(P)eriodic acid-Schiff (PAS)-positive deposits have been demonstrated
in the central nervous system (CNS) of patients suffering from a wide
variety of neurodegenerative disorders including Alzheimer's disease,
presenile dementia, Parkinson's disease, diabetes mellitus, myoclonic
epilepsy, and cerebral palsy. The etiology of these deposits and their
relationship to mechanisms of progressive neurodegeneration is unknow
n. In the present study, we demonstrate that the kainic acid model of
limbic status epilepticus provides a useful system for the study of PA
S-positive staining. The relationship between PAS-positive deposition,
induction of fos-like immunoreactivity (FLI), neuronal necrosis, reac
tive gliosis, and blood-brain barrier breakdown following the kainic a
cid induction of status epilepticus was investigated. Epileptiform act
ivity was elicited in rats by intraperitoneal administration of 10 mg/
kg kainic acid and brains were examined 3, 5, 12, 24, 72, and 168 h af
ter drug injection. Four distinct types of PAS-positive staining in ra
t brain were observed: type 1, extracellular matrix (ECM) or blood ves
sel associated-material; type 2, granular deposits; type 3, glial labe
lling; and type 4, neuronal labelling. Results demonstrated that the f
our types of PAS-positive staining were differentially associated with
specific markers of neuropathology: (1) type 1 ECM staining and type
3 glia were preferentially localized to edematous tissue; (2) the majo
rity of type 3 glia were identified as reactive astrocytes, while a mi
nority of appeared to be proliferating microglia; (3) type 1 blood ves
sels labelled hemorrhaging vasculature; (4) early deposition of type 2
granules was predictive of subsequent cell loss; (5) chronic type 2 g
ranular deposits and type 4 neuronal labelling not associated with cel
l death could be predicted by early changes in FLI; and (6) chronic de
position of all four forms of PAS-positive material was correlated wit
h earlier, transient blood-brain barrier compromise. The results suppo
rt the growing literature that local carbohydrate metabolism may be on
e of a constellation of parameters important to the development of pro
gressive neurodegeneration.