Demediuk P, Daly M P, Faden A I
Department of Neurology, University of California, San Francisco.
J Neurochem. 1989 May;52(5):1529-36. doi: 10.1111/j.1471-4159.1989.tb09204.x.
N-Methyl-D-aspartate (NMDA) administration exacerbates neurological dysfunction after traumatic spinal cord injury in rats, whereas NMDA antagonists improve outcome in this model. These observations suggest that release of excitatory amino acids contributes to secondary tissue damage after traumatic spinal cord injury. To further examine this hypothesis, concentrations of free amino acids were measured in spinal cord samples from anesthetized rats subjected to various degrees of impact trauma to the T9 spinal segment. Levels of excitatory and inhibitory neurotransmitter amino acids [gamma-aminobutyric acid (GABA), glutamate, aspartate, glycine, taurine] and levels of nonneurotransmitter amino acids (asparagine, glutamine, alanine, threonine, serine) were determined at 5 min, 4 h, and 24 h posttrauma. Uninjured surgical (laminectomy) control animals showed modest but significant declines in aspartate and glutamate levels, but not in other amino acids, at all time points. In injured animals, the excitatory amino acids glutamate and aspartate were significantly decreased by 5 min posttrauma, and remained depressed at 4 h and 24 h as compared with corresponding laminectomy controls. In contrast, the inhibitory amino acids, glycine, GABA, and taurine, were decreased at 5 min postinjury, had partially recovered at 4 h, and were almost fully recovered at 24 h. The nonneurotransmitter amino acids were unchanged at 5 min posttrauma and significantly increased at 4 h, with partial recovery at 24 h. At 4 h postinjury, severe trauma caused significantly greater decreases in aspartate and glutamate than did either mild or moderate injury. These findings are consistent with the postulated role of excitatory amino acids in CNS trauma.
给予N-甲基-D-天冬氨酸(NMDA)会加重大鼠创伤性脊髓损伤后的神经功能障碍,而NMDA拮抗剂可改善该模型的预后。这些观察结果表明,兴奋性氨基酸的释放促成了创伤性脊髓损伤后的继发性组织损伤。为了进一步验证这一假说,我们对接受了T9脊髓节段不同程度撞击伤的麻醉大鼠的脊髓样本中的游离氨基酸浓度进行了测定。在创伤后5分钟、4小时和24小时,分别测定兴奋性和抑制性神经递质氨基酸[γ-氨基丁酸(GABA)、谷氨酸、天冬氨酸、甘氨酸、牛磺酸]以及非神经递质氨基酸(天冬酰胺、谷氨酰胺、丙氨酸、苏氨酸、丝氨酸)的水平。未受伤的手术(椎板切除术)对照动物在所有时间点的天冬氨酸和谷氨酸水平均有适度但显著的下降,但其他氨基酸水平未见下降。在受伤动物中,兴奋性氨基酸谷氨酸和天冬氨酸在创伤后5分钟显著降低,与相应的椎板切除术对照相比,在4小时和24小时仍处于较低水平。相比之下,抑制性氨基酸甘氨酸、GABA和牛磺酸在损伤后5分钟降低,在4小时部分恢复,在24小时几乎完全恢复。非神经递质氨基酸在创伤后5分钟未发生变化,在4小时显著增加,在24小时部分恢复。在损伤后4小时,重度创伤导致的天冬氨酸和谷氨酸下降幅度明显大于轻度或中度损伤。这些发现与兴奋性氨基酸在中枢神经系统创伤中的假定作用一致。