PMID- 23011809 OWN - NLM STAT- MEDLINE DCOM- 20130604 LR - 20240109 IS - 1559-1182 (Electronic) IS - 0893-7648 (Print) IS - 0893-7648 (Linking) VI - 47 IP - 1 DP - 2013 Feb TI - Molecular mechanisms of ischemia-reperfusion injury in brain: pivotal role of the mitochondrial membrane potential in reactive oxygen species generation. PG - 9-23 LID - 10.1007/s12035-012-8344-z [doi] AB - Stroke and circulatory arrest cause interferences in blood flow to the brain that result in considerable tissue damage. The primary method to reduce or prevent neurologic damage to patients suffering from brain ischemia is prompt restoration of blood flow to the ischemic tissue. However, paradoxically, restoration of blood flow causes additional damage and exacerbates neurocognitive deficits among patients who suffer a brain ischemic event. Mitochondria play a critical role in reperfusion injury by producing excessive reactive oxygen species (ROS) thereby damaging cellular components, and initiating cell death. In this review, we summarize our current understanding of the mechanisms of mitochondrial ROS generation during reperfusion, and specifically, the role the mitochondrial membrane potential plays in the pathology of cerebral ischemia/reperfusion. Additionally, we propose a temporal model of ROS generation in which posttranslational modifications of key oxidative phosphorylation (OxPhos) proteins caused by ischemia induce a hyperactive state upon reintroduction of oxygen. Hyperactive OxPhos generates high mitochondrial membrane potentials, a condition known to generate excessive ROS. Such a state would lead to a "burst" of ROS upon reperfusion, thereby causing structural and functional damage to the mitochondria and inducing cell death signaling that eventually culminate in tissue damage. Finally, we propose that strategies aimed at modulating this maladaptive hyperpolarization of the mitochondrial membrane potential may be a novel therapeutic intervention and present specific studies demonstrating the cytoprotective effect of this treatment modality. FAU - Sanderson, Thomas H AU - Sanderson TH AD - Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, MI 48201, USA. tsanders@med.wayne.edu FAU - Reynolds, Christian A AU - Reynolds CA FAU - Kumar, Rita AU - Kumar R FAU - Przyklenk, Karin AU - Przyklenk K FAU - Huttemann, Maik AU - Huttemann M LA - eng GR - R01 GM089900/GM/NIGMS NIH HHS/United States GR - R01 NS076715/NS/NINDS NIH HHS/United States GR - GM089900/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120926 PL - United States TA - Mol Neurobiol JT - Molecular neurobiology JID - 8900963 RN - 0 (Reactive Oxygen Species) SB - IM MH - Animals MH - Brain Ischemia/*metabolism/*pathology MH - Cytoprotection MH - Humans MH - *Membrane Potential, Mitochondrial MH - Models, Biological MH - Reactive Oxygen Species/*metabolism MH - Reperfusion Injury/*metabolism/*pathology PMC - PMC3725766 MID - NIHMS450957 EDAT- 2012/09/27 06:00 MHDA- 2013/06/05 06:00 PMCR- 2014/02/01 CRDT- 2012/09/27 06:00 PHST- 2012/04/30 00:00 [received] PHST- 2012/08/27 00:00 [accepted] PHST- 2012/09/27 06:00 [entrez] PHST- 2012/09/27 06:00 [pubmed] PHST- 2013/06/05 06:00 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - 10.1007/s12035-012-8344-z [doi] PST - ppublish SO - Mol Neurobiol. 2013 Feb;47(1):9-23. doi: 10.1007/s12035-012-8344-z. Epub 2012 Sep 26.