Massieu L, Gómez-Román N, Montiel T
Departamento de Neurociencias, Instituto de Fisiología Celular, México, D.F, Mexico.
Exp Neurol. 2000 Oct;165(2):257-67. doi: 10.1006/exnr.2000.7481.
Neuronal damage associated with cerebral ischemia and hypoglycemia might be the consequence of the extracellular accumulation of excitatory amino acids. In previous studies we showed that elevation of glutamate and aspartate extracellular levels by inhibition of its uptake in vivo is not sufficient to induce neuronal damage unless mitochondrial energy metabolism is compromised. In the present study we show that chronic systemic administration of the glycolysis inhibitor iodoacetate (25 mg/kg) induces no damage to the brain per se but enhances neuronal vulnerability to glutamate-mediated neurotoxicity in the hippocampus. Tissue injury is well protected either by antagonizing NMDA glutamate receptors with MK-801 or by administration of pyruvate, a substrate of the tricarboxylic acid cycle. In contrast to systemic treatment, local infusions through a dialysis probe of 5 mM iodoacetate into the hippocampus induced acute lesions not sensitive to MK-801. Iodoacetate intrahippocampal perfusion induced substantial increases in the extracellular levels of glutamate (3.5-fold), taurine (8.8-fold), and particularly aspartate (35-fold). Neuronal damage under this conditions occurs very rapidly as revealed by the histological analysis of animals transcardially perfused immediately after iodoacetate perfusion. Aspartate might contribute to neuronal damage since intrahippocampal administration of this amino acid (600 nmol/microl) induces extensive lesions. The present study might suggest that impairment of glucose oxidation through the glycolytic pathway in vivo facilitates glutamate neurotoxicity. Additionally, the results indicate that pyruvate might prevent as efficiently as glutamate receptor antagonists glutamate-mediated neuronal damage associated with ischemia/hypoglycemia.
与脑缺血和低血糖相关的神经元损伤可能是兴奋性氨基酸细胞外蓄积的结果。在先前的研究中,我们表明,在体内通过抑制其摄取来提高谷氨酸和天冬氨酸的细胞外水平不足以诱导神经元损伤,除非线粒体能量代谢受到损害。在本研究中,我们表明,长期全身给予糖酵解抑制剂碘乙酸盐(25mg/kg)本身不会对大脑造成损伤,但会增强海马体中神经元对谷氨酸介导的神经毒性的易感性。通过用MK-801拮抗NMDA谷氨酸受体或给予三羧酸循环的底物丙酮酸,可以很好地保护组织免受损伤。与全身治疗相反,通过透析探针将5mM碘乙酸盐局部注入海马体可诱导急性损伤,且对MK-801不敏感。海马体内灌注碘乙酸盐可使谷氨酸(3.5倍)、牛磺酸(8.8倍),尤其是天冬氨酸(35倍)的细胞外水平大幅升高。碘乙酸盐灌注后立即经心内灌注的动物组织学分析显示,在这种情况下神经元损伤发生得非常迅速。天冬氨酸可能导致神经元损伤,因为在海马体内给予这种氨基酸(600nmol/μl)会引起广泛的损伤。本研究可能表明,体内通过糖酵解途径损害葡萄糖氧化会促进谷氨酸神经毒性。此外,结果表明,丙酮酸可能与谷氨酸受体拮抗剂一样有效地预防与缺血/低血糖相关的谷氨酸介导的神经元损伤。