NMDA Antagonist Neurotoxicity: Mechanism and Prevention

Antagonists of the N-methyl-D-aspartate (NMDA) subtype of glutamate receptor, including phencyclidine (PCP) and ketamine, protect against brain damage in neurological disorders such as stroke. However, these agents have psychotomimetic properties in humans and morphologically damage neurons in the c...

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Veröffentlicht in:Science (American Association for the Advancement of Science) 1991-12, Vol.254 (5037), p.1515-1518
Hauptverfasser: Olney, J. W., Labruyere, J., Wang, G., Wozniak, D. F., Price, M. T., Sesma, M. A.
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container_issue 5037
container_start_page 1515
container_title Science (American Association for the Advancement of Science)
container_volume 254
creator Olney, J. W.
Labruyere, J.
Wang, G.
Wozniak, D. F.
Price, M. T.
Sesma, M. A.
description Antagonists of the N-methyl-D-aspartate (NMDA) subtype of glutamate receptor, including phencyclidine (PCP) and ketamine, protect against brain damage in neurological disorders such as stroke. However, these agents have psychotomimetic properties in humans and morphologically damage neurons in the cerebral cortex of rats. It is now shown that the morphological damage can be prevented by certain anticholinergic drugs or by diazepam and barbiturates, which act at the γ-aminobutyric acid (GABA) receptor-channel complex and are known to suppress the psychotomimetic symptoms caused by ketamine. Thus, it may be possible to prevent the unwanted side effects of NMDA antagonists, thereby enhancing their utility as neuroprotective drugs.
doi_str_mv 10.1126/science.1835799
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source American Association for the Advancement of Science; Jstor Complete Legacy; MEDLINE
subjects Animals
Anticholinergics
Barbiturates
Barbiturates - pharmacology
Chick Embryo
Dizocilpine Maleate - antagonists & inhibitors
Dosage
Drugs
Excitatory amino acids
GABA antagonists
Histology
Methyl aspartate
N-methyl-D-aspartate
Neurological disorders
Neurons
Neurotoxicity
Neurotoxins - antagonists & inhibitors
Neurotransmitter receptors
Parasympatholytics - pharmacology
Physiological aspects
Pilocarpine - pharmacology
Rats
Receptors
Receptors, N-Methyl-D-Aspartate - drug effects
Scopolamine - pharmacology
Side effects
Stroke
Stroke (Disease)
Vacuoles
Vacuoles - ultrastructure
title NMDA Antagonist Neurotoxicity: Mechanism and Prevention
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