Several studies have established that increased cerebrospinal fluid (CSF) l
evels of quinolinic acid (QUIN), a macrophage/microglia-derived excitotoxin
with N-methyl-D-aspartate (NMDA)-receptor affinity, may reflect abnormal b
lood-brain barrier (BBB) function in patients with acquired immunodeficienc
y syndrome (AIDS) dementia complex, exhibiting a relationship to their clin
ical and neurological status, This study was aimed to evaluate whether QUIN
(250 nmo1/0.25 mul/ventricle) infused into both lateral cerebral ventricle
s permeates adult rat brain microvessels to plasma albumin, possible BBB dy
sfunction was examined 4 days after the intracerebroventricular (i.c.v.) in
fusion of QUIN by measuring plasma albumin extravasation using rocket immun
oelectrophoresis. The i.c.v. infusion of QUIN failed to increase the extrac
ellular tissue concentration of albumin in the entorhinal cortex, but signi
ficantly higher levels were found in the hippocampus proper (but not in the
subiculum region and dentate gyrus) and in the striatum. To evaluate the p
ossible relationship between plasma protein extravasation and QUIN-induced
tissue necrosis, we quantified neuronal death in the rat hippocampal format
ion (subiculum, CA1/CA3 areas of the hippocampus proper, dentate gyrus), We
found significantly higher tissue levels of plasma albumin in the hippocam
pus proper, in which the CA1 area exhibited the highest neuronal loss while
the low rate of neuronal death was not accompanied by significant albumin
extravasation in the dentate gyrus, However, in case of the subiculum, in w
hich the neuronal loss reached comparable values to those in the CA1 area,
we did not find significant enhancement of plasma albumin leakage into this
area. The regional differences in brain microvascular permeability may dep
end on the density of NMDA receptors in the multicellular capillary barrier
, but the differences in neuronal death may also reflect an involvement of
NMDA receptors in neuronal membranes, We conclude that increased CSF QUIN l
evels evoke a dysfunction of the BBB that may only partially be related to
sites with pronounced neuronal damage in the rat brain regions susceptible
to NMDA-receptor mediated toxicity, (C) 2000 Elsevier Science Inc.