Effect of Hypoglycemic Encephalopathy upon Amino Acids, High‐Energy Phosphates, and pH<sub>i</sub> in the Rat Brain <i>In Vivo:</i> Detection by Sequential <sup>1</sup>H and <sup>31</sup>P NMR Spectroscopy

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<jats:p><jats:bold>Abstract: </jats:bold> Metabolic alterations in amino acids, high‐energy phosphates, and intracellular pH during and after insulin hypoglycemia in the rat brain was studied <jats:italic>in vivo</jats:italic> by <jats:sup>1</jats:sup>H and <jats:sup>31</jats:sup>P nuclear magnetic resonance (NMR) spectroscopy. Sequential accumulations of <jats:sup>1</jats:sup>H and <jats:sup>31</jats:sup>P spectra were obtained from a double‐tuned surface coil positioned over the exposed skull of a rat while the electroencephalogram was recorded continuously. The transition to EEG silence was accompanied by rapid declines in phosphocreatine, nucleoside triphosphate, and an increase in inorganic orthophosphate in <jats:sup>31</jats:sup>P spectra. In <jats:sup>1</jats:sup>H spectra acquired during the same time interval, the resonances of glutamate and glutamine decreased in intensity while a progressive increase in aspartate was observed. Following glucose administration, glutamate and aspartate returned to control levels (recovery half‐time, 8 min); recovery of glutamine was incomplete. An increase in lactate was detected in the <jats:sup>1</jats:sup>H spectrum during recovery but it was not associated with any change in the intracellular pH as assessed in the corresponding <jats:sup>31</jats:sup>P spectrum. Phosphocreatine returned to control levels following glucose administration, in contrast to nucleoside triphosphate and inorganic orthophosphate which recovered to only 80% and 200% of their control levels, respectively. These results show that the changes in cerebral amino acids and high‐energy phosphates detected by alternating the collection of <jats:sup>1</jats:sup>H and <jats:sup>31</jats:sup>P spectra allow for a detailed assessment of the metabolic response of the hypoglycemic brain <jats:italic>in vivo.</jats:italic></jats:p>

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