Mt. Espanol et al., ADULT-RAT BRAIN-SLICE PREPARATION FOR NUCLEAR-MAGNETIC-RESONANCE SPECTROSCOPY STUDIES OF HYPOXIA, Anesthesiology, 84(1), 1996, pp. 201-210
Background: When perfused neonatal brain slices are studied ex vivo wi
th nuclear magnetic resonance (NMR) spectroscopy, it is possible to us
e P-31 detection to monitor levels of intracellular adenosine triphosp
hate (ATP), cytosolic pH, and other high-energy phosphates and H-1 det
ection to monitor lactate and glutamate. Adult brain slices of high me
tabolic integrity are more difficult to obtain for such studies, becau
se the adult cranium is thicker, and postdecapitation revival time is
shorter. A common-clinical anesthesia phenomenon-loss of temperature r
egulation during anesthesia, with surface cooling and deep hypothermia
, was used to obtain high-quality adult rat cerebrocortical slices for
NMR studies. Methods: Spontaneously breathing adult rats (350 g), ane
sthetized with isoflurane in a chamber, were packed in ice and cooled
until rectal temperatures decreased to approximate to 30 degrees C. An
intraaortic injection of heparinized saline at 4 degrees C further co
oled the brain to approximate to 18 degrees C. Slices were obtained an
d then recovered at 37 degrees C in oxygenated medium. Interleaved P-3
1/H-1 NMR spectra were acquired continually before, during, and after
20 min of no-now hypoxia (PO2 approximate to 0 mmHg). Histologic (Niss
l stain) measurements were made from random slices removed at differen
t times in the protocol. Three types of pretreatment were compared in
no-flow hypoxia studies. The treatments were: (1) hyperoxia; (2) hyper
capnia (50% CO2); and (3) hypoxia, which was accomplished by washing t
he slices with perfusate equilibrated with 100% N-2 and maintaining a
100% N-2 gas flow in the air space above the perfusate. Results: Durin
g hyperoxia, P-31 NMR metabolite ratios were identical to those seen i
n vivo in adult brains, except that, in vitro, the P-1 peak was slight
ly larger than in vivo. A lactate peak was seen in in vitro H-1 spectr
a of slices after metabolic recovery from decapitation, although lacta
te is barely detectable in vivo in healthy brains. The in vitro lactat
e peak was attributed to a small population of metabolically impaired
cells in an injury layer at the cut edge. NMR spectral resolution from
the solenoidal coil exceeded that obtained in vivo in surface coil ex
periments. Phosphocreatine and ATP became undetectable during oxygen d
eprivation, which also caused a three- to sixfold increase in the rati
o of lactate to N-acetyl-aspartate, Within experimental error, all met
abolite concentrations except pH(1) recovered to control values within
2 h after oxygen restoration. Nissl-stained sections suggested that p
retreatment with hypercapnia protected neurons from cell swelling duri
ng the brief period of no-flow oxygen deprivation. Conclusions: Perfus
ed, respiring adult brain slices having intact metabolic function can
be obtained for NMR spectroscopy studies, Such studies have higher spe
ctral resolution than can be obtained in vivo. During such NMR experim
ents, one can deliver drugs or molecular probes to brain cells and obt
ain brain tissue specimens for histologic and immunochemical measures
of injury:Important ex vivo NMR spectroscopy studies that are difficul
t or impossible to perform in vivo are feasible in this model.