Kienzl E, Riederer P, Jellinger K, Kleinberger G
Leber Magen Darm. 1982 Oct;12(5):179-81.
Ammonia and valine influence the activity of serotonin receptors in membranes of frontal cortex taken from brain removed at postmortem: Ammonia reduces maximal binding capacity of serotonin receptors, and this effect can be antagonized by valine. This modulatory effect of valine seems to be efficient at a lower level in tissues of patients with hepatic coma. Branched chain amino acids may have efficient therapeutic effects in hepatic coma due firstly to effects on the blood brain barrier by a well known mechanism of action and secondly to molecular interaction at the synaptic membrane.
氨会降低血清素受体的最大结合能力,而缬氨酸可拮抗这种作用。在肝昏迷患者的组织中,缬氨酸的这种调节作用在较低水平时似乎有效。支链氨基酸可能对肝昏迷具有有效的治疗作用,这首先是由于其通过一种众所周知的作用机制对血脑屏障产生影响,其次是由于在突触膜处的分子相互作用。