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Review
.2008 Dec:1147:129-38.
doi: 10.1196/annals.1427.026.

Postischemic oxidative stress promotes mitochondrial metabolic failure in neurons and astrocytes

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Review

Postischemic oxidative stress promotes mitochondrial metabolic failure in neurons and astrocytes

Gary Fiskum et al. Ann N Y Acad Sci.2008 Dec.

Abstract

Oxidative stress and mitochondrial dysfunction have been closely associated in many subcellular, cellular, animal, and human studies of both acute brain injury and neurodegenerative diseases. Our animal models of brain injury caused by cardiac arrest illustrate this relationship and demonstrate that both oxidative molecular modifications and mitochondrial metabolic impairment are exacerbated by reoxygenation of the brain using 100% ventilatory O(2) compared to lower levels that maintain normoxemia. Numerous molecular mechanisms may be responsible for mitochondrial dysfunction caused by oxidative stress, including oxidation and inactivation of mitochondrial proteins, promotion of the mitochondrial membrane permeability transition, and consumption of metabolic cofactors and intermediates, for example, NAD(H). Moreover, the relative contribution of these mechanisms to cell injury and death is likely different among different types of brain cells, for example, neurons and astrocytes. In order to better understand these oxidative stress mechanisms and their relevance to neurologic disorders, we have undertaken studies with primary cultures of astrocytes and neurons exposed to O(2) and glucose deprivation and reoxygenation and compared the results of these studies to those using a rat model of neonatal asphyxic brain injury. These results support the hypothesis that release and or consumption of mitochondrial NAD(H) is at least partially responsible for respiratory inhibition, particularly in neurons.

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Figures

Fig. 1
Fig. 1. Loss of pyruvate dehydrogenase activity and matrix NAD(H) as mitochondrial mechanisms of metabolic failure
Reactive O2 and N2 species can inhibit aerobic energy metabolism and promote lactate formation in several ways, including direct inhibition of PDHC and activation of the PTP, resulting in respiratory uncoupling and loss of NAD(H), that can then be consumed by PARP-1. Acetyl-carnitine can bypass the metabolic block at PDHC. Exogenous NAD+ can enter intact mitochondria through a transporter (T), compensating for lost NAD(H), and providing the electron shuttle between dehydrogenases and the electron transport chain (ETC).
Fig. 2
Fig. 2. Inhibition of respiration by brain mitochondria after neonatal hypoxic/ischemia and reversal of inhibition by NAD+
Respiration was measured as described previously at 37°C in medium containing 5 mM glutamate and 5 mM malate as substrates in the presence of 0.8 mM ADP and the absence (A) or presence (B) of 2.5 mM NAD+. Numbers in parentheses represent rates of respiration in nmol O2/min.mg protein. ADP-stimulated (state 3) respiration was lower for mitochondria from the ipsilateral, hypoxic/ischemic hemisphere (ipsi) compared to the contralateral, hypoxia only hemisphere (contra) (A), whereas both were very similar in the presence of NAD+. Resting respiration (state 4) observed after addition of 1 μg/ml oligomycin was similar in all conditions. These tracings are representative of 7 different experiments.
Fig. 3
Fig. 3. Hyperoxic reperfusion after experimental cardiac arrest worsens mitochondrial respiration
Mitochondria were isolated from the hippocampi of dogs 2 hr after 10 min of cardiac arrest, using 1 hr of post-resuscitative mechanical ventilation on either 100% O2 (hyperoxic) or room air (21% O2; normoxic) . State 3 respiration was measured at 37°C in medium containing 0.1 mM malate plus either 5 mM pyruvate or 5 mM glutamate, as described previously. Values represent the means ± SEM for 4 separate experiments. * Significantly different than non-ischemic, sham-operated controls; 1-way ANOVA with Tukey post hoc analysis, p < 0.05.
Fig. 4
Fig. 4. Hyperoxia promotes death of astrocytes and neurons during rexoygenation after exposure to O2 and glucose deprivation (OGD)
Rat cortical astrocytes (10 DIV) or murine hippocampal neurons (6 DIV) were exposed to OGD 4 hr and 0.5 hr, respectively, in serum-free “ischemic salts solution”, as described previously . The medium was then replaced with serum-free normal growth medium and the cells exposed to either 20% or 7% ambient O2. Cell death was measured 24 hr later using the Hoescht/propidium iodide fluorescent assay for astrocytes and the Live/Dead Assay (Invitrogen) for neurons. See Danilov and Fiskum for additional details. Values represent the means ± SEM for 6 - 8 separate experiments. * Significantly different from 20% O2; t test, p < 0.05.
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