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Stroke. 1997;28:1043-1048

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(Stroke. 1997;28:1043-1048.)
© 1997 American Heart Association, Inc.


Articles

Chronic Cerebral Hypoperfusion Inhibits Calcium-Induced Long-term Potentiation in Rats

Lali H. S. Sekhon, MB, BS, PhD; Ian Spence, BSc, PhD; Michael K. Morgan, MD, FRACS; Neville C. Weber, MSc, PhD

From the Departments of Surgery (L.H.S.S., M.K.M) and Pharmacology (I.S.) and the School of Mathematics and Statistics (N.C.W.), University of Sydney (Australia).


*    Abstract
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*Abstract
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Background and Purpose Long-term potentiation (LTP) in the rat hippocampus induced by tetanic stimulation is impaired by chronic cerebral hypoperfusion. The effects of chronic cerebral hypoperfusion on other forms of LTP are unknown. Such data could help delineate the pathways of cellular alteration caused by chronic cerebral hypoperfusion. The in vitro phenomenon of calcium-induced LTP was thus examined in rat hippocampal CA1 cells that had undergone chronic hypoperfusion with a reduction in cerebral blood flow of between 25% and 50% maintained for 26 weeks.

Methods Ten Sprague-Dawley rats had a cervical arteriovenous fistula surgically constructed, and an additional 10 animals were used as age-matched controls. Hippocampal slices were prepared after 26 weeks of hypoperfusion, and in vitro extracellular field potential recordings were taken from the Schäffer collateral CA1 region. Properties of LTP induced through transient exposure to a hypercalcemic solution were analyzed.

Results LTP was impaired in animals with an arteriovenous fistula (P<.05). Control animals demonstrated potentiation lasting for the entire 2 hours of recording, whereas fistula animals showed only transient potentiation (<60 minutes) before returning to baseline values.

Conclusions Calcium-induced LTP is impaired by chronic cerebral hypoperfusion. This form of LTP is different from that induced by tetanic stimulation. It is the most sensitive test available for in vitro detection of the changes induced in neuronal function by chronic noninfarctional reductions in cerebral blood flow of 25% to 50% and may indicate that the most basic cellular parameters involving calcium homeostasis and metabolism are being altered. The precise mechanisms remain to be elucidated, and several postulates are discussed.


Key Words: arteriovenous shunt, surgical • calcium • hippocampus • hypoperfusion • potentiation • rats


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Chronic cerebral hypoperfusion in the rat, with reductions in CBF of 25% to 50% maintained for 26 weeks, has been shown to impair in vitro hippocampal LTP1 and in vivo whole animal behavior.2 However, no differences occur at 10 weeks by a similar degree of cerebral hypoperfusion.3 In our previous series of experiments, electrophysiological studies were performed at 10 and 26 weeks after formation of a cervical AVF that induced a state of chronic noninfarctional cerebral hypoperfusion (Fig 1Down). In the latter studies, LTP produced by means of tetanic stimulation was found to be impaired in the AVF animals.1 The mechanism for this impairment is unclear. Because no differences were found after 10 weeks of cerebral hypoperfusion, it was suggested that these changes took time to manifest.3 Before these studies, only acute ischemic insults were known to inhibit LTP.4



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Figure 1. AVF model in the rat used to create chronic hypoperfusion. Left, Schematic representation of the right carotid-jugular fistula anastomosis demonstrating some of the major connections. Ext. jug. v indicates external jugular vein; ICA, internal carotid artery; ECA, external carotid artery; Int. jug. v, internal jugular vein; and CCA, common carotid artery. Also shown are angiograms of control rat (middle) and AVF rat (right). The closed arrow indicates the right ICA, and the open arrow indicates the transverse sinus. The large AVF is clearly visible.

It is known that LTP can be induced by means other than tetanic stimulation, in particular by a transient exposure to an elevated calcium concentration.5 6 7 8 The properties of calcium-induced LTP are somewhat differ- ent from those seen with tetanus-induced LTP.8 9 However, the two phenomena probably share certain common mechanisms. The rationale of using calcium-induced LTP to assess the effects of chronic noninfarctional cerebral hypoperfusion was twofold. First, by using a method other than tetanic stimulation to produce LTP, problems such as achieving the required threshold for activation of neuronal firing and differing degrees of cooperativity among neuronal groups could be overcome. Second, the conclusions reached from our previous studies could be supported or questioned by a different experimental process. It was also hoped that further information could be gleaned concerning possible mechanisms of neuronal impairment induced by chronic noninfarctional cerebral hypoperfusion.

Using a method other than tetanic stimulation to initiate LTP, in this series of experiments we aimed to reexamine our previous conclusions showing that 26 weeks of cerebral hypoperfusion with reductions in CBF of 25% to 50% impaired LTP, as well as to explore the phenomenon of calcium-induced LTP.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
All experimental procedures were approved by our institutional Animal Care and Ethics Committee.

AVF Creation
Ten male Sprague-Dawley rats (weight, 250 to 350 g; age, {approx}8 to 10 weeks) underwent general anesthesia with 1.6% halothane with the use of a snout mask and spontaneous respiration. Under direct magnification, a carotid-jugular fistula was formed between the right internal carotid artery and right external jugular vein, as detailed by Morgan et al.10 11 12 13 This formed a functional AVF between the anterior intracranial arterial circulation and extracranial venous circulation and thus created a model of cerebral hypoperfusion without an initial ischemic insult. Morgan et al10 showed that CBF was reduced from a median of 0.82 to 1.12 mL/g per minute in nonoperated controls to 0.46 to 0.68 mL/g per minute in animals with AVFs using 14C autoradiography, with no evidence on light microscopy of infarction at 12 weeks or 26 weeks1 after creation of the AVF. Ten age-matched rats in our study were used as controls.

After surgery, the rats were allowed to convalesce for 26 weeks in grouped housing, climate-controlled facilities with 12-hour day/night cycles. They were allowed free access to food and water and observed daily for abnormalities of activity or diet.

Hippocampal Slice Preparation
After 26 weeks had elapsed since AVF formation, electrophysiological studies were performed on all rats. The animals were anesthetized with halothane and decapitated. The hippocampus was rapidly removed, and 400-µm slices were obtained with a McIllwain Tissue Chopper (Mickle Laboratory Engineering Co Ltd). The slices were placed into a chilled incubation chamber bubbled with 95% O2/5% CO2 with aCSF concentration of the following (mmol/L): NaCl 125.3, KCl 3.5, NaH2PO4 1.25, MgCl2 2, CaCl2 2, NaHCO3 26, glucose 25 (pH 7.4). Slices were allowed to recover for at least 1 hour before transfer to a submerged tissue bath superfused with aCSF (at 8 mL/min at 34±0.5°C) of the following composition (mmol/L): NaCl 124, KCl 5, NaH2PO4 1.25, MgCl2 1.3, CaCl2 2.5, NaHCO3 26, glucose 25 (pH 7.4) bubbled with 95% O2/5% CO2. Slices were allowed an additional hour to settle before recordings were made. Extracellular field potentials were recorded from the CA1 pyramidal layer (recording electrode: glass micropipette; impedance, 2 to 20 M{Omega}; 2 mol/L NaCl) with stimulation through the Schäffer collaterals (stimulating electrode: monopolar stainless steel wire with paralyene coating; 125-mm 12° tapered tungsten tip; impedance, 2 to 5 M{Omega}). Baseline stimulation frequency was 0.2 Hz. Control responses were determined with the use of a stimulus intensity that achieved approximately 30% of the maximal response and recorded for 30 minutes, with the mean of five responses recorded every minute. Measurements of the amplitude and latency of the first population spike as well as the number of spikes were used as the baseline values for calculating the magnitude of LTP. The population spike amplitude was measured between peak negativity and subsequent maximum positivity; latency was measured to peak negativity.

Calcium-Induced LTP
The regimen described by Reymann et al8 was used to elicit calcium-induced LTP. To expose the slices to transient hypercalcemia, the inflow to the tissue chamber was changed to an alternate solution of aCSF that contained a corresponding reduction in the NaCl concentration to maintain osmotic equivalence between the two solutions. This was composed of the following (mmol/L): NaCl 122, KCl 5, NaH2PO4 1.25, MgCl2 2, CaCl2 4, NaHCO3 26, glucose 25 (pH 7.4). This solution was preheated to 34°C and also flowed at 8 mL/min, which effectively exchanged the tissue bath uniformly and completely within 2.5 minutes (which included the time required to fill all the tubing between the bath and the aCSF solution). The slices were exposed to this high-calcium solution for 10 minutes, after which the original aCSF solution was reperfused for the remainder of the experiment. During this time no stimulation occurred. When perfusion with the 2-mmol/L calcium concentration aCSF solution recommenced, stimulation was performed only when recordings were actually taken, as indicated. A single stimulus was given at 7 minutes. At 15, 30, 60, and 120 minutes after the initial exposure to the high-calcium solution, five stimuli of 5 seconds were given and their means were recorded.

Statistical Analysis
For each slice, the mean±SD was calculated for the period of control recording and for the last 30 minutes of recording after tetanic stimulation. All results were then pooled. Control recordings between control and AVF slices were compared by two-sample t tests to detect any differences before exposure to the high-calcium solution. Two-sample adjusted t tests were used for samples with unequal variances.14 The values measured at 7, 15, 30, 60, and 120 minutes were each individually pooled for all control and AVF slice results. By examination of box and whisker plots for each variable and on the basis of the method of data collection, nonparametric testing was considered the appropriate and most powerful form of statistical comparison. Initially only the control slice results were examined, with comparisons made among values during the control period and means recorded at each subsequent time period, with the use of the Friedman test. Similar comparisons were made in pooled results from AVF slices. Comparisons were then made between the mean values obtained at each time period between control and AVF slices. A Wilcoxon rank sum test (U test) was used for each pair of comparisons. No corrections for multiple comparisons were required because various aspects of the same data were examined rather than the same data being compared repeatedly in different ways, and as such each variable was discrete. A value of P<.05 was regarded as significant. Unless specified, all data are expressed as mean±SD.


*    Results
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*Results
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The results obtained are summarized in the TableDown and Fig 2Down. There was no statistical difference between mean values for any variable, before exposure to the hypercalcemic aCSF solution, between control and AVF slices.


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Table 1. Population Spike Amplitude, Latency, and Number of Spikes for Control and AVF Slices During Calcium-Induced LTP Experiments With Statistical Comparisons Between the Two Groups



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Figure 2. Typical extracellular field potentials recorded from a single control and single AVF slice 26 weeks after AVF formation. The control period response and the changes occurring after exposure to high-calcium aCSF, shown sequentially in minutes, are depicted. Both the AVF and control slice show initial potentiation during the first 15 minutes of recording, although even at that stage the control specimen demonstrated more marked changes. By 30 minutes the degree of potentiation in the AVF slice is falling, with a return to near normal levels by 2 hours, whereas the control slice continues to show ongoing potentiation for the entire 2-hour recording period.

The responses from a typical control and AVF slice are shown in Fig 2Up. In general, in control slices a mean increase in the population spike amplitude of 36% from control period values was manifest by t (time)=7 minutes, which increased to 70% at 1 hour and 76% at 2 hours. There was also a marked and sustained increase in the total number of spikes and a small reduction in the mean population spike latency, sustained for the 2 hours of recording. For the AVF slices, a more modest increase of 33% occurred in the first population spike amplitude at 7 minutes, falling to 24% at 1 hour and 2% at 2 hours. By 120 minutes all mean values for the three variables had returned to the mean control period values in the AVF slices. A comparison of control slice data versus AVF data is shown in the TableUp. By 60 minutes there were statistically significant differences between control and AVF data in terms of the amplitude of the population spike and total number of spikes (P<.05), which became more pronounced at 120 minutes, with statistically significant differences in the latency of the population spike and total number of spikes also emerging at that time. In all cases in which differences emerged, the control slices had higher mean population spike amplitudes and total numbers of spikes, with smaller population spike latencies. Aside from a difference in latency at 15 minutes between the two groups, for the last 60 minutes of recording there were statistically significant differences for almost all variables between control and AVF slices.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
The results of this series of experiments showed that calcium-induced LTP occurred to a greater extent in control animals than in AVF animals after 26 weeks of a 25% to 50% noninfarctional reduction in CBF. AVF slices demonstrated a lesser degree of calcium-induced LTP and, when compared with the control slices, were unable to sustain the level of potentiation for as long a period of time. These results are of particular interest when compared with the results of experiments on tetanus-induced LTP after 26 weeks of chronic cerebral hypoperfusion.1 These results confirm that chronic noninfarctional changes in CBF of 25% to 50% maintained for 26 weeks impair LTP induced by either tetanic stimulation or transient exposure to a hypercalcemic solution. The magnitudes of induced changes were quite different, however, with tetanus-induced LTP producing more modest relative changes in the measured parameters. This suggests that LTP induced by transient exposure to a hypercalcemic solution differs from tetanic stimulation–induced LTP and that the former may be a more sensitive test for the detection of abnormalities in neuronal function that occur as a result of chronic noninfarctional reductions in CBF of 25% to 50%.

The Role of Calcium
The specific role of calcium in LTP has been established through a number of cleverly designed studies in the hippocampus. The role of calcium in LTP was suggested by early experiments in which tetanic stimulation in the absence of calcium failed to induce LTP,15 while the lowering of external calcium ion concentrations reduced the probability of LTP being initiated.16 The magnitude of LTP was subsequently found to be highly dependent on the extracellular calcium ion concentration between 0.8 and 2.0 mmol/L.17 It has been suggested that the induction of LTP in the CA1 region of the hippocampus involves a rise in the postsynaptic intracellular calcium ion concentration.16 18 19 20 Several lines of experimentation have supported this hypothesis. LTP at this synapse depends on the direct activation of NMDA receptor–activated calcium entry.21 22 23 Studies that have directly measured calcium concentration have demonstrated that NMDA receptor activation leads to increased calcium concentration in the dendrites of CA1 pyramidal cells in slices.24 Furthermore, LTP can be blocked by reducing the postsynaptic intracellular calcium concentration during the induction phase of LTP.20 25 26 Finally, calcium has been shown to play an important role in LTP in the postsynaptic cell by use of the photolabile calcium ion chelator nitr-5 (which can cause the sudden rise of intracellular calcium concentrations postsynaptically, leading to a long-lasting potentiation of synaptic transmission).26 A more recent study in which the photolabile calcium buffer diazo-4 was used has shown that the rise in postsynaptic calcium induced by tetanic stimulation lasts a maximum of 2 to 2.5 seconds, which suggests that increases in the postsynaptic calcium concentration smaller than required or increases for a duration shorter than 2 to 2.5 seconds may result in a shorter duration of potentiation.20

Mechanisms of Impaired LTP in Chronic Cerebral Hypoperfusion
The present study describes impaired calcium-induced LTP after 26 weeks of mild cerebral hypoperfusion. Calcium-induced LTP is probably the most sensitive tool available for the assessment of the subtle effects of mild but chronic reductions in CBF. Although we have previously shown that infarction of the hippocampus does not occur at this stage,1 subtle changes are induced in neuronal structure that ultimately may be responsible for demonstrated changes in whole animal behavior.2 Given the subtle neuronal structural alterations that occur, it seems most probable that protein synthesis and mitochondrial activity are affected. Because protein kinases are required for the conversion of tetanus-induced short-term potentiation into LTP,27 it seems probable that protein synthesis impairment is the likely culprit for the demonstrated changes. Such impairment has already been demonstrated for slightly more marked reductions in CBF,28 29 and it seems likely that such a process would occur during more chronic insults.

Conclusions
The results from these experiments provide further support for the assertion that chronic noninfarctional reductions in CBF maintained for 26 weeks impair neuronal function, confirming our previous findings. Further information is provided regarding hypercalcemia-induced LTP, and in particular we showed that this phenomenon is probably the most sensitive test available for detecting the electrophysiological effects of subtle yet chronic reductions in CBF. It is suggested that hypercalcemia-induced LTP is different from tetanus-induced LTP, as shown by the magnitude of our responses, although the general patterns were similar in this context in both control and AVF animals. Hypercalcemia-induced LTP may show changes with even more modest reductions in CBF.

Chronic cerebral hypoperfusion of this magnitude affects neuronal structure and whole animal function,2 and this set of experiments, in addition to more clearly demonstrating the differences between normal and hypoperfused animals, suggests that some of the most basic processes in neurons in terms of calcium metabolism are altered. LTP is a calcium-mediated event, yet many other cellular functions, including mitochondrial respiration, rely on calcium for efficient cellular function. With this in mind, apart from highlighting a more sensitive investigative tool, these experiments suggest that some of the most basic neuronal functions involving calcium homeostasis may be altered, which could partly explain the histopathological and behavioral findings we have described. Mitochondria require calcium, and mitochondria play a role in protein synthesis, a most basic cellular function that affects all functions of the neuron. It seems intuitively likely that this degree of ischemia probably acts by an inhibition of cellular protein synthesis. This remains to be demonstrated, and the precise mechanisms still remain to be identified, although it is now clear that chronically maintained yet mild reductions in CBF affect some of the most basic properties of neuronal function in terms of calcium regulation.


*    Selected Abbreviations and Acronyms
 
aCSF = artificial cerebrospinal fluid
AVF = arteriovenous fistula
CBF = cerebral blood flow
LTP = long-term potentiation
NMDA = N-methyl-D-aspartate


*    Acknowledgments
 
This research is part of an ongoing project investigating the pathophysiology of chronic hypoperfusion and cerebral arteriovenous malformations. This study was supported in part by the following: National Health and Medical Research Council, Clive and Vera Ramaciotti Research Foundation, Royal Australasian College of Surgeons, and the Australian Brain Foundation.


*    Footnotes
 
Reprint requests to M.K. Morgan, MD, FRACS, Department of Neurosurgery, Level 7, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.

Received September 4, 1996; revision received January 10, 1997; accepted February 3, 1997.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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