(Stroke. 2002;33:809.)
© 2002 American Heart Association, Inc.
Original Contributions |
From the Department of Neurosurgery, Department of Neurology & Neurological Sciences, and Program in Neurosciences, Stanford University School of Medicine, Stanford, Calif.
Correspondence to Pak H. Chan, PhD, Neurosurgical Labs, Stanford University, 1201 Welch Rd., MSLS #P304, Stanford, CA 94305-5487. E-mail phchan{at}leland.stanford.edu
Background and Purpose Superoxide anion radicals (O2·-) are implicated in ischemia/reperfusion injury, although a direct relationship has not been elucidated. Recently, a specific method of hydroethidine (HEt) oxidation by O2·- was developed to detect O2·- production in a variety of experimental brain injury models. To clarify the role of O2·- in the mechanism of ischemia/reperfusion, we investigated O2·- production after ischemia/reperfusion and ischemia/reperfusion injury in mutant mice deficient in mitochondrial manganese superoxide dismutase (MnSOD) and in wild-type littermates.
Methods Ischemia/reperfusion was performed for 60 minutes using intraluminal suture blockade of the middle cerebral artery in the mutant or wild-type mice. We evaluated fluorescent kinetics of HEt or ethidium, the oxidized form of HEt, in brains after an intravenous injection of HEt, followed by measurement of cellular O2·- production using specific HEt oxidation by O2·- before and after ischemia/reperfusion. Furthermore, we compared O2·- production and subsequent infarct volume in the mice using triphenyltetrazolium chloride after ischemia/reperfusion.
Results HEt oxidation to ethidium is primarily a result of mitochondrially produced O2·- under physiological conditions. Cerebral ischemia/reperfusion produced O2·- prominently in neurons shortly after reperfusion, followed by a delayed increase in endothelial cells. A deficiency in MnSOD in mutant mice increased mitochondrial O2·- production and exacerbated cerebral infarction, worsening neurological deficits after ischemia/reperfusion.
Conclusion These results suggest that mitochondrial O2·- production may be a critical step underlying the mechanism of ischemia/reperfusion injury and that MnSOD may protect against ongoing oxidative cell death after ischemia/reperfusion.
Key Words: cerebral ischemia, transient oxidative stress superoxide dismutase mice, transgenic
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