The in vitro rat hippocampal slice was used to study the effect of tetrodotoxin, a sodium channel blocker, on anoxic damage. Tetrodotoxin improved recovery of the evoked population spike after anoxia and reduced the fall in adenosine 5′-triphosphate during anoxia. Electrophysiological responses to perforant pathway stimulation were recorded in the dentate granule cell layer before, during and after 10 min of anoxia, with and without tetrodotoxin. Preincubation with tetrodotoxin permitted recovery of the evoked population spike to43 ± 10% (mean±standard error) in the post-anoxic period; this compared to3 ± 3% recovery in untreated tissue (P < 0.005). Similar studies of the CA1 pyramidal cells, which are more sensitive to anoxia, showed that tetrodotoxin improved recovery of the postsynaptic response after 5 min of anoxia. The recovery was69 ± 15% of its pre-anoxic level when treated with tetrodotoxin. This compares to no recovery in untreated tissue (P < 0.005). Biochemical studies demonstrated a significantly reduced fall in adenosine 5′-triphosphate levels during anoxia when the slices were treated with tetrodotoxin. After 10 min of anoxia, adenosine 5′-triphosphate levels in the dentate granule cell layer fell to 1.4 nM/mg dry wt, whereas following treatment with tetrodotoxin they only fell to 2.2 nM/mg. Since it required only 5 min of anoxia to damage the CA1 pyramidal cells, adenosine 5′-triphosphate levels were measured in this region after 5 min of anoxia. Adenosine 5′-triphosphate levels in the CA1 region fell to 2.2 nM/mg in untreated tissue after 5 min of anoxia, compared to 2.9 nM/mg in the tetrodotoxin-treated tissue. We have demonstrated that tetrodotoxin, a drug that selectively blocks sodium influx, enhances the recovery of the postsynaptic population spike in both the CA1 pyramidal cells and the dentate granule cells of the rat hippocampus. The adenosine 5′-triphosphate levels in both regions are better maintained in tissue treated with tetrodotoxin. We conclude that tetrodotoxin reduces sodium influx during anoxia, thereby reducing the activity of the sodium-potassium adenosine 5′-triphosphatase pump and slowing the fall of adenosine 5′-triphosphate during anoxia. The reduced fall in adenosine 5′-triphosphate during anoxia should at least partially explain the reduced damage with tetrodotoxin treatment. Other possibilities for explaining the reduced damage with tetrodotoxin include reducing (1) direct effects of intracellular sodium, (2) depolarization, (3) calcium influx and/or (4) excitotoxic transmitter release. This study implicates sodium influx during anoxia as an important event leading to anoxic damage.
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