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First published online August 6, 2004
Journal of Experimental Biology 207, 3243-3249 (2004)
Published by The Company of Biologists 2004
doi: 10.1242/jeb.00977
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Clinical perspectives: neuroprotection lessons from hypoxia-tolerant organisms

Philip E. Bickler

Department of Anesthesia, University of California, San Francisco, CA 94143-0542, USA



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Fig. 1. Main themes of temporal patterns of hypoxia adaptation. (1) Immediate or constitutive, exemplified by the northern painted turtle, Chrysemys picta. (2) Developmental, as in the relative hypoxia of the in utero environment. (3) Slow or chronic, as exemplified by human adaptation to high-altitude hypoxia over the course of many days (photo courtesy of R. Boutilier).

 


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Fig. 2. Interaction of calcium in neuroprotection and oxygen-sensing mechanisms in vertebrate neurons. Rapid responses to hypoxia are shown in red and more slowly developing responses are shown in blue. (+) indicates a potentiating effect on the target, (–) indicates an inhibitory one. Oxygen interacts with a variety of target molecules, both at the cell surface, e.g. NMDA receptors (Bickler et al., 2003Go), K+ channels and NADPH oxidase (Prabhakar and Overholt, 2000Go), and in the cytosol (e.g. HIF-1 and related proteins; Semenza, 1999Go) in processes that require Ca2+ (Mottet et al., 2003Go). Hypoxia has indirect effects mediated by changes in the bioenergetic state of mitochondria that involve Ca2+ (Berridge et al., 2000Go; Bickler et al., 2000Go) and reactive oxygen species (ROS) (Haddad and Land, 2000Go). Signaling via the tyrosine-kinase receptor family also requires Ca2+ and results in activation of Akt, an inhibitor of apoptosis (Cheng et al., 2003Go). Growth factors (Nicole et al., 2001Go), cytokines and inorganic ions (Millhorn et al., 2000Go) also may modulate neuronal responses to hypoxia and depend on appropriate [Ca2+]i for their action. Many of these signals converge on calcium-dependent MAP kinase cassettes including the ERK, JNK and p38 pathways (Mattson, 1997Go; Minet et al., 2000Go; Semenza, 1999Go). This figure was modified from Bickler and Donohoe (2002Go).

 


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Fig. 3. Effects of oxygen on recombinant NMDA receptor currents in Xenopus oocytes. Hypoxia activates or inhibits cloned NMDARs expressed in Xenopus oocytes depending on the NR2 subunit. (A) Hypoxia has no effect on currents from NR1/NR2A and NR1/NR2B receptors. (B) Hypoxia inhibits currents from NR1/NR2D and augments those from NR1/NR2C. (C) Example of the augmenting effects of hypoxia on currents recorded from an oocyte expressing NR1/NR2C receptors. (D) Example of the inhibition of currents from NR1/NR2D during hypoxia. Reprinted from Bickler et al. (2003Go), with permission.

 





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