Rf. Heary et al., CARDIOVASCULAR-RESPONSES TO GLOBAL CEREBRAL-ISCHEMIA - ROLE OF EXCITATORY AMINO-ACIDS IN THE VENTROLATERAL MEDULLARY PRESSOR AREA, Journal of neurosurgery, 78(6), 1993, pp. 922-928
The object of this study was to investigate the role of the ventrolate
ral medullary pressor area in mediating the cardiovascular responses t
o experimentally induced global cerebral ischemia, and to test if exci
tatory amino acids or acetylcholine are the transmitters released in t
his brain region during these responses. The cerebral ischemic respons
e was elicited in pentobarbital-anesthetized, artificially ventilated
male Wistar rats by bilateral ligation of vertebral arteries followed
by temporary clamping of the common carotid arteries. The pressor area
was identified by microinjections of L-glutamate. Inhibition of neuro
ns in this area by microinjections of muscimol, a gamma-aminobutyric a
cid receptor agonist, abolished the ischemic response, which demonstra
ted that this area is important in mediating these responses. Microinj
ections of a broad-spectrum excitatory amino acid receptor blocker (ky
nurenate), of specific antagonists for N-methyl-D-aspartic acid (NMDA)
and non-NMDA receptors (injected alone or in combination), and of atr
opine failed to block the ischemic responses. These results indicate t
hat: 1) the ventrolateral medullary pressor area mediates pressor resp
onses to cerebral ischemia, and 2) excitatory amino acids or acetylcho
line in this area do not mediate the cardiovascular responses to cereb
ral ischemia.