Cauli Omar, Llansola Marta, Rodrigo Regina, El Mlili Nisrin, Errami Mohammed, Felipo Vicente
Laboratory of Neurobiology, Fundación Valenciana de Investigaciones Biomédicas, Valencia, Spain.
Metab Brain Dis. 2005 Dec;20(4):347-58. doi: 10.1007/s11011-005-7918-0.
One of the neurological complications in hepatic encephalopathy is the impairment of motor coordination and function. Clinical signs of basal ganglia, cortico-spinal and cerebellar dysfunction have been commonly detected in these patients. We are studying the molecular bases of the alterations in motor coordination and function in hepatic encephalopathy. Hyperammonemia is considered the main factor responsible for the neurological alterations in patients with hepatic encephalopathy. Activation of metabotropic glutamate receptors (mGluRs) in the nucleus accumbens (NAcc) induces locomotion in rats. Asa first step in our studies on the alterations in motor co-ordination and function in hyperammonemia and hepatic encephalopathy we studied whether the control of motor function by mGluRs in the NAcc is altered in hyperammonemic rats. The locomotor activity induced by injection into the nucleus accumbens (NAcc) of DHPG, an agonist of group I mGluRs was significantly increased in hyperammonemic rats. Injection of DHPG increased extracellular dopamine but not glutamate in the NAcc of control rats. In hyperammonemic rats DHPG-induced increase in dopamine was significantly reduced, and extracellular glutamate increased 6-fold. The content of mGluR 1 but not mGluR 5, is increased in the NAcc of hyperammonemic rats. Blockade of mGluR 1 completely prevented motor and neurochemical effects induced by DHPG. These results show that modulation of both motor function and extracellular concentration of neurotransmitters by mGluRs in the NAcc is altered in hyperammonemia. This may contribute to the alterations in motor function in hepatic encephalopathy.
肝性脑病的神经并发症之一是运动协调和功能受损。在这些患者中,基底神经节、皮质脊髓和小脑功能障碍的临床体征普遍存在。我们正在研究肝性脑病中运动协调和功能改变的分子基础。高氨血症被认为是肝性脑病患者神经改变的主要因素。伏隔核(NAcc)中代谢型谷氨酸受体(mGluRs)的激活可诱导大鼠运动。作为我们关于高氨血症和肝性脑病中运动协调和功能改变研究的第一步,我们研究了高氨血症大鼠中伏隔核mGluRs对运动功能的控制是否改变。将I组mGluRs激动剂二氢吡啶谷氨酸(DHPG)注入伏隔核所诱导的运动活性在高氨血症大鼠中显著增加。在对照大鼠的伏隔核中,注射DHPG可增加细胞外多巴胺,但不会增加谷氨酸。在高氨血症大鼠中,DHPG诱导的多巴胺增加显著减少,而细胞外谷氨酸增加了6倍。高氨血症大鼠伏隔核中mGluR 1的含量增加,而mGluR 5的含量未增加。阻断mGluR 1可完全阻止DHPG诱导的运动和神经化学效应。这些结果表明,高氨血症时伏隔核中mGluRs对运动功能和神经递质细胞外浓度的调节均发生改变。这可能导致肝性脑病中运动功能的改变。