Under extreme environmental conditions, many insects enter a protective coma associated with a spreading depolarization (SD) of neurons and glia in the central nervous system (CNS). Recovery depends on the restoration of ion gradients by mechanisms that are not well understood. We investigated the effects of glybenclamide, an ATP-sensitive K (K) channel inhibitor, and pinacidil, a K activator, on the mechanisms involved in anoxic coma induction and recovery in . K channels allow for the efflux of K when activated, thereby linking cellular metabolic state to membrane potential. In intact locusts, we measured the time to enter a coma after water immersion and the time to recover the righting reflex after returning to normoxia. In semi-intact preparations, we measured the time to SD in the metathoracic ganglion after flooding the preparation with saline or exposing it to 100% N gas, and the time for the transperineurial potential to recover after removal of the saline or return to air. Glybenclamide decreased the time to coma induction, whereas pinacidil increased induction times. Glybenclamide also lengthened the time to recovery and decreased the rate of recovery of transperineurial potential after SD. These results were not the same as the effects of 10 M ouabain on N-induced SD. We conclude that glybenclamide affects the CNS response to anoxia via inhibition of K channels and not an effect on the Na/K-ATPase. We demonstrate the involvement of ATP-sensitive K (K) channels during recovery from spreading depolarization (SD) induced via anoxic coma in locusts. K inhibition using glybenclamide impaired ion homeostasis across the blood-brain barrier resulting in a longer time to recovery of transperineurial potential following SD. Comparison with ouabain indicates that the effects of glybenclamide are not mediated by the Na/K-ATPase but are a result of K channel inhibition.
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http://dx.doi.org/10.1152/jn.00379.2020 | DOI Listing |
Brain Sci
December 2024
Department of Medicine, Division of Neurology, Queen's University, Kingston, ON K7L 3N6, Canada.
Background/objectives: Cardiac arrest may cause significant hypoxic-ischemic injury leading to coma, seizures, myoclonic jerks, or status epilepticus. Mortality is high, but accurate prognostication is challenging. A multimodal approach is employed, in which electroencephalography (EEG) forms a key part with several recognised patterns of prognostic significance.
View Article and Find Full Text PDFJ Neurophysiol
November 2024
Department of Biology, Queen's University, Kingston, Ontario, Canada.
Spreading depolarization (SD) describes the near-complete depolarization of central nervous system (CNS) neural cells as a consequence of chemical, electrical, or metabolic perturbations. It is well established as the central mechanism underlying insect coma and various mammalian neurological dysfunctions. Despite significant progress in our understanding, the question remains: which cation channel, if any, generates SD in the CNS? Previously, we speculated that the sodium-potassium ATPase (NKA) might function as a large-conductance ion channel to initiate SD in insects, potentially mediated by a palytoxin (PLTX)-like endogenous activator.
View Article and Find Full Text PDFProg Transplant
December 2024
Mid-America Transplant, St. Louis, MO, USA.
Neurocrit Care
August 2024
Division of EEG and Epilepsy, Department of Neurology, Brigham and Women's Hospital, 60 Fenwood Rd, Boston, MA, 02115, USA.
Background: Although magnetic resonance imaging, particularly diffusion-weighted imaging, has increasingly been used as part of a multimodal approach to prognostication in patients who are comatose after cardiac arrest, the performance of quantitative analysis of apparent diffusion coefficient (ADC) maps, as compared to standard radiologist impression, has not been well characterized. This retrospective study evaluated quantitative ADC analysis to the identification of anoxic brain injury by diffusion abnormalities on standard clinical magnetic resonance imaging reports.
Methods: The cohort included 204 previously described comatose patients after cardiac arrest.
Ugeskr Laeger
May 2024
Afdeling for Hjerne- og Nervesygdomme, Københavns Universitetshospital - Rigshospitalet.
In 1990, the Danish brain death legislation was adopted by the Danish Parliament. Each year, around 100 patients in Denmark fulfil criteria for brain death/death by neurological criteria (BD/DNC). In this review of current Danish criteria including the indication for ancillary investigation, which in Denmark is digital subtraction angiography (DSA), we conclude that the time has come to revise the national BD/DNC criteria.
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