PMID- 15353213 OWN - NLM STAT- MEDLINE DCOM- 20060323 LR - 20151119 IS - 0006-8993 (Print) IS - 0006-8993 (Linking) VI - 1022 IP - 1-2 DP - 2004 Oct 1 TI - Necrosis, apoptosis and hybrid death in the cortex and thalamus after barrel cortex ischemia in rats. PG - 54-61 AB - Focal ischemia in the cerebral cortex results in acute and delayed cell death in the ischemic cortex and non-ischemic thalamus. We examined the hypothesis that neurons in ischemic and non-ischemic regions died from different mechanisms; specifically, we tested whether a mixed form of cell death containing both necrotic and apoptotic changes could be identified in individual cells. Focal barrel cortex ischemia in rats was induced by occlusion of small branches of the middle cerebral artery (MCA) corresponding to the barrel cortex, local blood flow was measured by quantitative autoradiography. Cell death was visualized by 2,3,5-triphenyltetrazolium chloride (TTC) staining, hematoxylin-eosin (H&E) staining, the terminal deoxyribonucleotidyl transferase-mediated dUTP nick end labeling (TUNEL), and caspase-3 staining 1 to 10 days after the ischemia. Electron microscopy was used for ultrastructural examination. Cell death occurred in the ipsilateral cortex 24 h after ischemia, followed by selective neuronal death in the ventrobasal (VB) thalamus 3 days later. TUNEL positive neurons were found in these two regions, but with striking morphological differences, designated as type I and type II TUNEL positive cells. The type I TUNEL positive cells in the ischemic cortex underwent necrotic changes. The type II TUNEL positive cells in the thalamus and the cortex penumbra region represented a hybrid death, featured by concurrent apoptotic and necrotic alterations in individual cells, including marked caspase-3 activation, nuclear condensation/fragmentation, but with swollen cytoplasm, damaged organelles and deteriorated membranes. Cell death in the thalamus and the cortex penumbra were attenuated by delayed administration of the caspase inhibitor benzyloxycarbonyl-Val-Ala-Asp fluoromethylketone (Z-VAD-FMK). Our data suggest that TUNEL staining should be evaluated with morphological changes, the hybrid death but not typical apoptosis occurs in the penumbra region and non-ischemic thalamus after cerebral ischemia. FAU - Wei, Ling AU - Wei L AD - Department of Neurology, School of Medicine, Washington University, St. Louis, MO, USA. FAU - Ying, Da-Jun AU - Ying DJ FAU - Cui, Lin AU - Cui L FAU - Langsdorf, Jennifer AU - Langsdorf J FAU - Yu, Shan Ping AU - Yu SP LA - eng GR - NS 37372/NS/NINDS NIH HHS/United States GR - NS 42236/NS/NINDS NIH HHS/United States GR - NS 45155/NS/NINDS NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Brain Res JT - Brain research JID - 0045503 RN - 0 (Amino Acid Chloromethyl Ketones) RN - 0 (Neuroprotective Agents) RN - 0 (Tetrazolium Salts) RN - 0 (benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone) RN - 7OL20RET2I (triphenyltetrazolium) RN - EC 3.4.22.- (Casp3 protein, rat) RN - EC 3.4.22.- (Caspase 3) RN - EC 3.4.22.- (Caspases) SB - IM MH - Amino Acid Chloromethyl Ketones/administration & dosage MH - Analysis of Variance MH - Animals MH - Apoptosis/drug effects/*physiology MH - Autoradiography/methods MH - Brain Ischemia/etiology/*pathology/prevention & control MH - Caspase 3 MH - Caspases/metabolism MH - Cell Count/methods MH - Cerebral Cortex/*pathology/ultrastructure MH - Functional Laterality MH - Infarction, Middle Cerebral Artery/complications/pathology MH - Injections, Intraventricular/methods MH - Microscopy, Electron/methods MH - Necrosis/metabolism/pathology/prevention & control MH - Neurons/drug effects/metabolism/*pathology/ultrastructure MH - Neuroprotective Agents/administration & dosage MH - Rats MH - Rats, Wistar MH - Regional Blood Flow/physiology MH - Staining and Labeling/methods MH - Tetrazolium Salts MH - Thalamus/*pathology/ultrastructure MH - Time Factors EDAT- 2004/09/09 05:00 MHDA- 2006/03/24 09:00 CRDT- 2004/09/09 05:00 PHST- 2004/06/07 00:00 [accepted] PHST- 2004/09/09 05:00 [pubmed] PHST- 2006/03/24 09:00 [medline] PHST- 2004/09/09 05:00 [entrez] AID - S0006-8993(04)01072-8 [pii] AID - 10.1016/j.brainres.2004.06.080 [doi] PST - ppublish SO - Brain Res. 2004 Oct 1;1022(1-2):54-61. doi: 10.1016/j.brainres.2004.06.080.