(Stroke. 1997;28:1043-1048.)
© 1997 American Heart Association, Inc.
Articles |
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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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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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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AVF Creation
Ten male Sprague-Dawley rats (weight, 250 to 350 g; age,
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
; 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
). 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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The responses from a typical control and AVF slice are shown in Fig 2
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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 Table
. 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 |
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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 receptoractivated 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 |
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| Acknowledgments |
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| Footnotes |
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Received September 4, 1996; revision received January 10, 1997; accepted February 3, 1997.
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