Abstract
Early changes in tissue extracellur space following exposure to the excitotoxin kainate in the striatum were compared to those following cardiac arrest of rats anesthetized by chloral hydrate. Tissue extracellular space was monitored by impedance measurements. The possible role of voltage-sensitive Na channels and energy metabolism was studied by local and systemic application of tetrodotoxine (TTX) and glucose, respectively. After both kainate intoxication and cardiac arrest the extracellular space (normally about 20%) became less than one-half within 15 min. TTX caused a delay in the effect of cardiac arrest, and a slight attenuation of that of kainate. Glucose was inffective in both preparation. Parallel to a decrease in the extracellular space whole tissue Na/K ratio increased. These experiment show that excitotoxins and cardiac arrest cause similar (and not additive) change in the extracellular space and that these change are not mediated by na channel. In cardiac arrest oneset of the extracellular space alteration is triggered by Na+ influx, thus presumably by neurotransmitter release. It is suggested that most (if not at all) currently described protective measures against ischemic, hypoxic, or hypoglycemic brain damage are based on a prolongation of the time of onset leading to cell depolarization, rather than suppressing damaging processes during depolarization.