1. Blockade of lactate transport exacerbates delayed neuronal damage in a rat model of cerebral ischemia.
- Author
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Schurr A, Payne RS, Miller JJ, Tseng MT, and Rigor BM
- Subjects
- Animals, Blood-Brain Barrier drug effects, Blood-Brain Barrier physiology, Brain Ischemia pathology, Brain Ischemia physiopathology, Coumaric Acids pharmacology, Energy Metabolism drug effects, Energy Metabolism physiology, Hippocampus drug effects, Hippocampus metabolism, Hippocampus pathology, Male, Nerve Degeneration pathology, Nerve Degeneration physiopathology, Neurons drug effects, Neurons metabolism, Neurons pathology, Rats, Rats, Sprague-Dawley, Brain Ischemia metabolism, Carrier Proteins drug effects, Carrier Proteins metabolism, Lactic Acid metabolism, Monocarboxylic Acid Transporters, Nerve Degeneration metabolism
- Abstract
Studies over the past decade have demonstrated that lactate is produced aerobically during brain activation and it has been suggested to be an obligatory aerobic energy substrate postischemia. It has been also hypothesized, based on in vitro studies, that lactate, produced by glia in large amounts during activation and/or ischemia/hypoxia, is transported via specific glial and neuronal monocarboxylate transporters into neurons for aerobic utilization. To test the role of lactate as an aerobic energy substrate postischemia in vivo, we employed the cardiac-arrest-induced transient global cerebral ischemia (TGI) rat model and the monocarboxylate transporter inhibitor alpha-cyano-4-hydroxycinnamate (4-CIN). Once 4-CIN was establish to cross the blood--brain barrier, rats were treated with the inhibitor 60 min prior to a 5-min TGI. These rats exhibited a significantly greater degree of delayed neuronal damage in the hippocampus than control, untreated rats, as measured 7 days post-TGI. We concluded that intra-ischemically-accumulated lactate is utilized aerobically as the main energy substrate immediately postischemia. Blockade of lactate transport into neurons prevents its utilization and, consequently, exacerbates delayed ischemic neuronal damage.
- Published
- 2001
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