Summary:The effect of different degrees of lactic aci dosis on the recovery of brain mitochondrial function, measured as respiratory activity in isolated mitochondria or cortical concentrations of labile phosphates and car bohydrate substrates, was studied during 30 min of recir culation following 15 min of near-complete forebrain isch emia in rats. During ischemia, there was a marked de crease in mitochondrial State 3 respiration in vitro and a depletion of energy stores (i,e" phosphocreatine, ATP, glucose, and glycogen) in vivo that was similar in the high-and low-lactate ischemia groups, However, lactate concentrations differed markedly (20 and 10 /-Lmol g-I, respectively). During recirculation, there was a near complete recovery of both respiratory activity in vitroIt is now well established that hyperglycemia ad versely affects revival of cell function following transient brain ischemia, probably by enhancing lactic acidosis at the tissue level (see Myers, 1979; Kalimo et aI. , 198]; Rehncrona et aI., ]98]; Siesjo, 1981; Pulsinelli et aI., 1982;Plum, 1983;Longstreth and Inui, ]984). Some results hint that there is a critical concentration of lactic acid in the IS-to 2S /-Lmol g-1 range (Siesjo, 1981; Plum, ]983; Siesjo and Wieloch, 1984). However, the existence of such a threshold value has not been proven, nor is it known by what mechanisms the lactic acidosis ex erts its harmful effects.Circumstantial evidence exists that failure of mi tochondrial function following long periods of isch emia may be due to excessive lactic acidosis. Thus, such recovery was noted following 30 min of com-
259and adenylate energy charge (EC) in vivo regardless of the differences in lactic acidosis during ischemia. Respi ratory activity and EC were well correlated, The changes in Ca2 + homeostasis during ischemia, an increase in tissue and a decrease in mitochondrial Ca2+ content, were reversed rapidly after ischemia in both high-and low lactate ischemia animals and did not hinder an early re covery of mitochondrial function. It is concluded that lactic acidosis. with lactate levels reaching 20 /-Lmol g-I during IS-min ischemia, does not adversely affect early postischemic recovery of mitochondrial function.