Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA.
Pharmacol Biochem Behav. 2012 Feb;100(4):656-64. doi: 10.1016/j.pbb.2011.08.008. Epub 2011 Aug 26.
This introductory article to the special edition on glutamate neurotransmission in neuropsychiatric disorders provides an overview of glutamate neurotransmitter system physiology and pharmacology. Glutamate was only relatively recently recognized as the major excitatory neurotransmitter in the mammalian brain, in part due to its ubiquitous nature and diverse metabolic roles within the CNS. The extremely high concentration of glutamate in brain tissue paired with its excitotoxic potential requires tight physiological regulation of extracellular glutamate levels and receptor signaling in order to assure optimal excitatory neurotransmission but limits excitotoxic damage. In order to achieve this high level of control, the system has developed a complex physiology with multiple regulatory processes modulating glutamate metabolism, release, receptor signaling, and uptake. The basic physiology of the various regulatory components of the system including the rich receptor pharmacology is briefly reviewed. Potential contributions from each of the system's components to the pathophysiology of neuropsychiatric illnesses are briefly discussed, as are the many new pharmacological targets for drug development provided by the system, especially as they pertain to the proceeding preclinical and clinical articles in this issue.
这篇关于神经精神疾病中谷氨酸神经递质的特刊介绍性文章概述了谷氨酸神经递质系统的生理学和药理学。谷氨酸直到最近才被认为是哺乳动物大脑中的主要兴奋性神经递质,部分原因是它在中枢神经系统中的普遍存在和多种代谢作用。脑组织中谷氨酸的浓度极高,加上其潜在的兴奋性毒性,需要严格的生理调节细胞外谷氨酸水平和受体信号,以确保最佳的兴奋性神经递质传递,但限制兴奋性毒性损伤。为了实现这种高水平的控制,该系统发展出了一种复杂的生理学,具有多种调节过程来调节谷氨酸代谢、释放、受体信号和摄取。简要回顾了系统中各种调节成分的基本生理学,包括丰富的受体药理学。简要讨论了系统的各个组成部分对神经精神疾病病理生理学的潜在贡献,以及该系统提供的许多新的药物开发靶点,特别是与本期临床前和临床文章相关的靶点。