title: White matter vulnerability to ischemic injury increases with age because of enhanced excitotoxicity.
abstract: Stroke incidence increases with age and this has been attributed to vascular factors. We show here that CNS white matter (WM) is intrinsically more vulnerable to ischemic injury in older animals and that the mechanisms of WM injury change as a function of age. The mouse optic nerve was used to study WM function. WM function in older animals (12 months) was not protected from ischemic injury by removal of extracellular Ca2+ or by blockade of reverse Na+/Ca2+ exchange, as is the case with young adults. Ischemic WM injury in older mice is predominately mediated by glutamate release and activation of AMPA/kainate-type glutamate receptors. Glutamate release, attributable to reverse glutamate transport, occurs earlier and is more robust in older mice that show greater expression of the glutamate transporter. The observation that WM vulnerability to ischemic injury is age dependent has possible implications for the pathogenesis of other age-related CNS conditions.
authors.affiliation: Department of Neurology, Harborview Medical Center, Seattle, Washington 98104, USA. selva@u.washington.edu
authors.forename: Selva
authors.initials: S
authors.lastname: Baltan
authors.forename: Elaine F
authors.initials: EF
authors.lastname: Besancon
authors.forename: Brianna
authors.initials: B
authors.lastname: Mbow
authors.forename: ZuCheng
authors.initials: Z
authors.lastname: Ye
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Hamner
authors.forename: Bruce R
authors.initials: BR
authors.lastname: Ransom
mesh_terms: D000375:Aging / Q000187:drug effects / Q000378:metabolism / Q000473:pathology*; D000818:Animals; D002118:Calcium / Q000378:metabolism; D018683:Excitatory Amino Acid Agents / Q000494:pharmacology*; D018698:Glutamic Acid / Q000378:metabolism; D008297:Male; D051379:Mice; D009413:Nerve Fibers, Myelinated / Q000187:drug effects / Q000378:metabolism*; D018917:Optic Neuropathy, Ischemic / Q000378:metabolism / Q000503:physiopathology*
chemical_list: D018683:Excitatory Amino Acid Agents; D018698:Glutamic Acid; D002118:Calcium