gerbils subjected to the preconditioning or double ischemia, and field excitatory postsynaptic potentials were recorded from CA1 pyramidal neurons. Capacity for long-term potentiation triggered by tetanic stimulation (tetanic LTP) was transiently inhibited 1 to 2 days after the double ischemia but then recovered. Latency of anoxic depolarization was not significantly different between slices from preconditioned gerbils and those from sham-operated gerbils when these slices were subjected to in vitro anoxia. Postanoxic potentiation of N-methyl-D-aspartate (NMDA) receptor-mediated transmission (anoxic LTP) was inhibited in slices from gerbils 2 to 3 days after the preconditioning ischemia, whereas it was observed in slices from sham-operated gerbils and gerbils 9 days after the preconditioning ischemia. These results suggest that protection by induced tolerance is (1) not only morphologic but also functional, and (2) expressed in inhibiting postischemic overactivation of NMDA receptor-mediated synaptic responses.
亚致死性缺血预处理可诱导神经元对随后的致死性缺血产生耐受性。我们研究了沙鼠海马体中缺血耐受现象的电生理方面。将沙鼠进行2分钟的前脑缺血(预处理缺血)。其中一些沙鼠在预处理缺血后2至3天接受随后5分钟的前脑缺血(双重缺血)。从经历预处理或双重缺血的这些沙鼠制备海马切片,并从CA1锥体神经元记录场兴奋性突触后电位。强直刺激触发的长期增强能力(强直LTP)在双重缺血后1至2天短暂受到抑制,但随后恢复。当这些切片进行体外缺氧时,预处理沙鼠的切片与假手术沙鼠的切片之间缺氧去极化的潜伏期没有显著差异。预处理缺血后2至3天的沙鼠切片中N-甲基-D-天冬氨酸(NMDA)受体介导的传递的缺氧后增强(缺氧LTP)受到抑制,而在假手术沙鼠和预处理缺血后9天的沙鼠切片中观察到这种增强。这些结果表明,诱导耐受性的保护作用(1)不仅是形态学上的,也是功能性的,并且(2)表现为抑制缺血后NMDA受体介导的突触反应的过度激活。