Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1996-12-23
pubmed:abstractText
Acidosis is a universal response of tissue to ischemia. In the brain, severe acidosis has been linked to worsening of cerebral infarction. However, milder acidosis can have protective effects. As part of our investigations of the therapeutic window in our neuronal tissue culture model of ischemia, we investigated the effects of acidosis during recovery from brief simulated ischemia. Ischemic conditions were simulated in dissociated cortical cultures by metabolic inhibition with potassium cyanide to block oxidative metabolism and 2-deoxyglucose to block glycolysis. Lowering the extracellular pH (pH0) to 6.2 during metabolic inhibition had no effect on injury, as measured by lactate dehydrogenase release from cultures after 24 h of recovery. Lowering the pH0 during the first hour of recovery, in contrast, had profound protective effects. When the duration of metabolic inhibition was lengthened to 30 min, most of the protective effects of the NMDA receptor antagonist MK-801 were lost. However, the protective effects of acidosis were unchanged. This suggested that the protective effects of extracellular acidosis could be due to more than blockade of NMDA receptors. Intracellular acidosis might be responsible. To test this, recovery of intracellular pH (pH1) was slowed by incubation with blockers of Na+/H+ exchangers at normal pH0. The two compounds tested, dimethylamiloride and harmaline, had protective effects when present during recovery from metabolic inhibition. Measurements of pH1 confirmed that the blockers slowed recovery from intracellular acidosis; more rapid pH1 recovery was correlated with injury. The protective effects of acidosis could be reversed by brief incubation with the protonophore monensin, which rapidly normalized pH1. These results are the first demonstration of the protective effects of blocking Na+/H+ exchange in a model of cerebral ischemia. The protective effects of acidosis appear to arise either from suppressing pH-sensitive mechanisms of injury or from blocking sodium entry due to Na+/H+ exchange.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0022-3042
pubmed:author
pubmed:issnType
Print
pubmed:volume
67
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2379-89
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:8931470-Acidosis, pubmed-meshheading:8931470-Amiloride, pubmed-meshheading:8931470-Animals, pubmed-meshheading:8931470-Brain Ischemia, pubmed-meshheading:8931470-Cells, Cultured, pubmed-meshheading:8931470-Cerebral Cortex, pubmed-meshheading:8931470-Dizocilpine Maleate, pubmed-meshheading:8931470-Extracellular Space, pubmed-meshheading:8931470-Female, pubmed-meshheading:8931470-Hydrogen, pubmed-meshheading:8931470-Hydrogen-Ion Concentration, pubmed-meshheading:8931470-Ionophores, pubmed-meshheading:8931470-Neuroprotective Agents, pubmed-meshheading:8931470-Pregnancy, pubmed-meshheading:8931470-Protons, pubmed-meshheading:8931470-Rats, pubmed-meshheading:8931470-Rats, Sprague-Dawley, pubmed-meshheading:8931470-Receptors, N-Methyl-D-Aspartate, pubmed-meshheading:8931470-Sodium, pubmed-meshheading:8931470-Sodium-Hydrogen Antiporter
pubmed:year
1996
pubmed:articleTitle
Protective effects of extracellular acidosis and blockade of sodium/hydrogen ion exchange during recovery from metabolic inhibition in neuronal tissue culture.
pubmed:affiliation
Cerebrovascular Program, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't