Acidosis is a rapid and inevitable event accompanying cerebral ischemia or
trauma. We used hippocampal slice cultures to examine an immediate effect o
f acidosis, synaptic depression; and a delayed effect, neuronal loss. Expos
ure to low bicarbonate artificial cerebral spinal fluid (aCSF), pH 6.70 for
30 min at 32 degreesC, acidified intracellular pH from 7.31+/-0.12 to 6.53
+/-0.08. Accompanying intracellular acidosis was a depression of synaptic r
esponses. Both effects rapidly reversed after treatment with normal aCSF pH
7.35. Death analysis after acidosis treatment revealed no delayed neuronal
loss. Increasing the duration of the acidosis to 60 min, however, induced
irreversible synaptic depression and delayed neuronal loss. Increasing acid
osis temperature to 37 degreesC acidified intracellular pH and depressed sy
naptic responses. Delayed neuronal loss was also observed. Acidosis using l
actate aCSF, pH 6.70 for 30 min at 32 degreesC acidified intracellular pH f
rom 7.19+/-0.13 to 6.43+/-0.07 and depressed synaptic responses. After repe
rfusion with lactate containing aCSF pH 7.35, intracellular pH recovered ye
t synaptic responses remained depressed and delayed neuronal loss was obser
ved. This suggested that, for a 30-min treatment at 32 degreesC, lactate ac
idosis was neurotoxic while low bicarbonate acidosis was not. Increasing th
e duration or temperature of low bicarbonate acidosis induced neuronal loss
. These data provide additional evidence that acidosis contributes to the n
eurotoxicity during stroke and trauma. (C) 2000 Elsevier Science B.V. All r
ights reserved.