Background and Purpose Long-term potentiation (LTP) in the rat hippoca
mpus induced by tetanic stimulation is impaired by chronic cerebral hy
poperfusion. The effects of chronic cerebral hypoperfusion on other fo
rms of LTP are unknown. Such data could help delineate the pathways of
cellular alteration caused by chronic cerebral hypoperfusion. The in
vitro phenomenon of calcium-induced LTP was thus examined in rat hippo
campal CA1 cells that had undergone chronic hypoperfusion with a reduc
tion in cerebral blood flow of between 25% and 50% maintained for 26 w
eeks. Methods Ten Sprague-Dawley rats had a cervical arteriovenous fis
tula surgically constructed, and an additional 10 animals were used as
age-matched controls. Hippocampal slices were prepared after 26 weeks
of hypoperfusion, and in vitro extracellular field potential recordin
gs were taken from the Schaffer collateral CA1 region. Properties of L
TP induced through transient exposure to a hypercalcemic solution were
analyzed. Results LTP was impaired in animals with an arteriovenous f
istula (P<.05). Control animals demonstrated potentiation lasting for
the entire 2 hours of recording, whereas fistula animals showed only t
ransient potentiation (<60 minutes) before returning to baseline value
s. Conclusions Calcium-induced LTP is impaired by chronic cerebral hyp
operfusion. This form of LTP is different from that induced by tetanic
stimulation. It is the most sensitive test available for in vitro det
ection of the changes induced in neuronal function by chronic noninfar
ctional reductions in cerebral blood flow of 25% to 50% and may indica
te that the most basic cellular parameters involving calcium homeostas
is and metabolism are being altered. The precise mechanisms remain to
be elucidated, and several postulates are discussed.