The susceptibility of axons to blunt head injury is well established.
However, axonal injury following cerebral ischemia has attracted less
attention than damage in gray matter. We have employed immunocytochemi
cal methods to assess the vulnerability of axons to cerebral ischemia
in vivo. Immunocytochemistry was performed using antibodies to a synap
tosomal-associated protein of 25 kDa (SNAP25), which is transported by
fast anterograde transport; the 68-kDa neurofilament subunit (NF68kD)
; and microtubule-associated protein 5 (MAPS) on sections from rats su
bjected to 30 min and 1, 2, and 4 h of ischemia induced by permanent m
iddle cerebral artery (MCA) occlusion. After 4 h of occlusion, there w
as increased SNAP25 immunoreactivity, which was bulbous in appearance,
reminiscent of the axonal swellings that occur following blunt head i
njury. Increased SNAP25 immunoreactivity was present in circumscribed
zones in the subcortical white matter and in the axonal tracts at the
border of infarction, a pattern similar to that previously described f
or amyloid precursor protein. Although less marked, similar changes in
immunoreactivity in axons were evident following 2 h of ischemia. MAP
S and NF68kD had striking changes in immunoreactivity in axonal tracts
permeating the caudate nucleus within the MCA territory at 4 h. The a
ppearance was roughened and disorganized compared with the smooth regu
lar staining in axons within the nonischemic areas. Profiles reminisce
nt of axonal bulbs were evident in MAPS-stained sections. The changes
seen with NF68kD and MAP5 were also evident at 2 h but were more subtl
e at 1 h. There were no changes in axonal immunoreactivity with SNAP25
or NF68kD at 30 min after MCA occlusion. Altered immunoreactivity fol
lowing ischemia using SNAP25, MAPS, and NF68kD provides further eviden
ce for the progressive breakdown of the axonal cytoskeleton following
an ischemic insult. NF68kD and MAP5 appear to be sensitive markers of
the structural disruption of the cytoskeleton, which precedes the subs
equent accumulation of SNAP25 within the damaged axons. Axonal cytoske
letal breakdown and disruption of fast axonal transport, which are wel
l-recognized features of traumatic brain injury, are also sequalae of
an ischemic insult.