Excitatory Amino Acids and Excitotoxicity Lecture (Dr. Karius) Flashcards

(28 cards)

1
Q

Excitatory Amino Acids

A

1) Glutamate
2) Aspartate

**There are OHT Inotropic and Metabotropic Receptors that can be activated by EAA

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2
Q

Glutamate

A
  • From ALPHA-KETOGLUTARATE

- Metabolic and NT pools Strictly SEPARATED!!!!!!

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3
Q

Aspartate

A
  • From OXALOACETATE
  • Documented as NT in Visual Cortex and Pyramidal Cells
  • Often found with GLUTAMATE
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4
Q

Inotropic Receptors for EAA

A

1) NMDA

2) Non- NMDA Receptors
a) AMPA
b) Kainate

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5
Q

NMDA Receptors

A
  • Activated by the Exogenous agent N-METHYL-D-ASPARTATE
  • Also Glutamate and Aspartate
  • When activated, allows CA++ INFLUX!!!!!!!!!!!!
  • Has Multiple Modulatory Sites:
    a) Glycine Binding Site
    b) Mg++ Binding Site
    c) PCP Binding Site
  • Activation leads to EPSP
    a) SLOW ONSET
    b) PROLONGED Duration
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6
Q

Glycine Binding Site on NMDA Receptors

A
  • Glycine serves as a CO-AGONIST!!!!!!!
  • Presence of Glycine required for EAA to have Effect
  • Glycine on own CANNOT OPEN CHANNEL!!!!!
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7
Q

Magnesium Binding Site on NMDA Receptors

A
  • INSIDE CHANNEL!!!!
  • Mg++ blocks the Channel
    a) CHANNEL MUST OPEN
    b) Cell must be DEPOLARIZED for Mg++ to Leave
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8
Q

PCP Binding Site on NMDA Receptor

A
  • INSIDE CHANNEL (Internal to Mg++ site)

- Blocks the Channel

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9
Q

Activation fo NMDA Receptors leads to EPSP’s in the POST-Synaptic Cell

A

The EPSP’s Show:
1) LONGER Latency (Time to remove Mg++)

2) Longer Duration (Ca++ Slower)

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10
Q

Non-NMDA Receptors

A
  • Like the NMDA Receptor, almost exclusively POST-SYNAPTIC EXPRESSION
  • SODIUM INFLUX (Some: Very small amount of Calcium too)
  • Two Subtypes:
    a) AMPA
    b) KAINATE
  • Activation leads to TYPICAL EPSP
  • Often Co-Localized at SAME SYNAPSE with NMDA Receptor!!!!!!!!!!
    (The Non-NMDA Receptor allows for an Influx of Sodium which Depolarizes the Cell, thus removing the Mg++ Inhibition and therefore allowing and INFLUX of Ca++)

**BENZODIAZEPINE INHIBITS response to NT on the AMPA Non- NMDA Receptor!!!!!!!!

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11
Q

Metabotropic Receptors

A
  • Both PRE and POST-SYNAPTIC Location

a) Pre-Synaptic: CONTROL Neurotransmitter Release!!!!!!

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12
Q

Functions of EAA

A

1) Non-NMDA Receptors:
- Primary AFFERENTS
- PREMOTOR (Upper MN)

2) NMDA Receptors:
- LONG TERM Changes in Synaptic Strength
- Learning
- Memory

3) METABOTROPIC Receptors:
- Learning
- Memory
- Motor Systems

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13
Q

Getting Rid of EAA

A

1) NEURONS and GLIA:
- Uptake Systems
a) Na+ Dependent Secondary Active Transport
b) High AFFINITY

2) GLIA:
- Convert to GLUTAMINE
- Release into ECF

***Neurons takes Glutamine up and convert it back to GLUTAMATE

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14
Q

EAA and Nitric Oxide

A

NMDA Receptors:
- Influx of Ca++

  • Ca++ binds to CALCINEURIN!!!!!!!!!!!!!!
  • Activates NITRIC OXIDE SYNTHASE (NOS)
  • NOS catalyzes the reaction which creates NO from ARGININE!!!!!!
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15
Q

Neural Functions of NO

A
  • Long term Potentiation and Memory

- Cardiovascular and Respiratory Control

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16
Q

Nitric Oxide can be Very Toxic

A
  • Leads to production of FREE RADICALS

- These KILL invading Bacteria (or other cells)

17
Q

EAA

Glutamate/ Aspartate/ Taurine

A

CENTRAL LOCATION:
- Widespread: Spinal Cord through to Cortex

FUNCTIONS:

  • Sensory: Primary AFFERENTS
  • Motor: Activation of Alpha Motoneuron
  • Consciousness
  • Learning
  • Memory

IONOTROPIC RECEPTORS:

  • NMDA: Ca++ Influx Modulatory Sites
  • Non- NMDA: Sodium Influx; two Subtypes

METABOTRPIC RECEPTORS:
- Yes

OTHER:
- Creation of NO by NMDA Receptor Activation

18
Q

Excitotoxicity

A
  • Proposed to explain continuing Neuronal Deatha after and Ischemic Event
  • Based on possibility that OVER STIMULATION of EAA System can cause CELL DEATH even in Neurons that were not ISCHEMIC/ HYPOXIC/ ANOXIC
19
Q

Excitotoxicity

A

Strong evidence of Involvement in:

  • Cerebral Ischemia/ Stroke
  • Hypoxia or Anoxia
  • Mechanical Trauma to CNS
  • Hypoglycemia

Substantial evidence of Involvement in:
- EPILEPSY

20
Q

In the area most Directly affected by Ischemia (Anoxic Core):

A
  • OXYGEN DEPRIVATION
  • Cells unable to MEET METABOLIC NEEDS (DEPOLARIZATION of MEMBRANE)

1) **Within 4 MINS:
- ATP levels within Neuron to 0
- Na/ K ATPase Ceases
- Vm DEPOLARIZES!!!!!!!

2) High levels of EAA:
- EAA release EXCESSIVE
- EAA Re-uptake is Na+ Dependent

3) NMDA Receptor Activation:
- CALCIUM INFLUX!!!!!!!!!!!!!!!!!

21
Q

Increases Calcium Concentration initiates

A

1) Activation of Phospholipase A2
2) Activation of Calcineurin (Phosphatase)
3) Activation of Mu-Calpain (Protease)
4) Activation of Apoptotic Pathway

22
Q

Excessive activation of these Enzymes disrupts Normal Cellular Function:

Activation of PHOSPHOLIPASE A2

A
  • Release of Arachidonae from Membrane:
    1) Causes PHYSICAL DAMAGE to MEMBRANE!!!!!

(Arachidonate acts as Ryanodine Receptor on ER)
2) RELEASE of CALCIUM from INTRACELLULAR STORES!!!!!!!!!!!!(Including E.R and Mitochondria)

3) ER:
- ‘UNFOLDED PROTEIN RESPONSE”: Stops making Protein
- Activation of eIF2Alpha-Kinase
- Mitochondria: Impaired Function

23
Q

Excessive activation of these Enzymes disrupts Normal Cellular Function:

Activation of Mu-CALPAIN (Protease)

A

PROTEOLYSIS:
1) SPECTRIN: More structural Damage to Cell

2) eIF4G: Eukaryotic Induction factor 4G—> Protein Syntehsis
3) Others: Metabolic Impairment

24
Q

Excessive activation of these Enzymes disrupts Normal Cellular Function:

Activation of CALCINEURIN

A
  • **PHOSPHATASE:
  • Among other things, ACTIVATES NOS
  • INCREASES NO SYNTHESIS
25
Disruption of Mitochondrial and ER
A) The Disruption of Mitochondrial and ER Function INCREASES Free Cytosolic CALCIUM B) As Mitochondrial Membranes are Disrupted, APOPTOTIC Pathways are ACTIVATED - Cytochrome C and Caspase 9----------------------------------------------------------->>>> ACTIVATION of CASPASE 3 (Proteolytic Enzyme, Apoptotic)
26
Reperfusion Injury
- This Neuron is no longer "NORMAL" - Much of this O2 being added will end up as a FREE RADICAL somewhere (PEROXIDES) - Kinases take ATP ---> ADP " PO4 a) PHOSPHORYLATIO, further modifying Enzyme Action b) PHOSPHORYLATION of eIF2alpha Kinase leads to a DECREASE in Protein Synthesis and activates CASPASE 3, which INCREASES APOPTOTIC Signaling
27
Nitric Oxide adds to the Cascade
- In HIGH QUANTITY, NO contributes to EDEMA by damaging Capillary Endothelial Cells!!!!
28
Prevention of this Cycle:
- Difficult at best, to date, most experimentally successful treatment are Pre-treatments that focus on NMDA Receptors