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(Stroke. 1999;30:171-179.)
© 1999 American Heart Association, Inc.

Original Contributions

Sodium Influx Plays a Major Role in the Membrane Depolarization Induced by Oxygen and Glucose Deprivation in Rat Striatal Spiny Neurons

Paolo Calabresi, MD; Girolama A. Marfia, MD; Diego Centonze, MD; Antonio Pisani, MD Giorgio Bernardi, MD

From the Clinical Neurologica, Dip. Neuroscienze, Università di Roma Tor Vergata (P.C., G.A.M., D.C., A.P., G.B.) and IRCCS, S. Lucia (G.B.), Rome, Italy.

Correspondence to Dr. P. Calabresi, Clinica Neurologica, Università di Roma Tor Vergata, Dip. Neuroscienze, Via di Tor Vergata, 135-00133, Rome, Italy.

Background and Purpose—Striatal spiny neurons are selectively vulnerable to ischemia, but the ionic mechanisms underlying this selective vulnerability are unclear. Although a possible involvement of sodium and calcium ions has been postulated in the ischemia-induced damage of rat striatal neurons, the ischemia-induced ionic changes have never been analyzed in this neuronal subtype.

Methods—We studied the effects of in vitro ischemia (oxygen and glucose deprivation) at the cellular level using intracellular recordings and microfluorometric measurements in a slice preparation. We also used various channel blockers and pharmacological compounds to characterize the ischemia-induced ionic conductances.

Results—Spiny neurons responded to ischemia with a membrane depolarization/inward current that reversed at approximately -40 mV. This event was coupled with an increased membrane conductance. The simultaneous analysis of membrane potential changes and of variations in [Na⁺]_i and [Ca²⁺]_i levels showed that the ischemia-induced membrane depolarization was associated with an increase of [Na⁺]_i and [Ca²⁺]_i. The ischemia-induced membrane depolarization was not affected by tetrodotoxin or by glutamate receptor antagonists. Neither intracellular BAPTA, a Ca²⁺ chelator, nor incubation of the slices in low-Ca²⁺–containing solutions affected the ischemia-induced depolarization, whereas it was reduced by lowering the external Na⁺ concentration. High doses of blockers of ATP-dependent K⁺ channels increased the membrane depolarization observed in spiny neurons during ischemia.

Conclusions—Our findings show that, although the ischemia-induced membrane depolarization is coupled with a rise of [Na⁺]_i and [Ca²⁺]_i, only the Na⁺ influx plays a prominent role in this early electrophysiological event, whereas the increase of [Ca²⁺]_i might be relevant for the delayed neuronal death. We also suggest that the activation of ATP-dependent K⁺ channels might counteract the ischemia-induced membrane depolarization.

Editorial Comment

Raymond C. Koehler, PhD, Guest Editor

Anesthesiology/Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland

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