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Stroke. 2002;33:809-815
doi: 10.1161/hs0302.103745
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(Stroke. 2002;33:809.)
© 2002 American Heart Association, Inc.


Original Contributions

Manganese Superoxide Dismutase Deficiency Exacerbates Cerebral Infarction After Focal Cerebral Ischemia/Reperfusion in Mice

Implications for the Production and Role of Superoxide Radicals

Gyung W. Kim, MD, PhD*; Takeo Kondo, MD, PhD*; Nobuo Noshita, MD Pak H. Chan, PhD

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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