Summary: Nearly complete brain ischemia under normo glycemic conditions results in death of only selectively vulnerable neurons. With prior elevation of brain glucose, such injury is enhanced to include pancel1ular necrosis (i.e., infarction), perhaps because an associated, severe lactic acidosis preferentially injures astrocytes. However, no direct physiologic measurements exist to support this hypothesis. Therefore, we used microelectrodes to mea sure intracellular pH and passive electrical properties of cortical astrocytes as a first approach to characterizing the physiologic behavior of these cel1s during hypergly cemic and complete ischemia, conditions that produce infarction in reperfused brain. Anesthesized rats (n = 26) were made extremely hyperglycemic (blood glucose, 51.4 ± 2.8 mM) so as to create potentially the most extreme acidic conditions possible; then ischemia was induced by cardiac arrest. Two loci more acidic than the interstitial space (6.17-6.20 pH) were found. The more acidic locus [4.30 ± 0.19 (n = 5); range: 3.82-4.89] was occasional1y seen at the onset of anoxic depolarization, 3-7 min after Excessive brain acidosis is thought to be required for infarction from nearly complete ischemia under hyperglycemic conditions (Myers and Yamaguchi, 1fJ77; Ginsberg et aI., 1980; Welsh et aI., 1980; Ka limo et aI., 1981; Rehncrona et aI., 1981; Pulsinelli et aI., 1982). However, the cellular and physiological bases for such injury remain incompletely defined. Abbreviations used: HA, neutral lactic acid; HRP, horseradish peroxidase; NMR, nuclear magnetic resonance; pHj, intracellu lar pH; pHo' interstitial pH.
104cardiac arrest. The less acidic locus [5.30 ± 0.07 (n = 53); range 4.46-5.93)] was seen 5-46 min after cardiac arrest. A smal1 negative change in DC potential [8 ± 1 m V (n = 5); range -3 to -12 mV and 7 ± 2 mV (n = 53); range + 3 to -31 m V , respectively] was always seen upon im palement of acidic loci, suggesting cellular penetration. In a separate group of five animals, electrical characteristics of these cells were specifically measured (n = 17): mem brane potential was -12 ± 0.2 m V (range -3 to -24 mY), input resistance was 114 ± 16 Mil (range 25-250 Mil), and time constant was 4.4 ± 0.4 ms (range 3.0-7.9 ms). Injection of horseradish peroxidase into cells from either animal group uniformly stained degenerating astro cytes. These findings establish previously unrecognized properties of ischemic astrocytes that may be prerequi sites for infarction from nearly complete ischemia: the capacity to develop profound cellular acidosis and a con comitant reduction in cel1 membrane ion permeability.