Acute
cerebral ischemia induces membrane depolarization in the neuron, thereby incurring the simultaneous influx of various
ions such as Na+ and Ca2+. Since
procaine possesses the ability to inhibit the release of Ca2+ from intracellular Ca2+ stores to the cytosol as well as the ability to block Na+ channels, the effects of
procaine on
ischemia were investigated in the present study in gerbils both in vivo and in vitro. The histologic outcome was evaluated 7 days after 3 min of transient forebrain
ischemia by assessing delayed neuronal death in hippocampal CA1 pyramidal cells in animals administered
procaine (0.2, 0.4, or 2 micromol) intracerebroventricularly 10 min before
ischemia and in animals given saline. The changes in the direct-current potential shift in the hippocampal CA1 area were measured using an identical animal model. A
hypoxia-induced intracellular Ca2+ increase was evaluated by in vitro microfluorometry in gerbil hippocampal slices, and the effects of
procaine (10, 50, and 100 micromol/l) on the Ca2+ accumulation were examined. Additionally, the effect of
procaine (100 micromol/l) in a Ca2+-free condition was investigated. The histologic outcome was improved and the onset of the
ischemia-induced membrane depolarization was prolonged by the preischemic administration of
procaine. The increase in the intracellular concentration of Ca2+ induced by the in vitro
hypoxia was suppressed by the perfusion of
procaine-containing mediums (50 and 100 micromol/l), regarding both the initiation and the extent of the increase. A
hypoxia-induced intracellular Ca2+ elevation in the Ca2+-free condition was observed, and the perfusion with
procaine (100 micromol/l) inhibited this elevation.
Procaine helps protect neurons from
ischemia by suppressing the direct-current potential shift and by inhibiting the release of Ca2+ from the intracellular Ca2+ stores, as well as by inhibiting the influx of Ca2+ from the extracellular space.