89 resultados para Excitotoxicity


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A doença de Parkinson (DP) é a segunda doença neurodegenerativa mais comum em idosos, caracterizada pela neurodegeneração de neurônios dopaminérgicos da substância negra (SN), com etiologia não claramente estabelecida, entretanto as causas podem estar associadas a exposição de toxinas ambientais e fatores genéticos. Os processos patológicos envolvidos na DP são disfunção mitocondrial, estresse oxidativo, inflamação e excitotoxicidade. A sintomatologia da DP são alterações motoras, cognitivas e autonômicas. Contudo, poucos estudos analisam os sintomas não-motores da DP, principalmente em modelos animais. Nesse contexto o objetivo deste trabalho foi avaliar sintomas não-motores da DP em modelo animal com lesão provocada pela neurotoxina 6-hidroxidopamina com duas doses diferentes, injetadas bilateralmente no estriado. Para alcançar nossos objetivos realizamos os testes de campo aberto, apomorfina, labirinto aquático de Morris e testes de discriminação olfativa, além de análises histológicas. Nossos resultados mostraram alterações motoras, déficits de memória e aprendizado, associadas a diminuição de células dopaminérgicas na SN, neurônios estriatais e neurônios da região hipocampal CA1. Dessa forma, esse modelo para os sintomas não-motores da DP pode ser utilizado para a compreensão dos mecanismos que envolvem a doença, assim como para avaliar medidas terapêuticas que possam retardar ou interromper a progressão da DP.

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O acidente vascular encefálico (AVENC) é uma desordem neural iniciada a partir da redução ou interrupção do fluxo sanguíneo, tornando inadequada a demanda energética para a região, promovendo assim um dano tecidual. O AVENC é classificado em hemorrágico ou isquêmico. O AVENC isquêmico tem maior prevalência e pode ocorrer por trombose ou embolismo. A patologia isquêmica tem múltiplos eventos interrelacionados como excitotoxicidade, despolarização periinfarto, estresse oxidativo e nitrosativo, inflamação e apoptose. Um elemento de fundamental importância na patologia isquêmica é a célula microglial, cuja atividade está intimamente ligada à progressão do ambiente lesivo. Uma alternativa terapêutica no tratamento do AVENC é um pirazolona denominada Edaravona. O presente trabalho avaliou a o efeito neuroprotetor da Edaravona na dose de 3mg/kg no córtex sensóriomotor primário após lesão isquêmica focal. A indução isquêmica foi induzida através da administração de 40pM do peptídeo vasoconstritor endotelina 1 diretamente sobre o córtex sensóriomotor primário. Foram avaliados animais tratados com Edaravona (N=10) e animais tratados com Água Destilada (N=10) nos tempos de sobrevida 1 e 7 dias após o evento isquêmico. O tratamento com edaravona evidenciou através da análise histopatológica com violeta de cresila uma redução de 49% e 66% na área de infarto nos animais nos tempo de sobrevida 1 e 7 dias respectivamente. Os estudos imunohistoquímicos para micróglia/macrófagos ativos (ED1+) demostraram uma redução na presença de células ED1+ em 35% e 41% para os tempos de sobrevida 1 e 7 dias respectivamente. A redução na presença de neutrófilos (MBS-1+) foi significativa apenas nos animais com tempo de sobrevida de 24h onde se observou a redução em 56% na presença dessas células. A análise estatística foi feita por análise de variância com correção a posteriori de Tukey com p <0,05.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Schizophrenia has been defined as a neurodevelopmental disease that causes changes in the process of thoughts, perceptions. and emotions, usually leading to a mental deterioration and affective blunting. Studies have shown altered cell respiration and oxidative stress response in schizophrenia; however, most of the knowledge has been acquired from postmortem brain analyses or from nonneural cells. Here we describe that neural cells, derived from induced pluripotent stem cells generated from skin fibroblasts of a schizophrenic patient, presented a twofold increase in extramitochondrial oxygen consumption as well as elevated levels of reactive oxygen species (ROS), when compared to controls. This difference in ROS levels was reverted by the mood stabilizer valproic acid. Our model shows evidence that metabolic changes occurring during neurogenesis are associated with schizophrenia, contributing to a better understanding of the development of the disease and highlighting potential targets for treatment and drug screening.

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Overstimulation of the glutamatergic system (excitotoxicity) is involved in various acute and chronic brain diseases. Several studies support the hypothesis that guanosine-5'-monophosphate (GMP) can modulate glutamatergic neurotransmission. The aim of this study was to evaluate the effects of chronically administered GMP on brain cortical glutamatergic parameters in mice. Additionally, we investigated the neuroprotective potential of the GMP treatment submitting cortical brain slices to oxygen and glucose deprivation (OGD). Moreover, measurements of the cerebrospinal fluid (CSF) purine levels were performed after the treatment. Mice received an oral administration of saline or GMP during 3 weeks. GMP significantly decreases the cortical brain glutamate binding and uptake. Accordingly, GMP reduced the immunocontent of the glutamate receptors subunits, NR2A/B and GluR1 (NMDA and AMPA receptors, respectively) and glutamate transporters EAAC1 and GLT1. GMP treatment significantly reduced the immunocontent of PSD-95 while did not affect the content of Snap 25, GLAST and GFAP. Moreover, GMP treatment increased the resistance of neocortex to OGD insult. The chronic GMP administration increased the CSF levels of GMP and its metabolites. Altogether, these findings suggest a potential modulatory role of GMP on neocortex glutamatergic system by promoting functional and plastic changes associated to more resistance of mice neocortex against an in vitro excitotoxicity event.

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The activation of the transient receptor potential vanilloid type 1 channel (TRPV1) has been correlated with oxidative and nitrosative stress and cell death in the nervous system. Our previous results indicate that TRPV1 activation in the adult retina can lead to constitutive and inducible nitric oxide synthase-dependent protein nitration and apoptosis. In this report, we have investigated the potential effects of TRPV1 channel activation on nitric oxide synthase (NOS) expression and function, and the putative participation of ionotropic glutamate receptors in retinal TRPV1-induced protein nitration, lipid peroxidation, and DNA fragmentation. Intravitreal injections of the classical TRPV1 agonist capsaicin up-regulated the protein expression of the inducible and endothelial NOS isoforms. Using 4,5-diaminofluorescein diacetate for nitric oxide (NO) imaging, we found that capsaicin also increased the production of NO in retinal blood vessels. Processes and perikarya of TRPV1-expressing neurons in the inner nuclear layer of the retina were found in the vicinity of nNOS-positive neurons, but those two proteins did not colocalize. Retinal explants exposed to capsaicin presented high protein nitration, lipid peroxidation, and cell death, which were observed in the inner nuclear and plexiform layers and in ganglion cells. This effect was partially blocked by AP-5, a NMDA glutamate receptor antagonist, but not by CNQX, an AMPA/kainate receptor antagonist. These data support a potential role for TRPV1 channels in physiopathological retinal processes mediated by NO, which at least in part involve glutamate release.

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A decline in cognitive ability is a typical feature of the normal aging process, and of neurodegenerative disorders such as Alzheimer’s, Parkinson’s and Huntington’s diseases. Although their etiologies differ, all of these disorders involve local activation of innate immune pathways and associated inflammatory cytokines. However, clinical trials of anti-inflammatory agents in neurodegenerative disorders have been disappointing, and it is therefore necessary to better understand the complex roles of the inflammatory process in neurological dysfunction. The dietary phytochemical curcumin can exert anti-inflammatory, antioxidant and neuroprotective actions. Here we provide evidence that curcumin ameliorates cognitive deficits associated with activation of the innate immune response by mechanisms requiring functional tumor necrosis factor α receptor 2 (TNFR2) signaling. In vivo, the ability of curcumin to counteract hippocampusdependent spatial memory deficits, to stimulate neuroprotective mechanisms such as upregulation of BDNF, to decrease glutaminase levels, and to modulate N-methyl- D –aspartate receptor levels was absent in mice lacking functional TNFRs. Curcumin treatment protected cultured neurons against glutamate-induced excitotoxicity by a mechanism requiring TNFR2 activation. Our results suggest the possibility that therapeutic approaches against cognitive decline designed to selectively enhance TNFR2 signaling are likely to be more beneficial than the use of anti-inflammatory drugs per se.

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In the present study we analyzed new neuroprotective therapeutical strategies in PD (Parkinson’s disease) and AD (Alzheimer’s disease). Current therapeutic strategies for treating PD and AD offer mainly transient symptomatic relief but it is still impossible to block the loss of neuron and then the progression of PD and AD. There is considerable consensus that the increased production and/or aggregation of α- synuclein (α-syn) and β-amyloid peptide (Aβ), plays a central role in the pathogenesis of PD, related synucleinopathies and AD. Therefore, we identified antiamyloidogenic compounds and we tested their effect as neuroprotective drug-like molecules against α-syn and β-amyloid cytotoxicity in PC12. Herein, we show that two nitro-catechol compounds (entacapone and tolcapone) and 5 cathecol-containing compounds (dopamine, pyrogallol, gallic acid, caffeic acid and quercetin) with antioxidant and anti-inflammatory properties, are potent inhibitors of α-syn and β-amyloid oligomerization and fibrillization. Subsequently, we show that the inhibition of α-syn and β-amyloid oligomerization and fibrillization is correlated with the neuroprotection of these compounds against the α-syn and β-amyloid-induced cytotoxicity in PC12. Finally, we focused on the study of the neuroprotective role of microglia and on the possibility that the neuroprotection properties of these cells could be use as therapeutical strategy in PD and AD. Here, we have used an in vitro model to demonstrate neuroprotection of a 48 h-microglial conditioned medium (MCM) towards cerebellar granule neurons (CGNs) challenged with the neurotoxin 6-hydroxydopamine (6-OHDA), which induces a Parkinson-like neurodegeneration, with Aβ42, which induces a Alzheimer-like neurodegeneration, and glutamate, involved in the major neurodegenerative diseases. We show that MCM nearly completely protects CGNs from 6-OHDA neurotoxicity, partially from glutamate excitotoxicity but not from Aβ42 toxin.

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Oxidative stress has been implicated in the pathogenesis of a number of diseases including neurodegenerative disorders, cancer, ischemia, etc. Alzheimer’s disease (AD) is histopathologically characterized by the presence of extracellular senile plaque (SP), predominantly consisting of fibrillar amyloid-peptide (Aβ), intracellular neurofibrillary tangles (NFTs), composed of hyperphosphorylated tau protein, and cell loss in the selected regions of the brain. However, the pathogenesis of AD remains largely unknown, but a number of hypothesis were proposed for AD mechanisms, which include: the amyloid cascade, excitotoxicity, oxidative stress and inflammation hypothesis, and all of them are based, to some extent on the role of A. Accumulated evidence indicates that the increased levels of ROS may act as important mediators of synaptic loss and eventually promote formation of neurofibrillary tangles and senile plaques. Therefore a vicious circle between ROS and Aaccumulation may accelerate progression of AD. For these reasons, growing attention has focused on oxidative mechanism of Atoxicity as well as the search for novel neuroprotective agents. A strategy to prevent the oxidative stress in neurons may be the use of chemopreventive agents as inducers of antioxidant and phase 2 enzymes. Sulforaphane (SF), derived from corresponding glucoraphanin, glucosinolate found in abundance in cruciferous vegetables, has recently gained attention as a potential neuroprotective compound inducer of antioxidant phase 2 enzymes. Consistent with this evidence, the study is aimed at identifying the SF ability to prevent and counteract the oxidative damage inducted by oligomers of Aβ (1-42) in terms of impairment in the intracellular redox state and cellular death in differentiated human neuroblastoma and microglia primary cultures. In addition we will evaluated the mechanism underlying the SF neuroprotection activity.

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Das Corticotropin Releasing Hormon (CRH) ist ein zentraler Mediator des neuroendokrinen Systems von Säugetieren und kontrolliert die physiologische Stressreaktion des Körpers. Zudem zeigten in vitro Daten, dass es Neuroprotektion gegenüber oxidativem Stress induzieren kann. In der vorliegenden Arbeit konnte erstmals ein neuroprotektiver Effekt des CRH in vivo gezeigt werden. Die Überexpression des CRH im ZNS von Mäusen konnte Nervenzellen in vivo vor Exzitotoxizität schützen; nach Injektion des Exzitotoxins Kainat verkürzte die CRH-Überexpression die Dauer der epileptischen Anfälle, schützte die Neurone der betroffenen Hippocampusregion vor Zelltod und verhinderte die bei Exzitotoxizität und vielen neurodegenerativen Erkrankungen auftretende Neuroinflammation. Desweiteren konnten in CRH-überexprimierenden Tieren erhöhte BDNF-Proteinspiegel nachgewiesen werden. BDNF, ein bedeutender neurotropher Faktor im ZNS, vermittelt daher teilweise die CRH-induzierte Neuroprotektion gegenüber der Exzitotoxizität in vivo. Im Rahmen dieser Arbeit wurde mit Connexin43, dem Haupt-Gap Junction-Protein der Astrozyten, ein neues CRH-Zielgen im ZNS identifiziert. Es konnte erstmals gezeigt werden, dass CRH sowohl die Expression des Connexin43-Gens als auch den Connexin43-Proteinspiegel in vitro und in vivo erhöht. Diese Effekte werden über die Aktivierung des CRH-Rezeptor 1 und nachfolgend der PKA- und MAPK-Signalwege vermittelt. In Übereinstimmung mit der Hochregulation des Connexin43-Proteinspiegels verstärkte CRH auch die interzelluläre Kommunikation über Gap Junctions. Physiologisch hat diese CRH-induzierte Verstärkung der astrozytären Gap Junction-Kommunikation eine große Bedeutung für die Neuroprotektion, da eine Hochregulation der interzellulären Kommunikation schnell toxische Moleküle verdünnt, Energiesubstrate und protektive Faktoren verteilt und Ionen abpuffert. Dadurch werden Schädigungen durch oxidativen Stress in den Zellen reduziert, was über die Analyse der Proteincarbonylierung gezeigt wurde. Die Relevanz der astrozytären Gap Junction-Kommunikation für das Überleben der Neurone konnte in organotypischen hippocampalen Schnitten und in Neuron-Astrozyten-Co-Kulturen deutlich gemacht werden. Die im Rahmen der vorliegenden Arbeit gewonnenen Daten zeigen, dass die Stress-induzierte Sekretion von CRH im ZNS zur verstärkten Expression neuroprotektiver Moleküle wie BDNF und Connexin43 beiträgt. Diese vermögen Neurone gegenüber toxischen Einflüssen zu schützen und zum Erhalt ihrer Funktion beizutragen. Die protektiven CRH-Effekte könnten speziell bei chronischen neurodegenerativen Krankheiten wie der Alzheimerschen Demenz und der Parkinsonschen Krankheit hilfreich sein.

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Oxidativer Stress in Form reaktiver Sauerstoffspezies (ROS) und Exzitotoxizität durch supraphysiologische Konzentrationen des Neurotransmitters Glutamat sind nicht nur beteiligt an der Pathogenese vielzähliger neurodegenerativer Erkrankungen wie Schlaganfall, Hirntrauma, Alzheimer Demenz oder Multipler Sklerose, sondern spielen zudem eine Schlüsselrolle im dort beobachteten Zusammenbruch der Blut-Hirn-Schranke. Glutamat führt durch Stimulation neuronaler und endothelialer NMDA-Rezeptoren zu einer Generierung von ROS. Nicht verfolgt worden war bisher, welche Auswirkungen ROS umgekehrt auch auf den NMDA-Rezeptor haben könnten. Im Rahmen der vorliegenden Arbeit wurde daher untersucht, ob und in welcher Weise die Exposition gegenüber reaktiven Sauerstoffspezies einen Einfluss auf die Expression und Aktivierbarkeit von NMDA-Rezeptoren auf zerebrovaskulären Endothelzellen ausübt.rnEs konnte zunächst die Expression der funktionell obligaten NR-1 Untereinheit des NMDA-Rezeptors auf der verwendeten Zelllinie b.End3 mittels Immunfluoreszenz-Mikroskopie gesichert werden. Ein Nachweis von mRNA für die Untereinheiten NR1 und NR2B, C und D erfolgte mittels RT-PCR. In der Analyse der replizierten RNA zeigten sich Hinweise für eine heterogene Komposition der exprimierten endothelialen NMDA-Rezeptoren.rnEs konnte weiter mit Hilfe der In-Cell-Western-Technik gezeigt werden, dass die Expression des NMDA-Rezeptors durch transiente Stimulation mit reaktiven Sauerstoffspezies im Sinne einer Heraufregulation moduliert werden kann. Die Stimulation der Zellen mit den reaktiven Sauerstoffspezies O2-, ONOO- und H2O2 führte dabei im Experiment zu einer deutlichen Zunahme der NR1-Expression, die spätestens nach 72 Stunden höchst signifikant war.rnUm zu überprüfen, welche Bedeutung diese Überexpression für die Integrität der Blut-Hirn-Schranke unter den exzitotoxischen Bedingungen hoher Glutamatkonzentrationen haben könnte, wurde mit Hilfe des ECIS-Systems („Electrical Cell-Substrate Impedance Sensing“) die Impedanz ROS-präexponierter Endothelmonolayer gemessen. Auf Rezeptorstimulation mit dem spezifischen Agonisten NMDA reagierten die vorbehandelten Gruppen mit einem Abfall der Impedanz gegenüber der nicht vorbehandelten Kontrolle.rnrnDie vorliegenden Ergebnisse zeigen, dass ROS in der Lage sind, funktionelle endotheliale NMDA-Rezeptoren zu induzieren und auf diesem Weg zu einem verstärkten Abfall der BHS-Integrität unter den Bedingungen exzitotoxischen und oxidativen Stresses führen. Dies stellt einen neuen Mechanismus zur Erklärung der Pathogenese des Blut-Hirn-Schrankenversagens dar.

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Das Glaukom ist, nach dem Katarakt, die zweithäufigste Ursache für Erblindungen weltweit mit Milionen von Betroffenen, die von dieser zunächst weitgehend symptomfreien neurodegenerativen Erkrankung heimgesucht werden. Die Möglichkeiten auf dem Feld der Diagnose beschränken sich bislang weitestgehend auf die Messung des Augeninnendrucks und der Beurteilung des Augenhintergrundes durch einen erfahrenen Augenarzt. Eine labordiagnostische Prophylaxe ist bis heute nicht verfügbar, die Zahl unerkannter Erkrankungen dementsprechend hoch. Hierdurch geht wertvolle Zeit verloren, die man für eine effektive Therapie nutzen könnte.rnBezüglich der Pathogenese des Glaukoms geht man heute von mehreren, miteinander wechselwirkenden Pathomechanismen aus, zu denen neben mechanischen Einflüssen durch einen erhöhten IOD auch Hypoxie, verminderte Neutrophinversorgung, Exzitotoxizität, oxidativer Stress und eine Beteiligung autoimmuner Prozesse gezählt werden. Unabhängig vom Pathomechanismus folgt stets die Etablierung umfangreicher degenerativer Prozesse im Sehnervenkopf, den retinalen Ganglienzellen und den Axonen des Sehnerven, die letztlich im irreversiblen Untergang dieser Neuronen münden. Diese pathologischen Prozesse im ZNS hinterlassen auf Proteomebene Spuren, die mithilfe moderner massenspektrometrischer Methoden in Kombination mit multivariaten statistischen Methoden detektierbar und als sogenannte Biomarker-Kandidaten mit definiertem Molekulargewicht darstellbar sind. In dieser Arbeit wurde ein „Workflow“ entwickelt, der es ermöglicht, diese Biomarker-Kandidaten im Blutserum und in der Tränenflüssigkeit in einfachen, reproduzierbaren Schritten zu identifizieren und zu charakterisieren. Abweichend von der etablierten Methotik der Bottom-Up-Proteomics musste hierfür eine Methode entsprechend einer Top-Down-Philosophie entwickelt werden, die es erlaubt, die Spuren des Glaukoms im Proteom zu detektieren und zu charakterisieren.rnDies erfolgte in dieser Arbeit durch sowohl massenspektroskopischen Methoden wie SELDI-TOF® und MALDI-Tof-Tof als auch durch Bead-, Gel- und Flüssigkeits-chromatographisch-basierte Separations und Fraktionierungstechniken.rnDie erfolgreiche Kombination dieser Methoden führte zu Identifikationen einer ganzen Reihe von Biomarker-Kandidaten. Unter den identifizierten Proteinen, die bezüglich ihres korrespondierenden SELDI-Peaks im Massenbereich von Biomarker-Kandidaten liegen, finden sich Zytokine und Effektormoleküle der angeborernen Immunität, stressinduzierbare Kinasen, Faktoren, die zum Schutz der Telomeren dienen, Proliferationsmarker, neuronale Antigene und Transportproteine. Darüber hinaus wurden Komponenten identifiziert, die an der neuronalen Neutrophinversorgung beteiligt sind, neuronale Rezeptoren und Antigene, Komponenten des Komplementsystems und des MHC-I-Komplexes. All diese identifizierten Proteine sind bezüglich ihrer Funktion und möglichen Rolle innerhalb der Pathogenese des Glaukoms detailliert beschrieben und charakterisiert. Dies erlaubt einen umfassenden Einblick in alle Pathomechanismen, denen nach heutigem Kenntnisstand, eine Rolle an der Pathogenese des Glaukoms unterstellt wird.rn

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The term neurodegeneration defines numerous conditions that modify neuron’s normal functions in the human brain where is possible to observe a progressive and consistent neuronal loss. The mechanisms involved in neurodegenerative chronic and acute diseases evolution are not completely understood yet, however they share common characteristics such as misfolded proteins, oxidative stress, inflammation, excitotoxicity, and neuronal loss. Many studies have shown the frequency to develop neurodegenerative chronic diseases several years after an acute brain injury. In addition, many patients show, after a traumatic brain injury, motor and cognitive manifestations that are close to which are observed in neurodegenerative chronic patients. For this reason it is evident how is fundamental the concept of neuroprotection as a way to modulate the neurodegenerative processes evolution. Neuroinflammation, oxidative stress and the apoptotic process may be functional targets where operate to this end. Taking into account these considerations, the aim of the present study is to identify potential common pathogenetic pathways in neurodegenerative diseases using an integrated approach of preclinical studies. The goal is to delineate therapeutic strategies for the prevention of neuroinflammation, neurodegeneration and dysfunctions associated to Parkinson’s disease (PD) and cerebral ischemia. In the present study we used a murine model of PD treated with an isothiocyanate, 6-MSITC, able to quench ROS formation, restore the antioxidant GSH system, slow down the apoptotic neuronal death and counteract motor dysfunction induced by 6-OHDA. In the second study we utilized a transgenic mouse model knockout for CD36 receptor to investigate the inflammation involvement in a long term study of MCAo, which shows a better outcome after the damage induced. In conclusion, results in this study allow underlying the connection among these pathologies, and the importance of a neuroprotective strategy able to restore neurons activity where current drugs therapies have shown palliative but not healing abilities.

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Glutamate transporters play important roles in the termination of excitatory neurotransmission and in providing cells throughout the body with glutamate for metabolic purposes. The high-affinity glutamate transporters EAAC1 (SLC1A1), GLT1 (SLC1A2), GLAST (SLC1A3), EAAT4 (SLC1A6), and EAAT5 (SLC1A7) mediate the cellular uptake of glutamate by the co-transport of three sodium ions (Na(+)) and one proton (H(+)), with the counter-transport of one potassium ion (K(+)). Thereby, they protect the CNS from glutamate-induced neurotoxicity. Loss of function of glutamate transporters has been implicated in the pathogenesis of several diseases, including amyotrophic lateral sclerosis and Alzheimer's disease. In addition, glutamate transporters play a role in glutamate excitotoxicity following an ischemic stroke, due to reversed glutamate transport. Besides glutamate transporters, the SLC1 family encompasses two transporters of neutral amino acids, ASCT1 (SLC1A4) and ASCT2 (SLC1A5). Both transporters facilitate electroneutral exchange of amino acids in neurons and/or cells of the peripheral tissues. Some years ago, a high resolution structure of an archaeal homologue of the SLC1 family was determined, followed by the elucidation of its structure in the presence of the substrate aspartate and the inhibitor d,l-threo-benzyloxy aspartate (d,l-TBOA). Historically, the first few known inhibitors of SLC1 transporters were based on constrained glutamate analogs which were active in the high micromolar range but often also showed off-target activity at glutamate receptors. Further development led to the discovery of l-threo-β-hydroxyaspartate derivatives, some of which effectively inhibited SLC1 transporters at nanomolar concentrations. More recently, small molecule inhibitors have been identified whose structures are not based on amino acids. Activators of SLC1 family members have also been discovered but there are only a few examples known.

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BACKGROUND Brain-derived neurotrophic factor (BDNF) blocks activation of caspase-3, reduces translocation of apoptosis-inducing factor (AIF), attenuates excitotoxicity of glutamate, and increases antioxidant enzyme activities. The mechanisms of neuroprotection suggest that BDNF may be beneficial in bacterial meningitis. METHODS To assess a potentially beneficial effect of adjuvant treatment with BDNF in bacterial meningitis, 11-day-old infant rats with experimental meningitis due to Streptococcus pneumoniae or group B streptococci (GBS) were randomly assigned to receive intracisternal injections with either BDNF (3 mg/kg) or equal volumes (10 mu L) of saline. Twenty-two hours after infection, brains were analyzed, by histomorphometrical examination, for the extent of cortical and hippocampal neuronal injury. RESULTS Compared with treatment with saline, treatment with BDNF significantly reduced the extent of 3 distinct forms of brain cell injury in this disease model: cortical necrosis in meningitis due to GBS (median, 0.0% [range, 0.0%-33.7%] vs. 21.3% [range, 0.0%-55.3%]; P<.03), caspase-3-dependent cell death in meningitis due to S. pneumoniae (median score, 0.33 [range, 0.0-1.0] vs. 1.10 [0.10-1.56]; P<.05), and caspase-3-independent hippocampal cell death in meningitis due to GBS (median score, 0 [range, 0-2] vs. 0.88 [range, 0-3.25]; P<.02). The last form of injury was associated with nuclear translocation of AIF. CONCLUSION BDNF efficiently reduces multiple forms of neuronal injury in bacterial meningitis and may hold promise as adjunctive therapy for this disease.