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Original Article

Influence of Hyperglycemia on Energy Metabolism in Ischemic Brain

The Ewha Medical Journal 1995;18(4):443-449. Published online: July 24, 2015

Department of Neurosurgery, College of Medicine, Ewha Womans University, Korea.

Copyright © 1995. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    The purpose of this study is to investigate e effects of preischemic hyperglycemia on e alterations of'adenosine triphosphate and lactate concentrations in e acutefocal ischernic brain of the cats.
  • Methods
    Acute focal cerebral ischemia in cats was induced by occlusion of the left middlecerebral artery through the postorbital technique. The experimental animals were divided into 3 goups: sham control, occlusion and recirculation groups. Each group was divided into 2 subgroups: normoglycemic and hyperglycemic groups.
  • Results
    The experimental results are obtained as fo11ows;
    1) In normoglycemic subgroups of occlusion and recirculation proups, amount of adenosinetriphosphate in ischmic brain decreased significantly to 3.0% and 13.0% of the sham control,respectively(p < 0.001).
    In hyperglycemic subgroups of occlusion and recirculation groups, amount of adenosine trisphosphate decreased a little more an at in normoglycemic subgroups, even so there wasno statistic significancy(p > 0.1).
    2) In normoglycemic subgroups of occlusion and recirculation groups, amount of lactate inischemic brain increased signigicantly to 175.7% and 187.9% of the sham control, respectively(p < 0.001).
    In hyperglycemic subgroups of occlusion and recirculation groups, amount of lactate increased nore than that in normoglycemic subgroups with statistic significancy(0.001 < p < 0.01).
  • Conclusion
    These results suggest that hyperglycemia before ischemia serves to elevate glucose transport into brain tissue and thereby, to promote profound tissue acidosis throughanaerobic glycolysis caused by a failure of adenosine triphosphate stnthesis during the ischemicperiod.

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      Ihwa Ŭidae chi. 1995;18(4):443-449.   Published online July 24, 2015
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      Ihwa Ŭidae chi. 1995;18(4):443-449.   Published online July 24, 2015
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