• Spine · Dec 2007

    Hypothermia suppresses excitatory synaptic transmission and neuronal death induced by experimental ischemia in spinal ventral horn neurons.

    • Hideto Nishi, Terumasa Nakatsuka, Daisuke Takeda, Nobuyuki Miyazaki, Junya Sakanaka, Hiroshi Yamada, and Munehito Yoshida.
    • Department of Orthopaedic Surgery, Wakayama Medical University, Wakayama, Japan.
    • Spine. 2007 Dec 1; 32 (25): E741-7.

    Study DesignWhole-cell patch-clamp recordings were performed from the ventral horn neurons obtained from the rat spinal cord slices.ObjectiveThis study investigated the effects of hypothermia on excitatory synaptic transmission and ischemia-induced neuronal death.Summary Of Background DataHypothermia has long been recognized as a promising physical strategy against both ischemic and traumatic spinal cord injuries. However, the mechanism of hypothermia-mediated neuroprotective action in the spinal cord is still not fully understood at the single cell level.MethodsWhole-cell patch-clamp recordings were performed from ventral horn neurons obtained from the spinal cord slices. Ischemia was simulated by superfusing an oxygen- and glucose-deprived medium [ischemia simulating medium (ISM)].ResultsWhen the temperature of the superfusing artificial cerebrospinal fluid solution was changed from normothermia (36 degrees C) to hypothermia (32 degrees C, 28 degrees C, and 24 degrees C), the frequency of spontaneous excitatory postsynaptic currents was significantly decreased in a temperature-dependent manner. Surperfusing the ISM generated an agonal inward current which consisted of a slow and subsequent rapid inward current in all of the neurons tested. The latencies of the slow and rapid inward currents after the ISM exposures were significantly longer at hypothermia than at normothermia. Hypothermia decreased the slope of the ISM-induced slow inward current, although it did not affect the slope of the rapid inward current. Moreover, the glutamate receptor antagonists slightly prolonged the latencies of the slow and rapid inward currents that were induced by ISM and significantly decreased their slopes.ConclusionThese results suggest that hypothermia reduces the excitatory synaptic activities and ischemic neuronal death in the spinal ventral horn. This finding may help in achieving a better understanding of the mechanisms of hypothermia-mediated neuroprotection in the spinal cord.

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