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"Lactate"

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"Lactate"

Original Articles
[English]
Influence of Hyperglycemia on Energy Metabolism in Ischemic Brain
Sung Hak Kim, Kyu Man Shin
Ihwa Ŭidae chi 1995;18(4):443-449.   Published online July 24, 2015
DOI: https://doi.org/10.12771/emj.1995.18.4.443
Objectives

The purpose of this study is to investigate e effects of preischemic hyperglycemia on e alterations of'adenosine triphosphate and lactate concentrations in e acutefocal ischernic brain of the cats.

Methods

Acute focal cerebral ischemia in cats was induced by occlusion of the left middlecerebral artery through the postorbital technique. The experimental animals were divided into 3 goups: sham control, occlusion and recirculation groups. Each group was divided into 2 subgroups: normoglycemic and hyperglycemic groups.

Results

The experimental results are obtained as fo11ows;

1) In normoglycemic subgroups of occlusion and recirculation proups, amount of adenosinetriphosphate in ischmic brain decreased significantly to 3.0% and 13.0% of the sham control,respectively(p < 0.001).

In hyperglycemic subgroups of occlusion and recirculation groups, amount of adenosine trisphosphate decreased a little more an at in normoglycemic subgroups, even so there wasno statistic significancy(p > 0.1).

2) In normoglycemic subgroups of occlusion and recirculation groups, amount of lactate inischemic brain increased signigicantly to 175.7% and 187.9% of the sham control, respectively(p < 0.001).

In hyperglycemic subgroups of occlusion and recirculation groups, amount of lactate increased nore than that in normoglycemic subgroups with statistic significancy(0.001 < p < 0.01).

Conclusion

These results suggest that hyperglycemia before ischemia serves to elevate glucose transport into brain tissue and thereby, to promote profound tissue acidosis throughanaerobic glycolysis caused by a failure of adenosine triphosphate stnthesis during the ischemicperiod.

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[English]
Cerebrospinal Fluid Lactate Level Following Experimental Spinal Cord Injury
Jae O Kim, Dong Been Park, Kyu Man Shin
Ihwa Ŭidae chi 1982;5(4):249-254.   Published online July 24, 2015
DOI: https://doi.org/10.12771/emj.1982.5.4.249

For the purpose of ascertaining the role and magnitude of ischemia of the spin-al cord following trauma the authors determine the lactate concentrations in cere-brospinal fluid(CSF). Laminectomies were performed at L2 under general anes-thesia with aseptic techniques. Paraplegia was produced by 400 gm-cm impact injury with impounder. Significant increases in CSF lactate levels occurring at Day 5. The prolonged elevation of CSF lactate indicates that tissue hypoxia plays a role in spinal cord damage and that there is a continuing hypoxia of metabolically active spinal cord tissue for several days post injury.

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