Summary: Brief ischemia induced tolerance to subse quent ischemia in the hippocampal neurons. Male Mon golian gerbils were subjected to 2 min of ischemia in an awake condition. This ischemic insult only rarely pro duced neuronal damage in the gerbil brain. One day (n = 9), 2 days (n = 9), or 4 days (n = 10) following the first brief ischemia, the animals (double-ischemia group) were subjected to the second ischemia for 5 min. The single ischemia group received a sham procedure instead of the first ischemia and was identically subjected to the second ischemia I day (n = 9), 2 days (n = 10), and 4 days (n = 13) following the sham procedure. One week following the second ischemia, all gerbils were perfusion fixed and the neuronal density in the hippocampal CA I sector was measured. In double-ischemia groups, the neuronal denThe brain is particularly vulnerable to distur bances of energy metabolism, such as ischemia, an oxia, hypoglycemia, or status epilepticus (Auer and Siesj6, 1988; Siesj6 and Bengtsson, 1989). Even a brief episode of ischemia destroys certain groups of ischemia-sensitive neurons. These selectively vul nerable neurons are found in the hippocampal CA 1 sector, in the dorsolateral striatum, in certain layers of the cerebral cortex, and in the cerebellar cortex (Wieloch, 1985). Among these vulnerable cells in the brain, hippocampal CAl pyramidal cells have been the most extensively studied. Following brief ischemia, CA 1 pyramidal cells recover energy me tabolism (Pulsinelli and Duffy, 1983; Arai et a!. , 1986) and electrophysiological activity (Suzuki et a!., 1983). The fine structure of CA 1 pyramidal cells is maintained well until they are disintegrated 3 or 4Received July 18 , 1990 ; revised August 27 , 1990 ; accepted Au gust 31 , 1990 .Ad dress correspondence and reprint requests to Dr . T . Kirino at Department of Neurosurgery , Teikyo University School of Medicine , 7-3-\ Kaga , It abashi-ku , Tokyo 173 , Japan .Abbreviation used: hsp70 , 70-kDa heat-shock protein .
299sity per I-mm length of the pyramidal cell layer was 103.4 ± 93. 1 (SD) in the I-day subgroup, 125. 6 ± 64. 2 in the 2-day subgroup, and 176. 2 ± 93.7 in the 4-day subgroup, while the density in normal gerbils was 254.7 ± 18.6. The average neuronal density in the single-ischemia group was much lower than that in the double-ischemia group (whole control group: 10. 9 ± 27.4). Immunostaining using monoclonal antibody raised against 70-kDa heat-shock protein revealed an increase in 70-kDa heat-shock protein in the CAl area following 2 min of ischemia. Very brief ischemia induces heat-shock proteins and, presumably, thereby renders neurons more tolerant to subsequent metabolic stress.