open access

https://doi.org/10.11501/3092959

https://hdl.handle.net/2115/51175

虚血性脳侵襲に及ぼすアシドーシスの影響 : ラット海馬スライスにおける無酸素・無グルコースモデルを用いた解析

日本語

1993-03-25

Hokkaido University

39p.

This study was designed to examine 1） whether cerebral ischemic damage is aggravated by accompanying acidosis and 2） which has more potential to cause neural damage between respiratory and metabolic acidosis. To investigate these points， inhibition and recovery of hippocampal evoked potentials were studied in vitro with different pH solutions. Population spike (PS) activity was recorded from CA 1 region after stimulation of the Schaffer collaterals of the 400μm hippocampal slices from young Wister rats. Ischemic insult was mimicked by combined oxygen and glucose deprivation (OGD) of the perfusate for 15 min. PS activity was almost abolished by OGD in the test solutions，the pH of which was adjusted at either 7.4, 6.5, 6.0, 5.5, 5.0 or 4.5. PS persisted (though markedly depressed to 31.5 % of control) with pH 6.5 solution，indicating that mild acidosis had antagonistic effects on ischemic injury. The recovery of PS in the control solution was significantly inhibited for the slices tested with pH 4.5 and 5.O solutions. The results suggest that acidosis had diverse effects on ischemic cerebral damage. When 15 mM lactate was added to the solution, the recovery of PS was significantly inhibited for the slices tested with pH 5.5 or lower. When 30 mM lactate was added, the critical pH point at which the recovery of population spike was inhibited changed to 6.0, suggesting that ischemic cerebral damage was enhanced by lactate in a dose dependent fashion. By addition of CO2, the recovery of PS following OGD was inhibited to a similar degree as with 30 mM lactic acidosis. It is concluded that concomitant acidosis has divergent effects on the cerebral ischemic damage depending on the pH； mild acidosis had a protective effect but profound acidosis had an aggravating effect, the cross over point being at around pH 6.0． Lactate and CO2 potentiated the aggravating effects of acidosis even though the extracellular pH remained the same．

1993-03-25

甲第3180号

博士(医学)

博士論文

Version of Record