Free radical mediated, site-specific lipid and protein oxidation has b
een implicated in the pathophysiology of an ischaemic/reperfusion inju
ry. The aim of the present study was to determine whether carbonyl for
mation could be detected histochemically in reperfused rat sciatic ner
ves. We also examined the effects of preischaemic alpha-tocopherol sup
plementation on carbonyl formation in reperfused nerves, Seven hours o
f near-complete ischaemia was induced in rat right hindlimb by occlusi
on of major arteries using microvascular clips. Histochemical detectio
n of carbonyl compounds, applying naphthoic acid hydrazide (NAH) and F
ast Blue B(FBB), was undertaken at thigh, knee and calf levels of scia
tic, tibial and peroneal nerves. NAH-FBB reactivity was confined to ve
ssels in reperfused nerves, Positively stained epi-, peri- and endoneu
rial vessels were invariably observed after 2 h of reperfusion at all
levels examined. After 24 and 48 h and 7 days of reperfusion, NAK-FBB-
positive vessels were more frequently found at knee and calf levels th
an at the thigh level. Following preischaemic alpha-tocopherol supplem
entation, no vessels were stained positively with NAH-FBB, except for
some epineurial vessels at knee and calf levels after 2 h of reperfusi
on. Morphometry in endoneurial vessels at the knee level revealed that
endothelial cell area in alpha-tocopherol-treated reperfused nerves w
as significantly less when compared with those in reperfused nerves wi
thout alpha-tocopherol. In conclusion, we have demonstrated histochemi
cal evidence of carbonyl formation in vessels, but not with nerve fibr
es, in ischaemic/reperfused rat sciatic nerves. These abnormalities we
re prevented with preischaemic supplementation of alpha-tocopherol. (C
) 1997 Elsevier Science B.V.