Department of Anatomy and Cell Biology, Queen's University, Kingston, Ontario K7L 3N6, Canada
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ABSTRACT |
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Joshi, I. and R. D. Andrew. Imaging Anoxic Depolarization During Ischemia-Like Conditions in the Mouse Hemi-Brain Slice. J. Neurophysiol. 85: 414-424, 2001. Focal ischemia evokes a sudden loss of membrane potential in neurons and glia of the ischemic core termed the anoxic depolarization (AD). In metabolically compromised regions with partial blood flow, peri-infarct depolarizations (PIDs) further drain energy reserves, promoting acute and delayed neuronal damage. Visualizing and quantifying the AD and PIDs and their acute deleterious effects are difficult in the intact animal. In the present study, we imaged intrinsic optical signals to measure changes in light transmittance in the mouse coronal hemi-brain slice during AD generation. The AD was induced by oxygen/glucose deprivation (OGD) or by ouabain exposure. Potential neuroprotective strategies using glutamate receptor antagonists or reduced temperature were tested. Eight minutes of OGD (n = 18 slices) or 4 min of 100 µM ouabain (n = 14) induced a focal increase of increased light transmittance (LT) in neocortical layers II/III that expanded concentrically to form a wave front coursing through neocortex and independently through striatum. The front was coincident with a negative voltage shift in extracellular potential. Wherever the LT front (denoting cell swelling) propagated, a decrease in LT (denoting dendritic beading) followed in its wake. In addition the evoked field potential was permanently lost, indicating neuronal damage. Glutamate receptor antagonists did not block the onset and propagation of AD or the extent of irreversible damage post-AD. Lowering temperature to 25-30°C protected the tissue from OGD damage by inhibiting AD onset. This study shows that anoxic depolarization evoked by global ischemia-like conditions is a spreading process that is focally initiated at multiple sites in cortical and subcortical gray. The combined energy demands of O2/glucose deprivation and the AD greatly exacerbate neuronal damage. Glutamate receptor antagonists neither block the AD in the ischemic core nor, we propose, block recurrent PID arising close to the core.
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INTRODUCTION |
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Classic spreading depression
(SD) is a migrating inactivation of gray matter first described by
Leao (1944) that can be focally induced by mechanical,
electrical, or chemical stimulation under normal metabolic conditions.
The propagating wave of depolarization and associated electrical
silence traverses the cerebral cortex at 2-5 mm/min. SD is responsible
for migraine aura, commonly a marching visual or somatosensory deficit
that may precede migraine pain (Lauritzen 1994
).
Although SD involves the mass depolarization of neurons and glia for a
minute or longer, no neuronal damage results (Nedergaard and
Hansen 1988
).
Leao (1947) first observed that a propagating
depolarization similar to normoxic SD arises in the cerebral cortex
following 2-5 min of global ischemia, the depolarization lasting as
long as the ischemic period. Electrophysiologists commonly use the term
"anoxic" (Bures et al. 1974
, Ch. 4) or "hypoxic"
depolarization, although this downplays what may be initially a
spreading event. In the hippocampal slice preparation globally deprived
of O2 and glucose, we have imaged a SD-like wave
of depolarization which we previously termed "ischemic" SD
(Obeidat and Andrew 1998
; Obeidat et al.
2000
) but might also be considered as representing anoxic depolarization (AD).
With focal ischemia, arterial occlusion induces a depolarization that
is maintained in what becomes the ischemic core. Recurring peri-infract
depolarization (PID) arises at the border of the ischemic core during
the first 3-4 h poststroke (Back et al. 1994; Nallet et al. 1999
; Nedergaard and Astrup
1986
; Rother et al. 1996
; Strong et al.
1996
). PID propagation into regions adjacent to the core
expands the damage (Back et al. 1994
; Dietrich et al. 1994
; Dijkhuizen et al. 1999
; Hossman
1996
; Nedergaard 1996
). A PID may continue into
uncompromised gray matter as SD where repolarization is swift and
metabolism is normal, so no damage arises. The gradient from a region
of high to low ischemia undoubtedly alters the physiochemical
properties of the spreading signal. Thus
N-methyl-D-aspartate (NMDA) receptor antagonists
can block SD in normoxic tissue but not the AD in ischemic tissue as
shown in several intact animal studies (Hernandez-Caceres et al.
1987
; Koroleva et al. 1998
; Lauritzen and
Hansen 1992
; Marrannes et al. 1988
;
Nedergaard and Hansen 1988
; Nellgard and Wieloch
1992
). Likewise in rat brain slices, NMDA receptor antagonists
block normoxic SD (Anderson et al. 1999
) and hypoxic
SD (Radek and Giardina 1992
, although see Aitken
et al. 1988
) but not the AD evoked by lowering both
O2 and glucose (Obeidat et al.
2000
).
Intrinsic optical signals (IOSs) represent change in the way directed
light is absorbed or scattered by biological tissue. IOSs can be
detected by either collecting the light transmitted through a brain
slice or by measuring the light reflected from brain tissue
(Aitken et al. 1998, 1999
; Andrew et al.
1999
; Villringer and Chance 1997
). In the
present study, IOSs were imaged by analyzing light transmittance (LT)
through submerged tissue slices. Elevated LT is associated with cell
swelling as shown by osmotic studies (Andrew and MacVicar
1994
; Kreisman et al. 1995
), measurement of
increased tissue resistance (Andrew et al. 1996
, 1997
),
and measurement of decreased extracellular volume (Holthoff and
Witte 1996
). Brain cell swelling at the spreading depression
front (Jing et al. 1993
) can be imaged as it propagates
through the hippocampal slice (Aitken et al. 1998
;
Basarsky et al. 1998
; Kreisman et al. 2000
; Obeidat and Andrew 1998
). In addition,
acute neuronal damage can be assessed in the submerged brain slice by
measuring a delayed reduction in light transmittance caused
by dendritic beading (Jarvis et al. 1999
; Obeidat
et al. 2000
; Polischuk et al. 1998
).
The neocortex and the striatum in the intact animal are highly
susceptible to damage following stroke and both regions generate recurrent PIDs (Amemori and Bures 1990; Bures et
al. 1974
, Ch. 6). Mass cellular depolarization in the form of
AD and PIDs promotes stroke damage but detailed study is difficult in
the intact animal immediately following stroke onset. IOSs imaged in
the mouse striatum and the overlying neocortex in the present study
permitted a direct analysis. There were three objectives to the
following study: first to study the characteristics of the signal
induced under the metabolically compromised conditions of
oxygen/glucose deprivation (Taylor et al. 1999
) or
ouabain exposure (Balestrino et al. 1999
) by analyzing
intrinsic optical signals and the extracellular field potential;
second, to examine the role of glutamate receptors in the generation of
this signal; and third, to study if lowering temperature may be
neuroprotective by inhibiting AD onset during ischemia-like conditions
(Morris et al. 1991
).
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METHODS |
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Mouse slice preparation
Male C57 black mice (21-30 days) were decapitated using a guillotine. The brain was quickly removed and placed in cold, oxygenated (95% O2-5% CO2) artificial cerebrospinal fluid (ACSF). Using a vibratome, coronal slices were cut at 400 µm and placed in cold ACSF. Each slice was then hemi-sected along the midline and equilibrated in ACSF at room temperature for at least 1 h prior to data acquisition.
The ACSF was prepared by dissolving in double-distilled water (in mM) 120 NaCl, 3.3 KCl, 26 NaHCO3, 1.3 MgSO4 × 7 H2O, 1.23 NaH2PO4, 11 D-glucose, and 1.8 CaCl2. The ACSF osmolarity was 292 ± 2 mOsm and pH was 7.3-7.4. In oxygen/glucose deprivation (OGD) studies, N2 replaced O2 and the glucose concentration was reduced from 11 to 1 mM. NaCl was added to the ACSF to balance osmolality. NMDA, AMPA, quinolinic acid, and ouabain were obtained from Sigma Chemical, and DL-2-amino-5-phosphonovaleric acid (AP-5), 6-cyano-7-nitroquinoxalene-2,3-dione (CNQX), and kynurenic acid were obtained from RBI. The AP-5 was a 50:50 racemeric mixture of D and L forms, the former possessing antagonist activity. The drugs were dissolved in ACSF and bath applied.
Imaging intrinsic optical signals
Individual slices were transferred to a recording chamber with ACSF flowing at a rate of 1.3 ml/min. The temperature of the flowing ACSF was raised by 2° every 5 min to 35°C in most experiments. A slice was held down at its edges using small pieces of silver wire and viewed with the ×1.6 objective lens of an inverted light microscope. A halogen lamp with a voltage-regulated DC power supply was used to transilluminate the slice. Video images were obtained using a charged coupled device (CCD camera) set at maximum gain and medium black level. With the CCD gamma set at 1.0, output was linear with respect to change in light intensity. Images were averaged and digitized using an image processor board (DT 2867, Data Translation) in a pentium computer controlled with Axon Imaging Workbench software (Axon Instruments). Images were archived on recordable CDs.
An experiment required a series of images, each image consisting of 128 averaged frames acquired at 30 Hz. The first image of the series was
the control (Tcont), which was
subtracted from each of the subsequent images
(Texp) in the series. Each subtracted image, which demonstrated the change in light transmittance (LT) over time, was divided by the gain set by adjusting the software program. The gain was usually set at one, but could be increased so
that smaller signal changes could be detected in an image series. The
difference signal is normalized by dividing by
Tcont, which varies across the slice
depending on the zone sampled. For example, Tcont is lower in white matter than
gray matter. Note then that the plotted data are normalized but the
images are not. This value was then presented as a percentage of the
digital intensity of the control image of that series. That is,
LT = {[(Texp
Tcont)/gain]/Tonset} × 100 =
T/T%. The change in light
transmittance was displayed using a pseudocolor intensity scale. The
black-and-white image in bright field was displayed using a gray
intensity scale. Zones of interest (ZOIs) in the striatum and the
neocortex were selected using the Axon Imaging Workbench software. The
values in these areas were averaged, saved as Excel (Microsoft) files
and plotted using Excel software. A graphics program (CorelDRAW) was
used to import and label figures.
Electrophysiological recordings
To measure the evoked field potential or the spontaneous
negative shift, a micropipette (5-10 M) was pulled from a
thin-walled capillary glass, filled with 2 M NaCl, and mounted on a
three-dimensional (3-D) micromanipuator. It was connected by a silver
wire coated with AgCl to an amplifier probe whose output was monitored
using an on-line oscilloscope. The amplified signals were digitized (Neuro Data Instruments) and stored on video cassette. This
extracellular recording electrode was placed in layers II/III of the
neocortex and a concentric bipolar electrode (Rhodes Electronics) was
placed in layer VI to stimulate the immediately overlying layers. A
current pulse (0.1-1.5 mA; 0.1-ms duration; 0.25 Hz) was applied to
produce a population spike of near-maximal amplitude. Digitized data
were signal-averaged (6 sweeps/trace), displayed and plotted using pCLAMP software (Axon Instruments).
Note that the ACSF superfusion rate was approximately 1 mm/min. A higher rate of 3-4 mm/min permitted better recovery from OGD but was not examined here.
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RESULTS |
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AD induced by OGD
In metabolically compromised hemi-brain slices at 35°C, a large optical signal consistently initiated within 5 min of OGD onset (Fig. 1A). There was a dramatic focal increase in LT in layers II/III of the neocortex (n = 18) that expanded as a concentric front of elevated LT. The LT peak (Fig. 1B) was followed by a marked decrease in LT, resulting in a wave-like propagation of the front across the brain slice. The route of propagation was usually inferiorly through the neocortex and inferiorly through the striatum toward the anterior commissure, averaging 1.8 mm/min. The signal first ignited in the neocortex, followed 2-3 min later by independent initiation in the striatum. There was some variation. In 6 of 18 slices, a single focus spread in opposite directions along the neocortex. In three slices, it arose near the anterior commissure and propagated laterally in neocortex. In two slices, it initiated in the striatum before initiation in the neocortex. In all areas where it had just passed, the LT front returned to baseline within 5 min followed by a progressive decrease in LT.
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The LT decrease developed exclusively in regions that supported the LT front. To confirm that the front was indeed a spreading depolarization, the negative shift was recorded. First the evoked extracellular field potential was recorded in layers II/III of the neocortex (n = 7). Stimulation evoked a mixed antidromic/orthodromic response, confirming that the electrode was in a viable region (Fig. 1C, top). Occasionally one recording electrode was placed in layers II/III of the neocortex and another in the striatum. A negative shift of 10 mV recorded in the neocortex was followed by a negative shift of 15 mV in the striatum 1.5 min later (Fig. 1D). Similarly, Fig. 1E shows initiation, propagation, and negative transmittance change first in neocortex and then in striatum. At 20 min and thereafter, no evoked response could be recorded in layers II/III, indicating that the tissue was functionally compromised (Fig. 1C, bottom).
In more caudal slices that included hippocampus (n = 12), the signal initiated in the neocortex prior to a second independent focus arising in the CA1 region (Fig. 2A). The propagation rate was similar to more rostral neocortex (i.e., 2 mm/min). Again where the LT increase propagated, a negative LT change developed over the ensuing minutes (Fig. 2B). In another slice, the negative shift was recorded at the time of the LT increase (Fig. 2C). The pre-OGD field potential in layers II/III was consistently and permanently lost following OGD (Fig. 2D), indicating functional damage.
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AD induced by ouabain exposure
Brief bath application of 100 µM ouabain, a Na+/K+ ATPase inhibitor, elicited a sequence that was remarkably similar to that induced by OGD. In all 14 slices tested at 35°C, the signal ignited in layers II/III of the neocortex after approximately 4 min of ouabain exposure. Again, a focal LT increase expanded and migrated as a front across the neocortex (and later in the striatum) at about 2.5 mm/min (Fig. 3A). In some cases, there were two sites of ignition in the neocortex that propagated and collided (not shown). As with OGD, propagation was immediately followed by an irreversible decrease in LT only in regions where the AD front had passed.
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The change in peak light transmittance induced by ouabain exposure was dependent on dose (Fig. 3B). At 10-25 µM (n = 9), there was a small general increase in LT in the neocortex that returned to baseline. An increase to 50 µM (n = 4) gave a higher elevation peak in LT, and then AD was elicited but only in the neocortex. At 100 µM (n = 14), SD initiated in the neocortex and then independently in striatum as described in the preceding text.
As with OGD, the post-AD development of slice opacity (indicated by magenta pseudocoloring) was associated with permanent loss of the evoked field potential. Both observations implicate serious neuronal damage.
Glutamate receptor antagonists and the AD
Excitotoxicity theory states that ischemic insult elicits an accumulation of glutamate extracellularly that results from the mass depolarization of neurons and the failure of re-uptake mechanisms. It is plausible that glutamate receptor activation is involved in the signal sequence induced by OGD or ouabain. To test this, slices were pretreated with 2 mM kynurenate (a nonspecific glutamate receptor antagonist) for 20 min at 35°C before exposure to either OGD (n = 10) or ouabain (n = 8). Three regions of interest were plotted across neocortex. The front of elevated LT passed each region in sequence during OGD (Fig. 4A) or ouabain exposure (Fig. 4B). In all 18 slices tested, kynurenate failed to block signal initiation and propagation in neocortex or striatum. Kynurenate also had no significant effect on the onset time of signal (Fig. 5A), its propagation rate (Fig. 5B), or the maximum LT increase comprising the signal front (Fig. 5C). Most importantly, there was no significant decrease in the extent of irreversible damage (based on the maximum LT reduction) as compared with control slices (Fig. 5C).
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Some slices were pretreated with the selective NMDA receptor antagonist AP-5 (25 µM of the D-isomer) for 20 min before exposure to OGD (n = 5). Others were pretreated with 50 µM of the selective non-NMDA receptor antagonist CNQX (n = 5). In both cases, there was no significant difference in signal onset (Fig. 5A) propagation rate (Fig. 5B) or postischemic damage (Fig. 5C) when compared with control slices.
Glutamate agonists
To further investigate the role of glutamate receptors in the ischemic signal, glutamate agonists were briefly bath-applied under normal oxygen and glucose conditions. A very brief application allowed testing for signal induction while avoiding slice damage. Slices exposed to 50 µM AMPA (n = 8 of 8 slices) or to 100 µM NMDA (n = 12 of 23 slices) showed a generalized, nonpropagating LT increase in the gray matter that peaked and then slowly dissipated (Fig. 6A). The lack of negative LT values indicated that there was no subsequent damage. In these respects, the response contrasted with the ischemic event evoked by OGD (compare Figs. 1A and 6A). Likewise with 0.7 (n = 4) or 2.0 mM (n = 6) quinolinate (an NMDA receptor agonist), swelling was generalized and no damage resulted (not shown). At 3 mM quinolinate (n = 14) and in the other 11 of 23 slices treated with 100 µM NMDA, a generalized LT increase was followed by a sudden reduction in signal at several sites that appeared to migrate along the gray matter. However, given the extremely high concentrations of the glutamate agonists required to elicit this "spreading" signal, we did not pursue it further.
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To test that the preceding responses were indeed glutamate receptor mediated, slices were pretreated with glutamate receptor antagonists. The majority of the NMDA response was blocked by 25 µM AP-5 (Fig. 6, B and D) as was the quinolinate response (Fig. 6, C and D).
Temperature dependence of SD
At lower temperatures, metabolic processes slow, possibly providing protection from the energy demands of ischemia. OGD experiments were repeated at 31-32, 30, and 24-28°C and compared with slices at 35°C. Experiments performed at 31-32°C (n = 9) displayed similar latency to signal onset times (Fig. 7A) and propagation rates (Fig. 7B). The extent of irreversible damage (based on decreased LT values, Fig. 7C) was similar to those values measured at 35°C.
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At 30°C, however, the signal was induced by OGD in only four of eight slices. In two of these slices, it arose in neocortex but not striatum. Accordingly, the ensuing LT decrease developed only in the cortex. In the other two slices, the response was typical of those elicited at higher temperature and the irreversible damage was observed in both the striatum and neocortex where AD had passed. There was a 2- to 3-min delay in the ignition time and a slightly slower propagation rate. In the four slices that did not respond to OGD, there was a general increase in LT followed by a gradual decrease toward baseline with no negative LT change (Fig. 7C). Again, negative LT values (dendritic beading) were associated only with a prior spreading AD signal.
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DISCUSSION |
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Measuring IOSs provides a means of monitoring cell swelling and
the ensuing acute neuronal damage induced by stroke-like conditions (Obeidat and Andrew 1998; Obeidat et al.
2000
). Light transmittance increases in submerged
brain slices when cells swell (reviewed by Aitken et al.
1999
; Andrew et al. 1999
; Jarvis et al.
1999
). Hippocampal slices acutely damaged by excitotoxic stress
(Jarvis et al. 1999
; Polischuk et al.
1998
) or by OGD (Obeidat et al. 2000
) develop a
reduced light transmittance (LT) in dendritic regions caused
by dendritic "beading." These varicosities form along dendrites in
response to brief but acute metabolic stress. The beading of hundreds
of dendrites across the thickness of the slice is of an ideal
configuration to scatter light, reducing LT even as the tissue
continues to swell (Jarvis et al. 1999
). In hippocampal
slices, an acutely damaged cell body layer displays permanently
increased LT because dendrities are sparse. In neocortex, dendrites are distributed across all layers so early neuronal cell body
and glial swelling (which increases LT) is eventually overwhelmed by
beading (which decreases LT). As observed in vivo (Nedergaard
and Hanson 1988
), repeated SD in neocortical slices under
normoxic conditions (Footit and Newberry 1998
) causes no damage in terms of reduced LT or lost evoked field potential
(Anderson et al. 1999
). The current study demonstrates
that acute neuronal damage in neocortex and striatum is caused by the
high metabolic demand of OGD and the spreading signal, which
we argue represents AD.
Imaging the AD
Classic SD in normoxic tissue represents a profound increase in
membrane permeability. K+ and hydrogen ions
immediately leave the neurons while Na+,
Ca2+, and Cl enter along
with water, thereby decreasing the extracellular space (Hansen
1985
; Nicholson and Kraig 1981
). Ion
concentrations return to near normal within a minute or so where there
is no decreased energy supply or neuronal damage (Lauritzen
1994
). Following focal ischemia, a more prolonged event, the
PID, can arise at the border of the ischemic core and spread into the
penumbra. Here neurons are at risk and recurring PIDs exacerbate damage during the 3-4 h following stroke onset (Back et al.
1996
; Dijkhuizen et al. 1999
; Mies
1997
; Nedergaard and Hansen 1993
).
We found that depriving the hemi-brain slice of oxygen/glucose or
inhibiting Na+/K+ ATPase
with ouabain induced a spreading AD in neocortex and independently in
striatum. A single electrode within cortical gray records the AD but
misses the spreading nature of the signal. The rate of AD propagation
observed in the present study (~2 mm/min) is consistent with that
described for SD in the intact cortex (reviewed by Nedergaard 1996). Only in areas where AD passed did an irreversible
decrease in LT develop within 10 min of the insult. Several lines of
evidence indicate that this represents cellular damage. Obeidat
et al. (2000)
have shown a similar LT reduction associated with
damage to CA1 dendrites in the wake of AD. Filling single CA1 neurons with the fluorescent dye Lucifer yellow revealed extensive dendritic beading not observed in control tissue. Likewise in the present study,
irreversible decreases in LT occurred only where AD propagated; the
evoked field potential was lost in these areas. Our results indicate
that acute neuronal swelling and beading is not due to metabolic
compromise of OGD alone but is contingent on the AD occurring
concurrently, increasing energy demand and thereby accelerating neuronal damage.
The correlation in time and space between the negative shift and the LT front confirms that the optical signal represents AD. The negative shift may return to near baseline after several minutes, even in the face of maintained OGD but the irreversible LT reduction and loss of the evoked field potential argue against neuronal recovery. It is possible that in the brain slice, the glia can partly repolarize to account for the voltage return because released extracellular K+ diffuses into superfusate rather than accumulating and maintaining the depolarization as would occur in vivo.
AD onset was usually within layers II/III of the neocortex and was not
related to the orientation of the slice in the chamber, so it was not
dependent on where the superfusing ACSF first contacted the slice.
Histological analysis of the neocortical layers show that layers II/III
are the most densely packed cell body layer (Cormack
1987). The high density of neurons and the reduced number of
glia may promote a mutual promotion of depolarization and
K+ release/accumulation, making layers II/III
more susceptible to AD onset.
Lack of a role for glutamate in AD onset and damage
We found no significant difference in the peak LT values at the AD front (representing cell swelling) between control slices and those pretreated with GluR antagonists. In addition, there was no significant difference in the time of signal onset, propagation rate, or the extent of LT reversal (representing neuronal damage). Kynurenate (2 mM) abolished the evoked field potential when bath applied to the cortical slice, indicating that this dose was effectively antagonizing NMDA receptors.
These results are consistent with several electrophysiological studies
of intact animals. Competitive and noncompetitive NMDAR antagonists
(but not non-NMDAR antagonists) block normoxic SD (Hernandez-Caceres et al. 1987; Lauritzen and
Hansen 1992
; Marrannes et al. 1988
;
Nedergaard and Hansen 1988
; Nellgard and Wieloch 1992
). These same studies show that NMDA antagonists are
ineffective against the AD. MK-801 reduces the number of PIDs and
infarct size (Iijima et al. 1992
; but see
Koroleva et al. 1998
) probably by inhibiting PID
propagation in tissue away from the core where conditions are less
ischemic. The implication is that accumulating extracellular glutamate
is not an important factor that contributes to AD genesis and early
ischemic damage. Recent modeling of the reversal of glutamate uptake
mechanisms during ischemia (Rossi et al. 1999
) agrees
with data reviewed by Obrenovitch and Urenjak (1997)
that glutamate starts to accumulate only after the anoxic depolarization. Such accumulation does not drive the AD and PIDs (Andrew et al. 2000
) or represent a major cause of
ischemic damage (Obrenovitch 1999
).
We found that 100 µM NMDA or 3 mM (but not 2 mM) quinolinate (QUIN) caused a generalized swelling followed by a diffuse spreading event. These concentrations were highly unphysiological and so do not argue that glutamate evokes the AD. The induced swelling was indeed glutamate receptor mediated because it was inhibited in slices pretreated with the selective NMDA antagonist AP-5 prior to QUIN or NMDA application. In those slices that did not undergo a diffuse spreading event when exposed to NMDA, there was a general increase in LT, followed by a return to baseline over the next 10 min. The extent of damage in these cases was significantly less than those slices in which the spreading event had passed. So again a spreading signal, even in these unphysiological conditions, was a prerequisite for significant acute damage to result.
Anoxic depolarization is temperature dependent
We found that lowering temperature was much more effective in
blocking the AD and its damaging effects than GluR antagonists. Between
32 and 34°C, there was no delay in AD onset and no significant difference in the rate of propagation. The extent of damage (decreased LT) was slightly less when compared with control slices that were exposed to OGD at 35°C. We expected to see more dramatic effects at
32-34°C because lowering temperature from 37.5 to 35°C
significantly delayed SD onset following OGD in hippocampal slices
(Obeidat and Andrew 1998). However, at 30°C, SD was
induced by OGD in only half of the neocortical slices. In those slices
that underwent AD, there was a 2-min delay of onset compared with
control slices at 35°C. In slices at up to 30°C where the AD was
not elicited, there was no subsequent damage apparently because the
tissue did not have to expend limited energy reserves on AD recovery.
There is dramatic long-term protection following MCAO occlusion in rat neocortex by prolonged cooling between 30 min and 48 h
postischemia (Corbett et al. 2000
). We suggest
this is at least partially due to suppression of peri-infarct
depolarizations in the first 3-4 h poststroke. This could considerably
reduce the onslaught of chemical cascades underlying delayed neuronal
death, a process activated by and downstream from the AD and PIDs.
Lowering temperature blocks the AD during metabolic stress by reducing
energy demand. At body temperature to be as effective, a drug would
have to uncouple the AD during the period of energy deprivation. We
have recently found this to be possible by bath application of certain
sigma receptor (R) ligands to neocortical slices during OGD
(Anderson et al. 2000
; Andrew et al.
2000
). These ligands also block classic SD in normoxic slices
(Anderson et al. 1999
), implying that SD and AD
initiation share common features. Indeed the current study shows that
the AD is SD-like in that it arises suddenly at a focus, propagates
across gray matter and is recorded as a negative voltage shift. We
propose that the PID is a hybrid of the AD and SD, essentially an AD
that can repolarize using the intermediate level of energy stores
available in the penumbra. Theoretically then, PIDs may also be blocked by
R ligands. These ligands could prove to be protective if they penetrate the blood-brain barrier and are administered during the first
3 h following stroke.
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ACKNOWLEDGMENTS |
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This work was supported by Ontario Heart and Stroke Foundation Grant B-4003.
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FOOTNOTES |
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Address for reprint requests: R. D. Andrew (E-mail: andrewd{at}post.queensu.ca).
Received 29 March 2000; accepted in final form 21 September 2000.
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REFERENCES |
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