Dombro R S, Hutson D G, Norenberg M D
Veterans Administration Medical Center, Miami, FL 33125.
Mol Chem Neuropathol. 1993 Aug;19(3):259-68. doi: 10.1007/BF03160004.
Most of the brain glycogen, a major energy reserve that can be mobilized in response to increased neuronal activity, resides in the astrocyte, the site of the neuropathological abnormality found in hepatic encephalopathy (HE). Ammonia, a neurotoxin implicated in the pathogenesis of HE, has been reported to cause a depletion of glycogen in primary astrocyte cultures. To further investigate the action of ammonia on glycogen levels, cultured astrocytes were exposed to ammonium chloride (1-5 mM) for various times up to 7 d. Treatment with ammonia for 24 h did not alter deoxyglucose uptake, but significantly lowered peak glycogen values (found at 1.5 h following feeding with medium containing 5.5 mM glucose) in a concentration-dependent manner. This inhibitory effect was not observed after longer exposure times to ammonia. Three day treatment of cells did, however, significantly reduce norepinephrine-stimulated glycogenolysis, an effect not seen after 1 d of ammonia treatment. Part of the neurotoxic action of long term ammonia exposure in humans and experimental animals may be to inhibit the breakdown of glycogen. The effect of ammonia on astrocyte glycogen synthesis and/or breakdown may disrupt glial neuronal signaling and thus play a role in the pathogenesis of HE.
大部分脑糖原(一种可响应神经元活动增加而被动员的主要能量储备)存在于星形胶质细胞中,而星形胶质细胞正是肝性脑病(HE)中出现神经病理异常的部位。氨是一种与HE发病机制有关的神经毒素,据报道,它会导致原代星形胶质细胞培养物中的糖原耗竭。为了进一步研究氨对糖原水平的作用,将培养的星形胶质细胞暴露于氯化铵(1-5 mM)中长达7天的不同时间。用氨处理24小时不会改变脱氧葡萄糖的摄取,但会以浓度依赖性方式显著降低峰值糖原值(在喂食含5.5 mM葡萄糖的培养基后1.5小时测得)。长时间暴露于氨后未观察到这种抑制作用。然而,对细胞进行三天处理确实会显著降低去甲肾上腺素刺激的糖原分解,而氨处理1天后未观察到这种效果。长期氨暴露在人类和实验动物中的部分神经毒性作用可能是抑制糖原的分解。氨对星形胶质细胞糖原合成和/或分解的影响可能会破坏胶质神经元信号传导,从而在HE的发病机制中发挥作用。