Stroke, Vol 23, 253-259, Copyright © 1992 by American Heart Association
Y Ueda, TP Obrenovitch, SY Lok, GS Sarna and L Symon
BACKGROUND AND PURPOSE: Evidence has accumulated suggesting that
ischemia-induced neuronal damage may be linked to an extracellular overflow
of glutamate. The purpose of this study was to provide new information
about the time course of the increase in extracellular glutamate
concentration associated with moderate and severe ischemia, and its
relationship with electrical changes including anoxic depolarization.
METHODS: Changes in the extracellular concentration of glutamate were
continuously monitored in the rat striatum by microdialysis. Ischemia was
induced by four-vessel occlusion for 3 or 5 minutes, and in some cases its
severity was increased with a neck tourniquet. The severity of ischemia was
assessed by electroencephalogram and direct current potential recording to
detect anoxic depolarization. RESULTS: In all experiments, the
extracellular glutamate concentration began to increase shortly after the
onset of ischemia and steadily rose throughout the ischemic period.
Increases up to 35.0 mumol/l (2-3 mumol/l baseline; p less than 0.005) were
observed when ischemia provoked the rapid occurrence of a large and
sustained anoxic depolarization. Relatively smaller but still significant
increases (6.9 mumol/l; p less than 0.005) were observed in penumbral
conditions (electroencephalogram loss without anoxic depolarization).
Glutamate began to be cleared immediately after reperfusion and 90% of
released glutamate was cleared within 5 minutes, even when the preceding
ischemia had been severe. CONCLUSIONS: We propose that the extracellular
glutamate concentration may not reach critical levels during short episodes
of penumbral ischemia, but this might happen with a longer ischemic period.
ARTICLES
Efflux of glutamate produced by short ischemia of varied severity in rat striatum
Gough-Cooper Department of Neurological Surgery, Institute of Neurology, London, England.
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