Summary:The aim of the present study was to evaluate the use of the endogenous neuronal compound N-acetylaspartate (NAA) as a marker of neuronal damage after focal cerebral ischemia in mice. After occlusion of the middle cerebral artery (MCAO) the ischemic cortex was sampled, guided by 2,3,5-triphenyltetrazolium chloride (TTC) staining, and the NAA concentration was measured by high-pressure liquid chroma tography (HPLC). Conventional histology and immunohisto logical methods using antibodies against neuron-specific eno lase (NSE), neurofilaments (NF), synaptophysin, glial fibrillary acidic protein (GFAP), and carbodiamide-linked NAA and N-acetylaspartylglutamate (NAAG). The level of NAA rapidly declined to 50% and 20% of control levels in infarcted tissue after 6 hours and 24 hours, respectively. No further decrease was observed during the observation period of 1 week. Within the first 6 hours the number of normal-appearing neurons in the infarcted cortical tissue decreased to 70% of control, of which the majority were eosinophilic. After 24 hours almost no norIn contrast to other markers of degenerative brain damage, i.e., lactate dehydrogenase, superoxide dismu tase (Lampl et aI., 1990;Strand and Marklund, 1992), and neuron-specific enolase (NSE) (Schaarschmidt et a!., 1994; Steinberg et aI. 1984), the level of N-acetylaspar tate (NAA) can be readily measured noninvasively in situ with a high spatial and temporal resolution by proton magnetic resonance spectroscopy eH-MRS). Thus in Address correspondence and reprint requests to Dr. Thomas N. Sager, Department of Neurodegenerative Disorders, H. Lundbeck AIS, Ottiliavej 9, 2500 Valby, Denmark.Abbreviations used : ABC, avidin-biotin complex; AEC, 3-amino-9-ethylcarbazole; GFAP, glial fibrillary acidic protein; HE, hematoxylin eosin; IH-MRS, proton magnetic resonance spectroscopy; HPLC, high pressure liquid chromatography; HRP, horseradish peroxidase; MCAO, middle cerebral artery occlusion; NAA, N-acetylaspartate; NAAG, N-acetylaspartylglutamate; NF, neurofilaments; NSE, neuron-specific enolase; PAP, peroxidase-anti peroxidase; PBS, phosphate-buffered sa line; TTC, 2,3,5-triphenyltetrazolium chloride. The fact NAA is trapped in cell debris and NAA immunore activity is observed in the peri-infarct areas restricts its use as a marker of neuronal density.