Background and Purpose-Release of excitatory amino acids (EAA) is considered a cause of neuronal damage in ischemia. We investigated the sources and mechanisms of EAA release using microdialysis in regions of incomplete ischemia where perfusion was reduced by 50% to 80%, by applying inhibitors of volume-regulated anion channels (VRACs) and the GLT-1 glutamate transporter. Methods-Reversible middle cerebral artery occlusion (rMCAo) was induced in anesthetized rats using the intraluminal suture technique. Microdialysate concentrations of glutamate, aspartate, and taurine were measured before, during 2 hours of rMCAo, and for 2 hours after rMCAo. Vehicle, dihydrokainate (DHK, 1 mmol/L), a GLT-1 inhibitor, or tamoxifen (50 mol/L), a VRAC inhibitor, were administered continuously via the dialysis probes starting one hour prior to ischemia. Results-During incomplete ischemia, dialysate glutamate levels averaged 1.74Ϯ0.31 mol/L (SEM) in the control group (nϭ8), 2.08Ϯ0.33 mol/L in the DHK group (nϭ7), and were significantly lower at 0.88Ϯ0.30 mol/L in the tamoxifen group (nϭ9; PϽ0.05). As perfusion returned toward baseline levels, EAA levels declined in the vehicle and tamoxifen-treated animals but they remained elevated in the DHK-treated animals. Conclusion-In contrast to previous results in severely ischemic regions, DHK did not reduce EAA release in less severely ischemic brain, suggesting a diminished role for transporter reversal in these areas. These findings also support the hypothesis that in regions of incomplete ischemia, release of EAAs via VRACs may play a larger role than reversal of the GLT-1 transporter. Another potential source is through volume-regulated anion channels (VRACs). Although the molecular identity of the channel is unknown, pharmacologic agents known to block VRACs lead to reduced EAA release in vitro 7 and in vivo. 2,9,10 VRACs are also known as volume-sensitive organic anion channels (VSOACs) and, electrophysiologically, as I cl-swell channels. 11,12 In vivo work has primarily been in severely ischemic brain regions; there have been few studies on the mechanisms of EAA release in the less severely affected brain regions. We hypothesize that transporter reversal may make a decreased contribution to EAA release in less severely affected ischemic brain where energy depletion and ionic disruptions are less severe. The normal operation of these transporters in the penumbra would decrease rather than increase EAA release. We used microdialysis, in an area where cerebral blood flow (CBF) is less affected by reversible middle cerebral artery occlusion (rMCAo) to investigate the relative contributions of reversal of the glutamate transporter (GLT-1) and VRACmediated release to EAA increases by studying the effects of inhibitors of the GLT-1 transporter (dihydrokainate, DHK) and VRACs (tamoxifen) on ischemia-induced EAA increases.
MethodsAll animal procedures were in accordance with the guidelines for care and use of laboratory animals and were approved by the institutional animal care and use comm...