Ischemic Postconditioning Recovers Cortex Ascorbic Acid during Ischemia/Reperfusion Monitored with an Online Electrochemical System

ACS Chem Neurosci. 2019 May 15;10(5):2576-2583. doi: 10.1021/acschemneuro.9b00056. Epub 2019 Mar 27.

Abstract

As a promising therapeutic treatment, ischemic postconditioning has recently received considerable attention. Although the neuroprotection effect of postconditioning has been observed, a reliable approach that can evaluate the neuroprotective efficiency of postconditioning treatment during the acute period after ischemia remains to be developed. This study investigates the dynamics of cortex ascorbic acid during the acute period of cerebral ischemia before and after ischemic postconditioning with an online electrochemical system (OECS). The cerebral ischemia/reperfusion injury and the neuronal functional outcome are evaluated with triphenyltetrazolium chloride staining, immunohistochemistry, and electrophysiological recording techniques. Electrochemical recording results show that cortex ascorbic acid sharply increases 10 min after middle cerebral artery occlusion and then reaches a plateau. After direct reperfusion following ischemia (i.e., without ischemic postconditioning), the cortex ascorbic acid further increases and then starts to decrease slowly at a time point of about 40 min after reperfusion. In striking contrast, the cortex ascorbic acid drops and recovers to its basal level after ischemic postconditioning followed by reperfusion. With the recovery of cortex ascorbic acid, ischemic postconditioning concomitantly promotes the recovery of neural function and reduces the oxidative damage. These results demonstrate that our OECS for monitoring cortex ascorbic acid can be used as a platform for evaluating the neuroprotective efficiency of ischemic postconditioning in the acute phase of cerebral ischemia, which is of great importance for screening proper postconditioning parameters for preventing ischemic damages.

Keywords: ascorbic acid; in vivo microdialysis; ischemia/reperfusion; ischemic postconditioning; neuroprotective efficiency; online electrochemical system.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Animals
  • Ascorbic Acid / metabolism*
  • Brain Ischemia / physiopathology*
  • Brain Ischemia / therapy
  • Cerebral Cortex / blood supply
  • Cerebral Cortex / metabolism*
  • Disease Models, Animal
  • Electrophysiological Phenomena
  • Infarction, Middle Cerebral Artery / physiopathology
  • Ischemic Postconditioning / methods*
  • Male
  • Monitoring, Physiologic
  • Oxidative Stress / physiology
  • Rats
  • Rats, Sprague-Dawley
  • Reperfusion Injury / physiopathology
  • Reperfusion Injury / prevention & control
  • Stroke / physiopathology*
  • Stroke / therapy

Substances

  • Ascorbic Acid