PubMed1998
OBJECTIVES: To evaluate the effects of infusion with hyperosmolar solutions, mannitol and glycerol on the recovery of cerebral energy metabolism during ischemia and reperfusion in the gerbil brain. MATERIALS AND METHODS: Sequential changes in cerebral energy metabolism following 90-min ischemia and up to 8 h after reperfusion were measured in 15 gerbils using 31P nuclear magnetic resonance (NMR) spectroscopy after 60-min infusion of 10% glycerol (0.5 g/kg; n=5), or 20% mannitol (1.0 g/kg; n=5), and compared with those gerbils receiving with saline (n=5). Gerbils were anesthetized by intraperitoneal injection of pentobarbital. Forebrain ischemia was induced by clipping of bilateral common carotid arteries for 90 min and reperfused. NMR spectroscopy was measured by a 6.34-Tesla JEOL spectrometer, before administration, 2, 4, 6, and 8 h after 90-min ischemia and reperfusion. Areas of inorganic phosphate (Pi), phosphocreatine (PCr), and beta-ATP peaks were measured to calculate parameters of cerebral energy metabolism, i.e., PCr/Pi and beta-ATP/Pi ratios. Intracellular pH (pHi) was calculated from chemical shifts of Pi relative to PCr. RESULTS: PHi was higher in the mannitol group than in the glycerol and saline groups (P<0.05) 2 h after reperfusion. PCr/Pi ratio was higher 2, 4, and 8 h after reperfusion (P<0.01, P<0.05, P<0.01) in the mannitol group; and 6 h after reperfusion (P<0.05) in the glycerol group; than in the saline group. Beta-ATP/Pi ratio was higher 2 and 8 h after reperfusion (P<0.05) in the glycerol group; and 2 h after reperfusion (P<0.01) in the mannitol group, than in the saline group. CONCLUSIONS: The mannitol group had improved pHi higher than the glycerol group 2 h after reperfusion (P<0.05), while the glycerol group had improved beta-ATP/Pi ratio higher than the mannitol group 6 h after reperfusion (P<0.05). Both mannitol and glycerol groups had improved parameters of cerebral energy metabolism during ischemia and up to 8 h after reperfusion in the gerbil brain.