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case western reserve university

Brain Lab           

 
 
     Acute Hypoxia: Hypoxia is one of the more common and serious stresses challenging homeostasis. Investigations on the CNS responses to oxygen deprivation are of obvious importance in revealing mechanisms which participate in coordinated behavior of respiratory and vasomotor responses to hypoxia. Specific, qualitatively and quantitatively time-related changes in the brainstem neurons occur during hypoxic exposure. Fundamental questions concerning the mechanisms responsible for these different responses remain to be answered. One issue of primary significance is the role of metabolic and vascular factors in determining responses of the brainstem neuronal network to hypoxic loading of different severity and duration.

     Our goal is to test the hypothesis that metabolic and vascular changes in the neuronal network involved in regulation of respiratory output and sympathetic activity are coordinated processes, and that changes in intracellular pH are an important factor determining the global behavior of respiratory and cardiovascular outputs. A multi-tiered group of specific aims was designed to test this hypothesis. We will use 2-deoxyglucose autoradiography and enzyme histochemistry to determine regional differences in metabolic demand and enzymatic capacity during hypoxic exposure. In addition, in rats with carotid sinus nerves intact and in sinoaortal denervated animals, we will define the metabolic and vascular changes by determination of the spatial and temporal heterogeneity of intracellular pH and regional blood flow during transient and sustained hypoxic exposure. Observed changes will be compared with metabolic responses to local hypoxic loading of the brainstem by topical administration of sodium cyanide. Based on obtained results, a functional map of the brainstem responses to altered arterial oxygen and carbon dioxide will be generated.

     Chronic Hypoxia: Adaptation to continued moderate hypoxia in the rat brain includes structural and metabolic changes. The most striking evidence of this hypoxia induced metabolic and vascular plasticity is capillary angiogenesis characterized by increased capillary density. We are studying the time course of angiogenesis in response to continued and intermittent hypoxia, and return to normoxia. The appearance and disappearance of capillaries will be documented in the standard adult Wistar rat model and compared to the response of obese/hypertensive, lean/hypertensive, and streptozotocin-induced chronic hyperglycemic rats. Functional consequences of vascular re-structuring will be examined through measurements of blood flow and mean transit time and blood volume under resting conditions and in response to challenges of acute hypoxia, acute hypercapnia and acetazolamide. Brain energy metabolites and intracellular pH will be measured to characterize the metabolic adaptations in these models. These studies will help to define the boundaries of the structural and metabolic changes that occur in response to continued hypoxic exposures. It is our long term goal to provide a basic understanding of the physiological and patho-physiological responses triggered by hypoxic exposure.