Differential Sensitivity of Hippocampal GABAergic Neurons to Hypoxia and Ischemia-like Conditions Correlates with the Type of Calcium-Binding Protein Expressed

Using in vitro models of hypoxia, episodes of short-term hypoxia/reoxygenation, and ischemia-like conditions, we were able to establish different sensitivities of hippocampal neurons to their damaging factors. Using a combination of fluorescence microscopy and immunocytochemistry methods, it was possible to show that GABAergic neurons are the most vulnerable to the damaging effects of hypoxia and ischemia-like conditions, as they have a special metabolism, which is characterized by increased production of reactive oxygen species and nitric oxide. It was shown that long-term hypoxia causes the death of GABAergic neurons due to the induction of a global [Ca²⁺]_i increase, whereas pyramidal neurons are resistant to 30-min hypoxia. Episodes of short-term hypoxia/reoxygenation activate the phenomenon of hypoxic preconditioning in glutamatergic neurons, while this endogenous protective mechanism is absent in GABAergic neurons. Selective activation of PI3K and PKG, combined with NOS inhibition, potentiates the preconditioning effect of hypoxia/reoxygenation in glutamatergic neurons and partially activates this neuroprotective mechanism in GABAergic neurons, as indicated by diminished post-hypoxic NMDA-induced Ca²⁺ transients. These findings suggest that pharmacological intervention can protect GABAergic neuronal populations. The expression of parvalbumin, calbindin, or calretinin in the cytosol of GABAergic neurons contributes to the suppression of the global [Ca²⁺]_i increase during hypoxia/reoxygenation episodes, which correlates with their survival even in the absence of the hypoxic preconditioning phenomenon. Additionally, all three studied calcium-binding proteins showed potential high efficiency in maintaining the bioenergetics of GABAergic neurons during ischemia-like conditions, limiting ROS production by mitochondria and in the cytosol, and reducing nitric oxide formation. In this case, parvalbumin showed the greatest efficiency.