Excessive stimulation of glutamate receptors and elevation of intracel
lular calcium levels initiate the neurodegenerative process resulting
from cerebral ischemia. However, the subsequent cascade of molecular c
hanges which are of pathogenic significance is less well understood. B
reakdown of the cytoskeleton may be involved in the progression from c
ompromise of neuronal viability to irreversible damage. Alteration of
the microtubule-associated protein tau, as reflected by increased Alz-
50 immunoreactivity, was induced by permanent focal cerebral ischemia
in vivo but only in a proportion of neurones. Alz-50 immunoreactive ne
urones did not exhibit the characteristics of irreversible ischemic ce
ll damage. Increased immunoreactivity to the stress response protein u
biquitin was also induced by ischemia in a proportion of neurones. Bot
h proteins are components of neurofibrillary tangles in Alzheimer's di
sease. Alterations of the microtubule-associated protein tau may be a
feature of the early stages of the ischemia-induced degeneration and t
he ubiquitin response may be an attempt by compromised neurones to dea
l with the presence of abnormal proteins.