title: Hypoglycemic neuronal death is triggered by glucose reperfusion and activation of neuronal NADPH oxidase.
abstract: Hypoglycemic coma and brain injury are potential complications of insulin therapy. Certain neurons in the hippocampus and cerebral cortex are uniquely vulnerable to hypoglycemic cell death, and oxidative stress is a key event in this cell death process. Here we show that hypoglycemia-induced oxidative stress and neuronal death are attributable primarily to the activation of neuronal NADPH oxidase during glucose reperfusion. Superoxide production and neuronal death were blocked by the NADPH oxidase inhibitor apocynin in both cell culture and in vivo models of insulin-induced hypoglycemia. Superoxide production and neuronal death were also blocked in studies using mice or cultured neurons deficient in the p47(phox) subunit of NADPH oxidase. Chelation of zinc with calcium disodium EDTA blocked both the assembly of the neuronal NADPH oxidase complex and superoxide production. Inhibition of the hexose monophosphate shunt, which utilizes glucose to regenerate NADPH, also prevented superoxide formation and neuronal death, suggesting a mechanism linking glucose reperfusion to superoxide formation. Moreover, the degree of superoxide production and neuronal death increased with increasing glucose concentrations during the reperfusion period. These results suggest that high blood glucose concentrations following hypoglycemic coma can initiate neuronal death by a mechanism involving extracellular zinc release and activation of neuronal NADPH oxidase.
authors.affiliation: Department of Neurology, UCSF, and Veterans Affairs Medical Center, San Francisco, California 94121, USA.
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Suh
authors.forename: Elizabeth T
authors.initials: ET
authors.lastname: Gum
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Hamby
authors.forename: Pak H
authors.initials: PH
authors.lastname: Chan
authors.forename: Raymond A
authors.initials: RA
authors.lastname: Swanson
mesh_terms: D016923:Cell Death; D004789:Enzyme Activation; D005947:Glucose / Q000494:pharmacology; D006801:Humans; D007003:Hypoglycemia / Q000473:pathology* / Q000503:physiopathology*; D008928:Mitochondria / Q000378:metabolism; D019255:NADPH Oxidases / Q000378:metabolism*; D009474:Neurons / Q000187:drug effects / Q000201:enzymology / Q000473:pathology / Q000502:physiology*; D015424:Reperfusion; D013481:Superoxides / Q000378:metabolism
chemical_list: D013481:Superoxides; D019255:NADPH Oxidases; D005947:Glucose