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Glutamate receptors and excitotoxicity. 谷氨酸受体与兴奋毒性。
G L Westbrook

The features of central glutamate synapses are well suited to the spectrum of functions these elements serve in brain function. However, receptor-mediated mechanisms are only one facet of phenomena such as excitotoxicity or long-term potentiation, which almost certainly involve other neuronal components, e.g., other transmitter systems, voltage-gated channels, and biochemical mechanisms as well as possibly astrocytes in some cases. Nonetheless the rapid pace of progress in this field reinforces not only the diversity and complexity of the CNS, but suggests that it is not overly optimistic to think that understanding of these mechanisms will soon have an impact on neurological and mental illness.

中枢谷氨酸突触的特征很好地适应了这些元素在脑功能中服务的功能谱。然而,受体介导的机制只是兴奋毒性或长时程增强等现象的一个方面,这些现象几乎肯定涉及其他神经元成分,例如其他递质系统、电压门控通道和生化机制,在某些情况下可能还涉及星形胶质细胞。尽管如此,这一领域的快速进展不仅强化了中枢神经系统的多样性和复杂性,而且表明,认为对这些机制的理解将很快对神经和精神疾病产生影响的想法并不过于乐观。
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引用次数: 0
Emerging strategies for the treatment of ischemic brain injury. 缺血性脑损伤治疗的新策略。
M D Ginsberg
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引用次数: 0
Role of excitotoxins in heredito-degenerative neurologic diseases. 兴奋毒素在遗传性退行性神经系统疾病中的作用。
A B Young

In summary, EAA play an important role in neurodegenerative disorders simply by virtue of the pathways in brain that utilize EAA as neurotransmitters. Thus, the striatum, which is so strikingly affected in Huntington's disease, receives massive EAAergic input from all regions of the cerebral cortex and from the thalamus. In Parkinson's disease, some of the key pathways projecting into the substantia nigra pars compacta and to the subthalamic nucleus and basal ganglia output zones also use EAA as neurotransmitters. In Alzheimer's disease, the cerebral cortex and hippocampus are dependent on EAAergic neurotransmission for normal function. Drugs that manipulate these neurotransmitter inputs and outputs could be very helpful in the symptomatic relief of all these neurodegenerative disorders. In addition, there may be secondary excitotoxic effects of EAA on neuronal function in neurodegenerative disorders. Genetic abnormalities may render subsets of neurons more vulnerable to changes in ion concentration or energy demands and thus more susceptible to EAA-induced neurotoxicity. Although EAA themselves may not be the primary culprit in a disease, EAA-induced toxicity may cause significant damage as a secondary phenomenon. If so, the neuronal damage could potentially be attenuated by the use of EAA antagonists. Future research on these problems hold great promise.

综上所述,EAA在神经退行性疾病中发挥重要作用,仅仅是因为大脑中利用EAA作为神经递质的途径。因此,在亨廷顿氏病中受到显著影响的纹状体,从大脑皮层的所有区域和丘脑接收大量的eaergy输入。在帕金森病中,一些投射到黑质致密部、丘脑底核和基底神经节输出区的关键通路也使用EAA作为神经递质。在阿尔茨海默病中,大脑皮层和海马依赖于eaergic神经传递来维持正常功能。控制这些神经递质输入和输出的药物可能对所有这些神经退行性疾病的症状缓解非常有帮助。此外,在神经退行性疾病中,EAA可能对神经元功能有继发性兴奋毒性作用。遗传异常可能使神经元亚群更容易受到离子浓度或能量需求变化的影响,因此更容易受到eaa诱导的神经毒性的影响。虽然EAA本身可能不是疾病的罪魁祸首,但EAA引起的毒性可能作为次要现象造成重大损害。如果是这样,使用EAA拮抗剂可以潜在地减轻神经元损伤。未来对这些问题的研究前景广阔。
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引用次数: 0
The ischemic penumbra in stroke: prospects for analysis by nuclear magnetic resonance spectroscopy. 脑卒中缺血性半暗带:核磁共振波谱分析的前景。
J W Prichard
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引用次数: 0
Current antisense nucleic acid strategies for manipulating neuronal and glial cells. 目前的反义核酸策略操纵神经元和神经胶质细胞。
L F Eng
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引用次数: 0
Strokes involving gray matter: studies on in situ models of cerebral ischemia. 涉及灰质的中风:脑缺血原位模型的研究。
W A Pulsinelli
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引用次数: 0
Cellular replacement of dopamine deficit in Parkinson's disease using human fetal mesencephalic tissue: preliminary results in four patients. 利用人胎儿中脑组织替代帕金森病多巴胺缺陷的细胞:4例患者的初步结果
D E Redmond, R J Robbins, F Naftolin, K L Marek, T L Vollmer, C Leranth, R H Roth, L H Price, A Gjedde, B S Bunney
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引用次数: 0
Intracerebral transplantation: prospects for neuronal replacement in neurodegenerative diseases. 脑内移植:神经退行性疾病中神经元替代的前景。
A Björklund
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引用次数: 0
The therapeutic window for methylprednisolone treatment of acute spinal cord injury: implications for cell injury mechanisms. 甲基强的松龙治疗急性脊髓损伤的治疗窗口期:细胞损伤机制的含义。
W Young
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引用次数: 0
The design and appraisal of randomized clinical trials in cerebrovascular disease and CNS trauma. 脑血管疾病和中枢神经系统损伤随机临床试验的设计和评价。
L M Brass
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引用次数: 0
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Research publications - Association for Research in Nervous and Mental Disease
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