Progression of Neuronal Damage in an In Vitro Model of the Ischemic Penumbra

PLoS One. 2016 Feb 12;11(2):e0147231. doi: 10.1371/journal.pone.0147231. eCollection 2016.

Abstract

Improvement of neuronal recovery in the ischemic penumbra around a brain infarct has a large potential to advance clinical recovery of patients with acute ischemic stroke. However, pathophysiological mechanisms leading to either recovery or secondary damage in the penumbra are not completely understood. We studied neuronal dynamics in a model system of the penumbra consisting of networks of cultured cortical neurons exposed to controlled levels and durations of hypoxia. Short periods of hypoxia (pO2≈20mmHg) reduced spontaneous activity, due to impeded synaptic function. After ≈6 hours, activity and connectivity partially recovered, even during continuing hypoxia. If the oxygen supply was restored within 12 hours, changes in network connectivity were completely reversible. For longer periods of hypoxia (12-30 h), activity levels initially increased, but eventually decreased and connectivity changes became partially irreversible. After ≈30 hours, all functional connections disappeared and no activity remained. Since this complete silence seemed unrelated to hypoxic depths, but always followed an extended period of low activity, we speculate that irreversible damage (at least partly) results from insufficient neuronal activation. This opens avenues for therapies to improve recovery by neuronal activation.

MeSH terms

  • Action Potentials / drug effects*
  • Animals
  • Animals, Newborn
  • Brain Ischemia / pathology
  • Brain Ischemia / physiopathology
  • Cell Hypoxia
  • Connectome
  • Electric Stimulation
  • Microelectrodes
  • Models, Neurological*
  • Nerve Net / cytology
  • Nerve Net / drug effects*
  • Nerve Net / physiology
  • Neurons / cytology
  • Neurons / drug effects*
  • Neurons / physiology
  • Oxygen / pharmacology*
  • Primary Cell Culture
  • Rats
  • Rats, Wistar
  • Synaptic Transmission / drug effects

Substances

  • Oxygen

Grants and funding

The authors have no support or funding to report.