Abstract

Acidosis is thought to play an important role in cerebral ischemic injury. In an adult stroke model, inhibition of the Ca2+-permeable acid-sensing ion channels (ASIC1a) by psalmotoxin-1 (PcTX) reduced injury. We postulated that PcTX attenuates neuronal damage in selectively vulnerable striatum in a global model of neonatal hypoxic-ischemic (HI) encephalopathy. H-I consisted of 40 min of hypoxia (9.8% O2) followed by 7 min of asphyxia in 5-7 day-old piglets. PcTX (1 μg) or CSF vehicle (50 μl) was injected into each lateral ventricle 20 min before H-I. No significant differences occurred at 37 min of hypoxia in PaO2 (21±3 Torr both groups; ±SD) or arterial pressure (MABP; CSF=94±16; PcTX=82±18 mmHg). During subsequent asphyxia, arterial O2 saturation decreased to 4±4% and 5±3%, arterial pH decreased to 6.82±0.07 and 6.85±0.09, and MABP decreased to 22±17 and 25±9 mmHg in the corresponding CSF and PcTX groups. The density of viable neurons in putamen 4 d later was increased from 20±6% (% of sham) in the CSF group to 54±28% in the PcTX group. We conclude that blocking ASIC1a activation with PcTX protected the highly vulnerable putamen neurons from ischemic death in immature brain. (Supported by NS20020)

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