Summary:The relationships among CBF, cerebral en ergy metabolism, Na + pump activity, and electrocortico grams (ECoG) following graded hypotension were studied in 48 gerbils. Energy metabolism and Na+ pump activity were estimated by in vivo 31p and 23Na nuclear magnetic resonance (NMR) spectroscopy, and CBF was determined by [14C]iodoantipyrine methods at the end of the experiments. The CBF measured in normotensive an imals was 0.51 ± 0.07 ml/g brain/min. Following graded hypotension, no 31p spectral change was observed until CBF fell to 0.21-0.27 ml/g brain/min, at which level the intracellular pH began to decrease in association with Address correspondence and reprint requests to Dr. Hiroaki Naritomi at Cerebral Circulation Laboratory, National Cardio vascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 565, Japan.Abbreviations used: ECoG, electrocorticogram; NMR, nu clear magnetic resonance; PCr, phosphocreatine; pHi, intracel lular pH; Pi, inorganic phosphate.
16in association with inorganic phosphate (Pi) elevation. At this level, ECoG became isoelectric, although no adeno sine triphosphate (ATP) change yet resulted. At a flow level of 0.12-0.14 ml/g brain/min, ATP began to decrease gradually. At 0.04-0.05 ml/g brain/min, PCr and ATP vir tually disappeared, and the 23Na signal intensity suddenly changed. The present study demonstrated flow thresholds for the development of tissue acidosis, PCr-Pi changes, and ATP reduction. It appears that functional suppression occurs prior to ATP changes, whereas Na + pump failure results after ATP depletion. Key Words: CBF thresholds for cerebral ischemia-Cerebral energy metabolism-Intracellular pH-Na+ pump activity31p and 23Na nuclear magnetic resonance spectroscopy.pump failure differ considerably. The former lies somewhere between 0. 15 and 0.20 mllg brain/min (Sharbrough et aI. , 1973; Trojaborg and Boysen, 1973; Heiss et aI. , 1976; Astrup et aI. , 1977; Bran ston et aI. , 1977), whereas the latter is at approxi mately 0. 06-0. 08 ml/g brain/min (Astrup et aI., 1977; Branston et aI., 1977). The former may repre sent the flow threshold at which mild energy distur bance begins, whereas the latter may represent the threshold for energy exhaustion. However, few studies have yet been undertaken on the flow-en ergy relationship, and the above mentioned as sumptions remain to be confirmed.In vivo nuclear magnetic resonance (NMR) spec troscopy is a potentially useful tool for examining the physiological and biochemical natures of organs noninvasively. With this method, it is possible to estimate not only changes of high-energy phos phate, but also those of intracellular pH (pHi) or