Summary
The accuracy of near-infared measurement of the redox state of cytochrome oxidase in situ remains controversial. Our new approach to the measurement of the redox state of cytochrome oxidase resolves the most difficult problem, that the in vivo absorption coefficient of cytochrome oxidase is unknown, in addition to other problems such as the light-scattering effects and marked overlap of absorbance changes attributed to hemoglobin. We applied this method to both animal and clinical investigations. Based on the results obtained from these investigations, we discuss the redox behavior of cerebral cytochrome oxidase in vivo and the significance of the measurement of cytochrome oxidase in clinical medicine. Our conclusion is that cerebral cytochrome oxidase in vivo is fully oxidized under normal physiological conditions and that its oxygen-dependent redox change, which precedes a decline of brain function, occurs only when the oxygen supply is extremely impaired. Thus, the start of the reduction of cytochrome oxidase can be used as an alarm indicating that the brain condition is critical metabolically and functionally.
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© 1998 Springer-Verlag Tokyo
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Hoshi, Y. et al. (1998). Redox Behavior of Copper A in Cytochrome Oxidase in the Brain In Vivo: Its Clinical Significance. In: Ishimura, Y., Shimada, H., Suematsu, M. (eds) Oxygen Homeostasis and Its Dynamics. Keio University Symposia for Life Science and Medicine, vol 1. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68476-3_9
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DOI: https://doi.org/10.1007/978-4-431-68476-3_9
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68478-7
Online ISBN: 978-4-431-68476-3
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