Background and Purpose Acidity of brain intracellular and extracellula
r fluids appears to increase brain injury from stroke, but low extrace
llular pH decreases the activity of N-methyl-D-aspartate receptor ion
channels and decreases calcium influx into isolated neurons. To furthe
r investigate the role of acid-base balance in hypoxic brain injury, w
e studied the influences of intracellular and extracellular pH on calc
ium influx in cortical brain slices during hypoxia. Methods Intracellu
lar calcium ([Ca2+]i) and pH (pH(i)) were measured fluorometrically wi
th the dyes fura-2 and biscarboxyethyl carboxyfluorescein, respectivel
y, during two types of hypoxia: (1) slice perfusate equilibrated with
N2/CO2 at pH 6.6 or 6.2 (''gaseous hypoxia'') or (2) perfusate equilib
rated with 95% O2/5% CO2 plus 100 mumol/L NaCN at pH 7.3, 6.6, or 6.2
(''chemical hypoxia''). Results Changes in perfusate pH under aerobic
conditions did not change [Ca2+]i. However, influx of calcium caused b
y gaseous or chemical hypoxia increased significantly with decreasing
perfusate pH. During chemical hypoxia, the elevation in [Ca2+]i at per
fusate pH 6.2 was twice that at perfusate pH 7.3. Change in [Ca2+]i wa
s correlated with perfusate pH but not pH(i). Conclusions These result
s, which differ from previous studies showing acid inhibition of calci
um influx in isolated neurons, suggest that low extracellular pH may e
xacerbate cellular injury during severe hypoxia or ischemia in the int
act brain.