Preischemic hyperglycemia-aggravated neuronal damage has been postulated to
occur via enhanced lactic acidosis. We have hypothesized that preischemic
glucose loading induces a short-lived elevation in glucocorticoid release w
hich, when combined with ischemia, aggravates the postischemic outcome. Thi
s study tested this hypothesis in rat hippocampal slices exposed to 4 min i
n vitro ischemia of which 58% exhibited recovery of neuronal function. Howe
ver, when corticosterone (CT) was present during ischemia, the recovery of
neuronal function decreased in a concentration-dependent manner. At 5 muM,
CT reduced the recovery rate to 40% while only 10% of slices recovered when
exposed to 20 muM CT. Insulin could not block the effect of CT; however, v
anadate improved the postischemic recovery of CT-treated (20 muM) slices to
43%. These results indicate that acute, short exposure to CT can significa
ntly exacerbate postischemic outcome and that vanadate can antagonize CT ac
tion. NeuroReport 12:1261-1263 (C) 2001 Lippincott Williams & Wilkins.