Sharma H S
Laboratory of Cerebrovascular Research, Department of Surgical Sciences, Anaesthesiology and Intensive Care Medicine, University Hospital, Uppsala University, Uppsala, Sweden.
J Neural Transm (Vienna). 2006 Apr;113(4):497-519. doi: 10.1007/s00702-005-0406-1.
Role of excitatory amino acids, glutamate, aspartate, and inhibitory amino acids, gamma aminobutyric acid (GABA) and glycine in brain damage caused by heat stress was examined in a rat model. Subjection of rats to 4 h heat stress at 38 degrees C in a biological oxygen demand (BOD) incubator resulted in a marked increase in glutamate and aspartate in some brain regions, whereas a significant decline in GABA and glycine was observed in several brain areas. Profound behavioural alterations and impairment of motor and cognitive functions were seen at this time. Breakdown of the blood-brain barrier (BBB), reduction in regional cerebral blood flow (CBF), edema formation and cell injuries are prominent in several parts of the brain. Pretreatment with multiple opioid receptor antagonist, naloxone (10 mg/kg, i.p.) significantly restored the heat stress induced decline in GABA and glycine and thwarted the elevation of glutamate and aspartate in various brain areas. The motor or cognitive deficits were also attenuated. A significant reduction in BBB permeability, cerebral blood flow abnormalities, edema formation and cell injuries was evident. These novel observations suggest that (i) glutamate, aspartate, GABA and glycine are involved in the pathophysiology of heat stress, and (ii) a balance between excitatory and inhibitory amino acids in brain is crucial in hyperthermia induced brain injuries or repair.
在大鼠模型中研究了兴奋性氨基酸(谷氨酸、天冬氨酸)和抑制性氨基酸(γ-氨基丁酸(GABA)和甘氨酸)在热应激所致脑损伤中的作用。将大鼠置于生物需氧量(BOD)培养箱中,在38℃下进行4小时热应激,导致某些脑区谷氨酸和天冬氨酸显著增加,而在几个脑区观察到GABA和甘氨酸显著下降。此时出现了明显的行为改变以及运动和认知功能受损。血脑屏障(BBB)破坏、局部脑血流量(CBF)减少、水肿形成和细胞损伤在脑的几个部位较为突出。用多种阿片受体拮抗剂纳洛酮(10mg/kg,腹腔注射)预处理可显著恢复热应激诱导的GABA和甘氨酸下降,并阻止各脑区谷氨酸和天冬氨酸升高。运动或认知缺陷也有所减轻。BBB通透性显著降低、脑血流异常、水肿形成和细胞损伤明显减轻。这些新发现表明:(i)谷氨酸、天冬氨酸、GABA和甘氨酸参与热应激的病理生理过程;(ii)脑中兴奋性和抑制性氨基酸之间的平衡在热疗诱导的脑损伤或修复中至关重要。