Glutamate and excitotoxicity in central nervous system disorders: ionotropic glutamate receptors as a target for neuroprotection

Neuroprotection Pub Date : 2024-06-04 DOI:10.1002/nep3.46
Jorge Y. Magdaleno Roman, C. Chapa González
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Abstract

Recent advances in neuroscience have illuminated the central role of glutamate dysregulation in various neurological disorders. The glutamatergic system has emerged as a central player in the pathophysiology of various neurological disorders. The dysregulation of glutamate signaling, leading to excitotoxicity and neuronal cell death, has been a focal point in understanding the underlying mechanisms of these conditions. This has prompted a paradigm shift in neuroprotection research, with a growing emphasis on targeting ionotropic glutamate receptors (iGluRs) to restore glutamatergic homeostasis. This review provides a comprehensive overview of recent advancements in the field of iGluR‐targeted neuroprotection. We further investigate the implications of glutamate dysregulation in the central nervous system (CNS) disorders, highlighting the complex interplay between excitotoxicity and neuroprotection. We elucidate the multifaceted factors that render neurons vulnerable to excitotoxic damage, emphasizing the need for innovative therapeutic approaches. This review provides an extensive survey of the burgeoning field of iGluR‐targeted neuroprotection. It showcases the significant potential of a wide array of compounds, encompassing both natural and synthetic agents, to modulate iGluRs and ameliorate excitotoxicity and oxidative stress‐induced neuronal damage. These compounds have demonstrated impressive neuroprotective effects in diverse experimental models, from glutamate‐induced toxicity to traumatic brain injuries. We advocate for further research and clinical investigations to harness the full therapeutic potential of iGluR modulation, heralding a promising era in neuroprotection and CNS disorder management.
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中枢神经系统疾病中的谷氨酸和兴奋毒性:作为神经保护靶点的离子型谷氨酸受体
神经科学的最新进展揭示了谷氨酸失调在各种神经系统疾病中的核心作用。谷氨酸能系统已成为各种神经系统疾病病理生理学中的核心角色。谷氨酸信号传导失调导致兴奋性中毒和神经细胞死亡,一直是了解这些疾病内在机制的焦点。这促使神经保护研究的范式发生转变,人们越来越重视以离子型谷氨酸受体(iGluRs)为靶点来恢复谷氨酸能平衡。本综述全面概述了 iGluR 靶向神经保护领域的最新进展。我们进一步探讨了谷氨酸失调在中枢神经系统(CNS)疾病中的影响,强调了兴奋性毒性和神经保护之间复杂的相互作用。我们阐明了导致神经元易受兴奋性毒性损伤的多方面因素,强调了创新治疗方法的必要性。这篇综述对 iGluR 靶向神经保护这一新兴领域进行了广泛的调查。它展示了一系列化合物(包括天然药物和合成药物)在调节 iGluRs、改善兴奋毒性和氧化应激诱导的神经元损伤方面的巨大潜力。从谷氨酸诱导的毒性到创伤性脑损伤,这些化合物在各种实验模型中都表现出了令人印象深刻的神经保护作用。我们主张开展进一步的研究和临床调查,以充分发挥 iGluR 调节的治疗潜力,这预示着神经保护和中枢神经系统疾病治疗将进入一个充满希望的时代。
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