Massive increases in extracellular potassium and the indiscriminate release of glutamate following concussive brain injury
Y Katayama, DP Becker, T Tamura, DA Hovda - Journal of neurosurgery, 1990 - thejns.org
Y Katayama, DP Becker, T Tamura, DA Hovda
Journal of neurosurgery, 1990•thejns.org✓ An increase in extracellular K+ concentration ([K+] e) of the rat hippocampus following
fluid-percussion concussive brain injury was demonstrated with microdialysis. The role of
neuronal discharge was examined with in situ administration of 0.1 mM tetrodotoxin, a
potent depressant of neuronal discharges, and of 0.5 to 20 mM cobalt, a blocker of Ca++
channels. While a small short-lasting [K+] e increase (1.40-to 2.15-fold) was observed after a
mild insult, a more pronounced longer-lasting increase (4.28-to 5.90-fold) was induced …
fluid-percussion concussive brain injury was demonstrated with microdialysis. The role of
neuronal discharge was examined with in situ administration of 0.1 mM tetrodotoxin, a
potent depressant of neuronal discharges, and of 0.5 to 20 mM cobalt, a blocker of Ca++
channels. While a small short-lasting [K+] e increase (1.40-to 2.15-fold) was observed after a
mild insult, a more pronounced longer-lasting increase (4.28-to 5.90-fold) was induced …
✓ An increase in extracellular K + concentration ([K + ] e ) of the rat hippocampus following fluid-percussion concussive brain injury was demonstrated with microdialysis. The role of neuronal discharge was examined with in situ administration of 0.1 mM tetrodotoxin, a potent depressant of neuronal discharges, and of 0.5 to 20 mM cobalt, a blocker of Ca ++ channels. While a small short-lasting [K + ] e increase (1.40- to 2.15-fold) was observed after a mild insult, a more pronounced longer-lasting increase (4.28- to 5.90-fold) was induced without overt morphological damage as the severity of injury rose above a certain threshold (unconscious for 200 to 250 seconds). The small short-lasting increase was reduced with prior administration of tetrodotoxin but not with cobalt, indicating that neuronal discharges are the source of this increase. In contrast, the larger longer-lasting increase was resistant to tetrodotoxin and partially dependent on Ca ++ , suggesting that neurotransmitter release is involved. In order to test the hypothesis that the release of the excitatory amino acid neurotransmitter glutamate mediates this increase in [K + ] e , the extracellular concentration of glutamate ([Glu] e ) was measured along with [K + ] e . The results indicate that a relatively specific increase in [Glu] e (as compared with other amino acids) was induced concomitantly with the increase in [K + ] e . Furthermore, the in situ administration of 1 to 25 mM kynurenic acid, an excitatory amino acid antagonist, effectively attenuated the increase in [K + ] e . A dose-response curve suggested that a maximum effect of kynurenic acid is obtained at a concentration that substantially blocks all receptor subtypes of excitatory amino acids. These data suggest that concussive brain injury causes a massive K + flux which is likely to be related to an indiscriminate release of excitatory amino acids occurring immediately after brain injury.
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