Background and Purpose-Several investigations have detected evidence o
f apoptosis in delayed neuronal death, but controversy prevails regard
ing this point. Recent studies have implicated mitochondria in apoptot
ic events. To explore relationships between delayed neuronal death and
dysfunction of the respiratory chain, we analyzed mitochondrial redox
changes in the gerbil hippocampus. Methods-We assessed the mitochondr
ial redox state in gerbil hippocampus before, during, and at various t
ime points after 5 minutes of forebrain ischemia. The redox state was
examined with a low-temperature fluorometer. Fluorescence signals of f
lavoprotein and NADH were measured, and their fluorescence ratio was c
alculated as a mitochondrial redox ratio (MRR) equal to flavoprotein/(
flavoprotein+NADH). Results-Ischemia increased NADH and decreased flav
oprotein signals in all hippocampal areas, but reduction in MRR was gr
eater in CAI than in other areas of the hippocampus. immediately after
recirculation, MRR recovery was delayed in the CAI and the dentate gy
rus, and the reduction in MRR persisted in CA1. Conclusions-These resu
lts suggest that during ischemia CAI experiences more pronounced hypox
ia (state V) than less vulnerable regions. Persistent MRR reduction in
CAI is attributed to dysfunction of the electron transport system, an
d this phenomenon may be importantly involved in apoptosis.