title: Hyperthermia delayed by 24 hours aggravates neuronal damage in rat hippocampus following global ischemia.
abstract: We investigated whether moderate, transient whole-body hyperthermia (approximately 39.6 degrees C), if imposed 1 day following a brief episode of forebrain ischemia, would affect the neuropathologic outcome. Forty-two Wistar rats were subjected to either a 5- or 7-minute period of bilateral common carotid artery occlusion plus hypotension (50 mm Hg), or to the equivalent sham procedure. Twenty-four hours later, rats of one subgroup were placed into a hyperthermic chamber containing high-intensity lamps designed to elevate rectal temperature to 39 to 40 degrees C for 3 hours. Normothermic subgroups received the same procedures, but the heating lamps were turned off. Eight days after brain ischemia or the sham procedure, brains were perfusion-fixed, and numbers of ischemic-appearing CA1 pyramidal neurons were counted. In rats with 7-minute forebrain ischemia, delayed hyperthermia increased mean numbers of ischemic neurons by 2.6- to 2.7-fold in all subsectors of area CA1 (p < 0.05, ANOVA). Delayed hyperthermia in 5-minute ischemic rats also tended to increase mean numbers of ischemic neurons (by 11-fold in lateral, 6-fold in middle, and 5-fold in medial CA1 subsectors), but these differences were not statistically significant. We conclude that moderate, transient hyperthermia, even if occurring 1 day after a 7-minute global ischemic insult, exacerbates the extent of ischemic neuronal injury.
authors.affiliation: Department of Neurology, University of Miami School of Medicine, FL 33101, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Baena
authors.forename: R
authors.initials: R
authors.lastname: Busto
authors.forename: W D
authors.initials: WD
authors.lastname: Dietrich
authors.forename: M Y
authors.initials: MY
authors.lastname: Globus
authors.forename: M D
authors.initials: MD
authors.lastname: Ginsberg
mesh_terms: D000704:Analysis of Variance; D000818:Animals; D001253:Astrocytes / Q000473:pathology; D001831:Body Temperature / Q000502:physiology; D002467:Cell Nucleus / Q000473:pathology; D003593:Cytoplasm / Q000473:pathology; D006624:Hippocampus / Q000473:pathology*; D006801:Humans; D006979:Hyperthermia, Induced / Q000009:adverse effects*; D002546:Ischemic Attack, Transient / Q000473:pathology*; D008264:Macrophages / Q000473:pathology; D008297:Male; D009474:Neurons / Q000473:pathology*; D017966:Pyramidal Cells / Q000473:pathology; D051381:Rats; D017208:Rats, Wistar; D013997:Time Factors