Department of Clinical Pharmacology, China Medical University, Shenyang, China.
Neuropathology. 2011 Jun;31(3):250-64. doi: 10.1111/j.1440-1789.2010.01172.x. Epub 2010 Dec 1.
Hypotonicity following water intoxication and/or salt loss leads to mainly astrocytic brain swelling. Astrocytic swelling also occurs following brain trauma or ischemia, together with an increase in extracellular K(+) (K(+)), stimulating a bumetanide/furosemide/ethacrynic acid-inhibitable cotransporter, NKCC1, that accumulates Na(+) and K(+) together with 2 Cl(-) and osmotically obliged water. Either type of swelling may become fatal and is associated with phosphorylation of extracellular regulated kinases 1 and 2 (ERK(1/2)). Only the swelling associated with elevated K(+), leads to an increase in astrocytic proliferation and in expression of the astrocytic marker, glial fibrillary acidic protein. These differences prompted us to investigate key aspects of the molecular pathways between hypotonicity-induced and high-K(+)-mediated swelling in primary cultures of mouse astrocytes. In the latter Ca(2+)-mediated, AG1478-inhibitable transactivation of the epidermal growth factor (EGF) receptor leads, via bumetanide-inhibitable activation of the mitogen activated protein (MAP) kinase pathway to ERK phosphorylation and to NKCC1-mediated swelling. In the former, inhibition of the MAP kinase pathway, but not of EGF receptor activation, abolishes ERK phosphorylation, but has no effect on swelling, indicating that activation of ERK is a result, not a cause, of the swelling.
水中毒和/或盐丢失引起的低渗血症导致主要的星形胶质细胞肿胀。脑创伤或缺血后也会发生星形胶质细胞肿胀,同时细胞外 K(+) (K(+))增加,刺激布美他尼/呋塞米/依他尼酸抑制共转运蛋白 NKCC1,该蛋白共同积累 Na(+)和 K(+)以及 2 个 Cl(-)和渗透压必需的水。这两种肿胀都可能致命,并与细胞外调节激酶 1 和 2 (ERK(1/2))的磷酸化有关。只有与升高的 K(+)相关的肿胀会导致星形胶质细胞增殖和星形胶质细胞标志物胶质纤维酸性蛋白表达增加。这些差异促使我们研究原代培养的小鼠星形胶质细胞中低渗诱导和高 K(+)介导肿胀之间的分子途径的关键方面。在后一种情况下,Ca(2+)-介导的表皮生长因子 (EGF)受体的 AG1478 抑制性反式激活,通过布美他尼抑制性激活丝裂原激活蛋白 (MAP)激酶途径,导致 ERK 磷酸化和 NKCC1 介导的肿胀。在前一种情况下,MAP 激酶途径的抑制,但不是 EGF 受体的激活,消除了 ERK 的磷酸化,但对肿胀没有影响,表明 ERK 的激活是肿胀的结果,而不是原因。