Summary:The distribution and time course of postisch emic astrocyte hypertrophy and hyperplasia and the re lationship to neuronal viability or necrosis was studied in rats subjected to 30 min of carotid and vertebral artery occlusion followed by reperfusion from 3 h to 5 weeks. Intermediate filaments (IFs) were evaluated by electron microscopy, IF proteins by immunohistochemistry, and astrocyte division by [ 3 H]thymidine uptake. Glial fibril lary acidic protein (GF AP) increased in damaged and nondamaged brain regions by 2 days and was associated with cell enlargement, increases in IF, and transformation of GF AP-negative into GF AP-positive glia. Cell hyper trophy and increased GFAP persisted only in regions of neuronal necrosis whereas the number and size of GF AP positive astrocytes returned to control levels in nondam aged regions by 2 weeks. Astrocyte hyperplasia was notInteractions between astrocytes and neurons have gained increasing importance since in vitro studies have shown that metabolic properties of as trocytes are important in maintaining the normal homeostasis of the interstitial fluid compartment of the brain. These cells have high-affinity uptake sys tems (Faivre-Bauman et aI., 1974; Hertz et aI., 1974;Hertz, 1978; Cooper et aI., 1979;Kimelberg et al., 1982;Kraig et al., 1986) for many of the extra cellular ions and excitatory neurotransmitters that are elevated after ischemia, including hydrogen ions and glutamate, both of which have been implicated in causing ischemic injury. Thus, the initiation of Received January 15, 1990; revised April 23, 1990; accepted April 25, 1990.Address correspondence and reprint requests to Dr. C. K. Petito at Department of Pathology, Cornell University Medical College, 1300 York Avenue, New York, NY 10021, U.S.A.Abbreviations used: ABC, avidin-biotin complex; GFAP, glial fibrillary acidic protein; HRP, horseradish peroxidase; IFs, in termediate filaments; OD, optical density; RER, rough endoplas mic reticulum.
850seen until 3 days and was confined to damaged brain re gions. Vimentin-positive astrocytes were numerous by 2 days in damaged brain and remained only in those regions at 5 weeks. The data demonstrate that reactive astrocy to sis develops in undamaged brain, but is reversible with prolonged survival, whereas reactive astrocytosis that ac companies structural brain damage persists for prolonged periods and is associated with hyperplasia, as well as hy pertrophy. In addition, the results show that astrocyte expression of vimentin is more specific than GFAP in identifying regions of permanent ischemic injury during the early postischemic period.