EFFECTS OF FOCAL CORTICAL FREEZING LESION ON REGIONAL ENERGY-METABOLISM

被引:11
作者
BUCZEK, M
RATCHESON, RA
LUST, WD
MCHUGH, M
PAPPIUS, HM
机构
[1] MCGILL UNIV,MONTREAL NEUROL INST,DONNER LAB EXPTL NEUROCHEM,GOAD UNIT,MONTREAL H3A 2B4,QUEBEC,CANADA
[2] UNIV HOSP CLEVELAND,CLEVELAND,OH 44106
[3] CASE WESTERN RESERVE UNIV,DEPT NEUROL SURG,EXPTL NEUROL SURG LAB,CLEVELAND,OH 44106
关键词
BRAIN INJURY; REGIONAL ENERGY METABOLISM; LOCAL CEREBRAL GLUCOSE USE;
D O I
10.1038/jcbfm.1991.144
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Freezing lesions have been shown to cause a depression in glucose use, particularly in cortical areas of the brain ipsilateral to the lesion, and this effect was interpreted to be caused by a depressed functional activity in these regions. The metabolic status of the affected areas has not been previously examined and could be a factor in the observed changes in local CMR(glc). In frozen-cut and dried sections taken from brains 3 days after freeze lesioning, discrete pieces of the median and lateral parietal cortex, striatum, hippocampus, and hypothalamus were dissected and analyzed for ATP, P-creatine, glucose, and lactate. CMR(glc) measurements were also made in the same animals. The concentrations of the four metabolites were significantly increased in the lesioned hemisphere, with the most predominant effects observed in the cortical areas that exhibited the greatest depression in CMR(glc). The enriched metabolite profile, particularly in the cortical areas, is consistent with the hypothesis that decreased glucose use in the traumatized brain is caused by diminished need rather than by decreased supply of energy. Because the lumped constant in the operational equation of the deoxyglucose method for determination of CMR(glc) is a function of brain glucose content and decreases gradually in hyperglycemia, the degree of metabolic depression in cortical areas of lesioned hemisphere probably have been somewhat overestimated in this and previous publications. However, provisionally recalculated local CMR(glc) in the lesioned hemisphere remain significantly lower than in the contralateral hemisphere and in the normal brain.
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页码:845 / 851
页数:7
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