Brain Tissue Acidosis: Effects on the Extracellular Concentration of N-Acetylaspartate

Abstract: N -Acetylaspartate (NAA) is characterized by a high tissue-to-extracellular concentration ratio under normal conditions and is released from neurons during hyposmotic cell swelling. As cell volume regulation and acid-base homeostasis share common processes, we have examined by microdialysis whether the extracellular concentration of NAA is altered by various acidotic challenges. Twenty-minute perfusion of 50 m M NH₄⁺ through the microdialysis probe progressively lowered dialysate pH by 0.18, followed by a sudden, additional reduction after NH₄⁺ removal. The latter effect indicated extrusion of cellular H⁺ because it was suppressed by blockade of Na⁺/H⁺ exchange with 5-( N,N -dimethyl)amiloride (1 or 5 m M in perfusion medium). NH₄⁺ increased dialysate levels of NAA and lactate by approximately two- and threefold their initial values, respectively. These data demonstrate that pronounced intracellular acidosis is associated with NAA efflux, presumably from neurons. Whether this effect is linked directly to acid-base homeostasis or is secondary to acidosis-induced cell swelling remains to be clarified. Hypercapnia and perfusion of acid medium failed to increase dialysate NAA, probably because acidosis was not severe enough or the associated cellular swelling was not followed by regulatory volume decrease. As cellular swelling and acidosis are key features of cerebral ischaemia, further investigations into the role of NAA, and the development of sophisticated magnetic resonance spectroscopic methods capable of resolving intra-/extracellular NAA redistribution, would be especially relevant to clinical practice.