Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Neurochem Int. 2013 Oct;63(4):244-58. doi: 10.1016/j.neuint.2013.06.015. Epub 2013 Jul 6.
Astrocytic energetics of excitatory neurotransmission is controversial due to discrepant findings in different experimental systems in vitro and in vivo. The energy requirements of glutamate uptake are believed by some researchers to be satisfied by glycolysis coupled with shuttling of lactate to neurons for oxidation. However, astrocytes increase glycogenolysis and oxidative metabolism during sensory stimulation in vivo, indicating that other sources of energy are used by astrocytes during brain activation. Furthermore, glutamate uptake into cultured astrocytes stimulates glutamate oxidation and oxygen consumption, and glutamate maintains respiration as well as glucose. The neurotransmitter pool of glutamate is associated with the faster component of total glutamate turnover in vivo, and use of neurotransmitter glutamate to fuel its own uptake by oxidation-competent perisynaptic processes has two advantages, substrate is supplied concomitant with demand, and glutamate spares glucose for use by neurons and astrocytes. Some, but not all, perisynaptic processes of astrocytes in adult rodent brain contain mitochondria, and oxidation of only a small fraction of the neurotransmitter glutamate taken up into these structures would be sufficient to supply the ATP required for sodium extrusion and conversion of glutamate to glutamine. Glycolysis would, however, be required in perisynaptic processes lacking oxidative capacity. Three lines of evidence indicate that critical cornerstones of the astrocyte-to-neuron lactate shuttle model are not established and normal brain does not need lactate as supplemental fuel: (i) rapid onset of hemodynamic responses to activation delivers oxygen and glucose in excess of demand, (ii) total glucose utilization greatly exceeds glucose oxidation in awake rodents during activation, indicating that the lactate generated is released, not locally oxidized, and (iii) glutamate-induced glycolysis is not a robust phenotype of all astrocyte cultures. Various metabolic pathways, including glutamate oxidation and glycolysis with lactate release, contribute to cellular energy demands of excitatory neurotransmission.
由于在不同的体外和体内实验系统中存在不一致的发现,兴奋性神经递质的星形胶质细胞能量代谢仍然存在争议。一些研究人员认为,谷氨酸摄取的能量需求可以通过与乳酸向神经元转运进行氧化的糖酵解来满足。然而,在体内感觉刺激期间,星形胶质细胞增加糖原分解和氧化代谢,这表明在大脑激活期间,星形胶质细胞使用其他能量来源。此外,培养的星形胶质细胞摄取谷氨酸会刺激谷氨酸氧化和耗氧量,并且谷氨酸维持呼吸以及葡萄糖的利用。谷氨酸的神经递质池与体内总谷氨酸周转率的较快成分相关,并且利用神经递质谷氨酸通过氧化能力强的突触旁过程氧化来为其自身摄取提供燃料具有两个优点,即底物与需求同时供应,并且谷氨酸将葡萄糖留给神经元和星形胶质细胞使用。成年啮齿动物大脑中的一些(但不是全部)星形胶质细胞的突触旁过程含有线粒体,并且这些结构中摄取的神经递质谷氨酸的一小部分氧化就足以提供用于钠外排和谷氨酸转化为谷氨酰胺所需的 ATP。然而,在缺乏氧化能力的突触旁过程中需要糖酵解。有三条证据表明星形胶质细胞-神经元乳酸穿梭模型的关键基石尚未建立,并且正常大脑不需要乳酸作为补充燃料:(i)激活时血液动力学反应的快速发生提供了超过需求的氧气和葡萄糖,(ii)在激活期间清醒的啮齿动物中总葡萄糖利用大大超过葡萄糖氧化,表明生成的乳酸被释放而不是局部氧化,以及(iii)谷氨酸诱导的糖酵解不是所有星形胶质细胞培养物的稳健表型。各种代谢途径,包括谷氨酸氧化和乳酸释放的糖酵解,有助于兴奋性神经递质传递的细胞能量需求。