MEDIDAS DE RECUPERACIÓN ENERGÉTICA.
3.4.2 GANANCIA OBTENIDA DE LA IMPLEMENTACIÓN DE MEDIDAS DE AHORRO
extracellular calcium entry
Blocking action potentials with TTX had no effect on the frequency or
amplitude o f sPSCs during ischaemia. This suggests that action-potential induced
depolarisation o f presynaptic terminals was not necessary for the generation o f
spontaneous events. This is in contrast to work by Djali and Dawson (2001), who
analysed the release o f GABA from hippocampal slices using HPLC analysis o f the
superfusate. They exposed hippocampal slices to half an hour o f glucose deprivation
and sodium azide to block oxidative phosphorylation, and then analysed the
composition o f the superfusate. In the presence o f IpM TTX the amount o f GABA
released was decreased by 87%. However, these recordings were taken over a 30 minute
period, and there is no indication o f the time at which the TTX-dependent GABA
release was occurring, nor from which hippocampal area; m y recordings were focused
ischaemia. In addition, Djali and Dawson (2001) monitored GABA release throughout
the depth o f the slice. M y recordings were from C A l pyramidal cells near the surface o f
the slice so some o f the inhibitory inputs to the cells could have been damaged during
the slicing process (consistent with this, TTX had no effect on the number o f non-
ischaemic IPSCs).
Blocking vesicular release using concanamycin treatment reduced ischaemia-
evoked sIPSC frequency by 88%, and removing external calcium reduced it by 97%.
This demonstrates that the majority o f GABA release in the early stages o f ischaemia is
from vesicles, and that this vesicular release is dependent on external calcium influx
(although a potential effect o f removing external calcium on depleting internal stores o f
calcium cannot be excluded, see below).
The external calcium-dependence o f release is in contrast to that reported for
early GABA and glutamate release in hypoxia (Fleidervish et al., 2001; Katchman and
Hershkowitz, 1993b). These groups reported that sIPSCs and sEPSCs in hypoxia
occurred at normal rates in zero external calcium solution (and that sEPSCs were
greatly reduced if intracellular calcium stores were depleted). However, in both these
studies calcium was just removed from the extracellular solution, and no EGTA was
added to chelate trace extracellular calcium. When examining sEPSCs in hypoxia
Katchman and Hershkowitz (1993b) applied cadmium to block voltage-dependent
calcium channels, which also had no effect on the frequency o f sEPSCs, again
suggesting that they were independent o f external calcium entry. It is unlikely that
intracellular calcium stores have been significantly depleted in m y experiments due to
the removal o f external calcium, as zero calcium solution was only present for 2
minutes before ischaemia and then for the duration o f the ischaemic episode, i.e. a total
o f 6 minutes for the data I measured at 4 minutes into ischaemia. Paltauf-Doburzynska
endothelial cells were only depleted by 30% after a 7 minute exposure to calcium-free
external solution. The difference in calcium dependence (sIPSCs being Ca^-dependent
in my ischaemia experiments and sEPSCs being Cao independent in the hypoxia
experiments using cadmium o f Katchman and Hershkowitz (1993b)) may be due to a
difference in the mechanism o f the energy deprivation-induced release o f
neurotransmitter from glutamatergic and GABAergic terminals. Alternatively, it could
reflect a difference between the effects o f energy deprivation induced by hypoxia and
ischaemia (which will be considered in more detail in Chapter 5).
W hat triggers the calcium-dependent release o f GABA during ischaemia? One
explanation is as follows. Oxygen and glucose deprivation cause a rundown o f ATP
levels and the cessation o f ATP-dependent processes, including the Na^-K^-ATPase,
within neurons. This depolarises the presynaptic terminal and leads to the opening o f
voltage-sensitive calcium channels. The subsequent calcium influx causes vesicles to
fuse with the presynaptic membrane and release GABA into the synaptic cleft. W ork by
del Castillo and Katz (1954) at the neuromuscular junction demonstrated that the rate o f
spontaneous vesicular release increases with the depolarisation level o f the presynaptic
terminal. This fits with the increase in frequency o f sIPSCs seen as the ischaemic
episode progresses: the longer the energy deprivation lasts, the more depolarised the
presynaptic terminal becomes and more vesicles are released.
There is a second possible explanation for the increase in frequency o f sIPSCs in
the build up to the AD. Engel et al. (2001) showed that blocking GABA breakdown by
GABA transaminase, using y-vinyl-GABA (GVG), led to an increase in the level o f
GABA in presynaptic terminals and to an increase in the frequency and amplitude o f
sIPSCs. They attributed this increase in frequency and amplitude to increased vesicular
filling and turnover, so causing more (and more easily detectable) spontaneous release
to both increased synthesis and decreased degradation (Madl and Royer, 2000; see
Section 3.4.3 for a detailed explanation), so there may be increased filling o f vesicles
and increased spontaneous release. However, this will not continue indefinitely as
vesicle filling is an ATP-dependent process and ATP levels fall in ischaemia. Indeed,
the frequency o f sIPSCs decreases slightly (although not significantly) in the 2 minutes
ju st preceding the AD (Figure 4.4).