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阿尔茨海默病中的犬尿氨酸代谢

Kynurenine metabolism in Alzheimer's disease.

作者信息

Baran H, Jellinger K, Deecke L

机构信息

Ludwig Boltzmann Institute of Clinical Neurobiology, Psychiatric Hospital Vienna, Austria.

出版信息

J Neural Transm (Vienna). 1999;106(2):165-81. doi: 10.1007/s007020050149.

Abstract

L-kynurenine (L-KYN) serves as a substrate for the synthesis of neurotoxic 3-OH-kynurenine (3-OH-KYN) and neuroprotective kynurenic acid (KYNA). KYNA is able to interact with ionotropic excitatory amino acid receptors that are involved in a variety of neurodegenerative disorders. The purpose of the present study was to investigate the biosynthetic machinery of KYNA in several regions of Alzheimer's disease (AD) brain. The endogenous levels of L-KYN, 3-OH-KYN and KYNA in frontal cortex, caudate nucleus, putamen, hippocampus, and cerebellum of 11 autopsy confirmed cases of AD and 13 age-matched controls were analyzed. Subsequently, the activity of two proteins responsible for the production of KYNA, kynurenine aminotransferases I and II (KAT I and KAT II), was investigated. There was a trend for a decrease of L-KYN and 3-OH-KYN in all examined regions of AD brain, as compared to controls. However, KYNA was increased significantly in the putamen and caudate nucleus of AD, by 192 and 177%, respectively. In other areas of AD brain only a minor increase of KYNA was present. Elevated KYNA in the caudate nucleus and putamen correlated with a significant increase of KAT I activities in both nuclei-157 and 147%, respectively. A minor increase of KAT II was measured only in the caudate nucleus of AD subjects. Kinetic analysis of KAT I and II performed in the caudate nucleus of AD patients revealed a marked increase of Vmax, by 207 and 274% of controls, respectively. Km value for L-KYN using pyruvate as amino acceptor was significantly higher for KAT II (247% of controls). The present data indicate an elevated kynurenine metabolism in AD brain. A marked increase of KYNA in the caudate nucleus and putamen may compensate the hyperactivity of the striato-frontal loop in AD brains. Blockade of NMDA receptors by KYNA may be responsible for impaired memory, learning and cognition in AD patients.

摘要

L-犬尿氨酸(L-KYN)是合成神经毒性物质3-羟基犬尿氨酸(3-OH-KYN)和具有神经保护作用的犬尿喹啉酸(KYNA)的底物。KYNA能够与参与多种神经退行性疾病的离子型兴奋性氨基酸受体相互作用。本研究的目的是探究阿尔茨海默病(AD)脑多个区域中KYNA的生物合成机制。分析了11例经尸检确诊的AD病例以及13例年龄匹配的对照者额叶皮质、尾状核、壳核、海马和小脑内L-KYN、3-OH-KYN和KYNA的内源性水平。随后,研究了负责生成KYNA的两种蛋白质,即犬尿氨酸转氨酶I和II(KAT I和KAT II)的活性。与对照组相比,AD脑所有检测区域中的L-KYN和3-OH-KYN均有下降趋势。然而,AD患者壳核和尾状核中的KYNA显著增加,分别增加了192%和177%。AD脑的其他区域中KYNA仅有轻微增加。尾状核和壳核中KYNA的升高与这两个核中KAT I活性的显著增加相关,分别增加了157%和147%。仅在AD患者的尾状核中检测到KAT II有轻微增加。对AD患者尾状核中KAT I和KAT II进行的动力学分析显示,Vmax显著增加,分别为对照组的207%和274%。以丙酮酸作为氨基受体时,KAT II对L-KYN的Km值显著更高(为对照组的247%)。目前的数据表明AD脑中犬尿氨酸代谢增强。尾状核和壳核中KYNA的显著增加可能会补偿AD脑中纹状体-额叶环路的过度活跃。KYNA对N-甲基-D-天冬氨酸(NMDA)受体的阻断可能是AD患者记忆、学习和认知受损的原因。

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