Summary: Oxygen-dependent changes in brain cy tochrome redox state and cerebrocortical energy metabo lism were evaluated in fluorocarbon-circulated rats at he matocrits of < 1 %. Redox levels of three respiratory chain cytochrome complexes, b, c, and a, a3 (cytochrome c oxidase), were continuously measured directly through the intact skulls of animals using reflectance spectropho tometry. The in vivo redox status of cytochromes at dif ferent FP2 was directly compared with in vitro measured changes in cortical metabolites known to reflect energy production, i.e., glucose, pyruvate, lactate, phospho creatine (PCr), ADP, and ATP. Lowering the FP2 to <1.0 caused the cytochromes to become increasingly more re duced. This was associated with increased tissue accu mulation of pyruvate and lactate and a concomitant in crease in the lactate/pyruvate (LIP) ratio. At FP2 = 0.6, Cerebral oxygenation is dependent on arterial oxygen content, rate of blood flow, existing gra dients of O2 diffusion, and local states of cellular functional activity. All of these variables may change with different degrees of physiological ac tivity or under pathological conditions, thereby af fecting the oxidative metabolic state of the brain. Cellular aerobic energy production may be altered because molecular O2 directly influences redox po tentials of enzymes comprising the mitochondrial respiratory chain by obligatory interaction with the terminal enzyme complex cytochrome c oxidase.Oxygen uptake by cytochrome oxidase corre lates with tissue oxygen tension (Kreisman et aI., 1981; Kariman et aI., 1983), and in vivo the rate of O2 utilization depends on concentrations of oxygen
163cytochromes b, c, and a, a3 were 57, 53, and 46% re duced, respectively. There was no apparent cerebral en ergy deficit since changes in cortical PCr, ADP, and ATP concentrations were not statistically significant. Blood less animals did not survive below FP2 = 0.5. At this Fp2, the inability of the animals to sustain arterial pres sure correlated (r = 0.87) with depletion of PCr and fur ther increases in the LIP ratio (r = 0.66). Yet, the cortical ATP content was reduced by only 9% of control value. These data provide direct evidence that fluorocarbon emulsion (FC-43) sustains brain oxygenation and energy metabolism at high partial pressures of molecular 02' At lower FP2, however, mitochondrial O2 uptake becomes limited as a function of decreasing perfusion pressure.