(Stroke. 1999;30:1240-1246.)
© 1999 American Heart Association, Inc.
Original Contributions |
From the Division of Basic Medical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St John's, Newfoundland, Canada.
Correspondence to Dale Corbett, Division of Basic Medical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St John's NF, Canada, A1B 3V6. E-mail corbett{at}morgan.ucs.mun.ca
Background and PurposeIn young
animals, ischemic preconditioning protects CA1 hippocampal
neurons against global ischemia. However, cerebral
ischemia occurs most frequently in individuals aged
65 years.
This study examined the protection provided by ischemic
preconditioning in a population of aged (18- to 20-month-old)
gerbils.
MethodsOne group of animals was exposed to two 1.5-minute episodes of global ischemia separated by 24 hours and followed 72 hours later by a 5-minute occlusion of both carotid arteries. A second group was given 2 episodes of preconditioning only. Two other groups were exposed to 5 minutes of ischemia or sham surgery. The animals survived 10, 30, or 60 days. Functional and histological assessments were used to determine the extent of protection.
ResultsTen days after ischemia there was >80%
protection of CA1 neurons in ischemic preconditioned animals
compared with 6% in ischemic gerbils. Nevertheless, these
preconditioned animals were impaired in open-field tests of
habituation. In addition, CA1 dendritic field potentials were smaller
in amplitude compared with those in sham animals. While there was a
complete loss of staining for CA1 microtubule-associated protein-2 in
ischemic animals, staining in ischemic preconditioned
animals was normal. This suggests that dendritic abnormalities per se
were not responsible for the observed functional deficits. CA1 cell
survival declined to
75% of sham values (P<0.05) at
60 days after ischemia.
ConclusionsIschemic preconditioning provided substantial neuroprotection in aged gerbils. Nonetheless, the striking dissociation between histological and functional protection provided by ischemic preconditioning in aged animals emphasizes the need to use functional end points and long-term survival when assessing neuroprotection. Although functional recovery was evident with increasing survival time, CA1 cell death continued, thereby raising the possibility that the level of neuroprotection attained was not permanent.
Department of Physiology, Wayne State University, Detroit, Michigan
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