Reynolds J D, Penning D H, Dexter F, Atkins B, Hrdy J, Poduska D, Chestnut D H, Brien J F
Department of Anesthesia, University of Iowa College of Medicine, Iowa City 52242, USA.
Alcohol Clin Exp Res. 1995 Dec;19(6):1447-53. doi: 10.1111/j.1530-0277.1995.tb01006.x.
The cerebral cortex is a target site of ethanol teratogenesis. L-Glutamate is a major excitatory neurotransmitter that plays an important neurotrophic role in brain development. It has been proposed that optimal function of the glutamate neuronal system is required for normal brain development; overactivation could lead to excitotoxic-induced neuronal injury, whereas underactivation could delay/restrict brain development. The objective of this study was to test the hypothesis that acute in vivo ethanol exposure alters basal glutamate release in the fetal cerebral cortex. The experimental approach involved measuring fetal cortical extracellular glutamate concentration using the technique of in vivo microdialysis. Near-term fetal sheep were chronically instrumented with a microdialysis probe placed in the parasagittal cortex. At 124 +/- 3 days of gestation, the effects of maternal intravenous infusion of 2 g or 4 g ethanol/kg maternal body weight or an equivalent volume of saline, given as four equally divided doses over 5 hr, on fetal cerebral cortical extracellular glutamate concentration were determined. None of the three treatment regimens produced fetal or maternal demise during the time course of the study. There was an ethanol dose-dependent increase, p = 0.005, in extracellular glutamate concentration in the fetal cerebral cortex. This increase was paroxysmal in nature and was not directly related to the fetal blood ethanol concentration. In view of the proposed role for glutamate in neuronal development, this apparent ethanol-induced increase in glutamate release may be important in the pathogenesis of ethanol teratogenesis involving the cerebral cortex.
大脑皮层是乙醇致畸作用的靶位点。L-谷氨酸是一种主要的兴奋性神经递质,在大脑发育中发挥重要的神经营养作用。有人提出,谷氨酸神经元系统的最佳功能是正常大脑发育所必需的;过度激活可能导致兴奋性毒性诱导的神经元损伤,而激活不足可能会延迟/限制大脑发育。本研究的目的是检验急性体内乙醇暴露会改变胎儿大脑皮层基础谷氨酸释放这一假设。实验方法包括使用体内微透析技术测量胎儿皮层细胞外谷氨酸浓度。将近足月的胎羊长期植入置于矢状旁皮层的微透析探针。在妊娠124±3天时,测定母体静脉输注2 g或4 g乙醇/千克母体体重或等体积生理盐水(在5小时内分四次等剂量给予)对胎儿大脑皮层细胞外谷氨酸浓度的影响。在研究过程中,三种治疗方案均未导致胎儿或母体死亡。胎儿大脑皮层细胞外谷氨酸浓度呈乙醇剂量依赖性增加(p = 0.005)。这种增加本质上是阵发性的,与胎儿血液乙醇浓度无直接关系。鉴于谷氨酸在神经元发育中的作用,这种明显的乙醇诱导的谷氨酸释放增加可能在涉及大脑皮层的乙醇致畸发病机制中具有重要意义。