On the Origin of Extracellular Glutamate Levels Monitored in the Basal Ganglia of the Rat by In Vivo Microdialysis
: Several putative neurotransmitters and metabolites were monitored simultaneously in the extracellular space of neostriatum, substantia nigra, and cortex and in subcutaneous tissue of the rat by in vivo microdialysis. Glutamate (Glu) and aspartate (Asp) were at submicromolar and γ‐aminobutyric acid...
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creator | Herrera‐Marschitz, M. You, Z.‐B. Goiny, M. Meana, J. J. Silveira, R. Godukhin, O. V. Chen, Y. Espinoza, S. Pettersson, E. Loidl, C. F. Lubec, G. Andersson, K. Nylander, I. Terenius, L. Ungerstedt, U. |
description | : Several putative neurotransmitters and metabolites were monitored simultaneously in the extracellular space of neostriatum, substantia nigra, and cortex and in subcutaneous tissue of the rat by in vivo microdialysis. Glutamate (Glu) and aspartate (Asp) were at submicromolar and γ‐aminobutyric acid (GABA) was at nanomolar concentrations in all brain regions. The highest concentration of dopamine (DA) was in the neostriatum. Dynorphin B (Dyn B) was in the picomolar range in all brain regions. Although no GABA, DA, or Dyn B could be detected in subcutaneous tissue, Glu and Asp levels were ≈5 and ≈0.4 µM, respectively. Lactate and pyruvate concentrations were ≈200 and ≈10 µM in all regions. The following criteria were applied to ascertain the neuronal origin of substances quantified by microdialysis: sensitivity to (a) K+ depolarization, (b) Na+ channel blockade, (c) removal of extracellular Ca2+, and (d) depletion of presynaptic vesicles by local administration of α‐latrotoxin. DA, Dyn B, and GABA largely satisfied all these criteria. In contrast, Glu and Asp levels were not greatly affected by K+ depolarization and were increased by perfusing with tetrodotoxin or with Ca2+‐free medium, arguing against a neuronal origin. However, Glu and Asp, as well as DA and GABA, levels were decreased under both basal and K+‐depolarizing conditions by α‐latrotoxin. Because the effect of K+ depolarization on Glu and Asp could be masked by reuptake into nerve terminals and glial cells, the reuptake blocker dihydrokainic acid (DHKA) or l‐trans‐pyrrolidine‐2,4‐dicarboxylic acid (PDC) was included in the microdialysis perfusion medium. The effect of K+ depolarization on Glu and Asp levels was increased by DHKA, but GABA levels were also affected. In contrast, PDC increased only Glu levels. It is concluded that there is a pool of releasable Glu and Asp in the rat brain. However, extracellular levels of amino acids monitored by in vivo microdialysis reflect the balance between neuronal release and reuptake into surrounding nerve terminals and glial elements. |
doi_str_mv | 10.1046/j.1471-4159.1996.66041726.x |
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J. ; Silveira, R. ; Godukhin, O. V. ; Chen, Y. ; Espinoza, S. ; Pettersson, E. ; Loidl, C. F. ; Lubec, G. ; Andersson, K. ; Nylander, I. ; Terenius, L. ; Ungerstedt, U.</creator><creatorcontrib>Herrera‐Marschitz, M. ; You, Z.‐B. ; Goiny, M. ; Meana, J. J. ; Silveira, R. ; Godukhin, O. V. ; Chen, Y. ; Espinoza, S. ; Pettersson, E. ; Loidl, C. F. ; Lubec, G. ; Andersson, K. ; Nylander, I. ; Terenius, L. ; Ungerstedt, U.</creatorcontrib><description>: Several putative neurotransmitters and metabolites were monitored simultaneously in the extracellular space of neostriatum, substantia nigra, and cortex and in subcutaneous tissue of the rat by in vivo microdialysis. Glutamate (Glu) and aspartate (Asp) were at submicromolar and γ‐aminobutyric acid (GABA) was at nanomolar concentrations in all brain regions. The highest concentration of dopamine (DA) was in the neostriatum. Dynorphin B (Dyn B) was in the picomolar range in all brain regions. Although no GABA, DA, or Dyn B could be detected in subcutaneous tissue, Glu and Asp levels were ≈5 and ≈0.4 µM, respectively. Lactate and pyruvate concentrations were ≈200 and ≈10 µM in all regions. The following criteria were applied to ascertain the neuronal origin of substances quantified by microdialysis: sensitivity to (a) K+ depolarization, (b) Na+ channel blockade, (c) removal of extracellular Ca2+, and (d) depletion of presynaptic vesicles by local administration of α‐latrotoxin. DA, Dyn B, and GABA largely satisfied all these criteria. In contrast, Glu and Asp levels were not greatly affected by K+ depolarization and were increased by perfusing with tetrodotoxin or with Ca2+‐free medium, arguing against a neuronal origin. However, Glu and Asp, as well as DA and GABA, levels were decreased under both basal and K+‐depolarizing conditions by α‐latrotoxin. Because the effect of K+ depolarization on Glu and Asp could be masked by reuptake into nerve terminals and glial cells, the reuptake blocker dihydrokainic acid (DHKA) or l‐trans‐pyrrolidine‐2,4‐dicarboxylic acid (PDC) was included in the microdialysis perfusion medium. The effect of K+ depolarization on Glu and Asp levels was increased by DHKA, but GABA levels were also affected. In contrast, PDC increased only Glu levels. It is concluded that there is a pool of releasable Glu and Asp in the rat brain. However, extracellular levels of amino acids monitored by in vivo microdialysis reflect the balance between neuronal release and reuptake into surrounding nerve terminals and glial elements.</description><identifier>ISSN: 0022-3042</identifier><identifier>ISSN: 1471-4159</identifier><identifier>EISSN: 1471-4159</identifier><identifier>DOI: 10.1046/j.1471-4159.1996.66041726.x</identifier><identifier>PMID: 8627331</identifier><identifier>CODEN: JONRA9</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Amino Acids - analysis ; Anesthetics, Inhalation - pharmacology ; Anesthetics, Intravenous - pharmacology ; Animals ; Aspartic Acid - analysis ; Basal Ganglia - chemistry ; Biological and medical sciences ; Calcium - pharmacology ; Central nervous system ; Central neurotransmission. Neuromudulation. Pathways and receptors ; Cerebral Cortex - chemistry ; Dicarboxylic Acids - pharmacology ; Excitatory amino acids ; Fundamental and applied biological sciences. Psychology ; Glutamic Acid - analysis ; Halothane - pharmacology ; Kainic Acid - analogs & derivatives ; Kainic Acid - pharmacology ; Male ; MEDICIN ; MEDICINE ; Membrane Potentials - drug effects ; Microdialysis ; Monoamines ; Neuropeptides ; Neurotransmitter Agents - analysis ; Neurotransmitter Uptake Inhibitors - pharmacology ; Potassium - pharmacology ; Presynaptic Terminals - chemistry ; Presynaptic Terminals - drug effects ; Pyrrolidines - pharmacology ; Rat ; Rats ; Rats, Sprague-Dawley ; Sodium Channel Blockers ; Spider Venoms - pharmacology ; Substantia Nigra - chemistry ; Tetrodotoxin - pharmacology ; Urethane - pharmacology ; Vertebrates: nervous system and sense organs</subject><ispartof>Journal of neurochemistry, 1996-04, Vol.66 (4), p.1726-1735</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5136-9312d1b4eb2dfba0eeb7e8edfdfc6640f90e5922188da5e4b20f05a6528409f33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1471-4159.1996.66041726.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1471-4159.1996.66041726.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3018099$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8627331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-50723$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1945810$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Herrera‐Marschitz, M.</creatorcontrib><creatorcontrib>You, Z.‐B.</creatorcontrib><creatorcontrib>Goiny, M.</creatorcontrib><creatorcontrib>Meana, J. J.</creatorcontrib><creatorcontrib>Silveira, R.</creatorcontrib><creatorcontrib>Godukhin, O. V.</creatorcontrib><creatorcontrib>Chen, Y.</creatorcontrib><creatorcontrib>Espinoza, S.</creatorcontrib><creatorcontrib>Pettersson, E.</creatorcontrib><creatorcontrib>Loidl, C. F.</creatorcontrib><creatorcontrib>Lubec, G.</creatorcontrib><creatorcontrib>Andersson, K.</creatorcontrib><creatorcontrib>Nylander, I.</creatorcontrib><creatorcontrib>Terenius, L.</creatorcontrib><creatorcontrib>Ungerstedt, U.</creatorcontrib><title>On the Origin of Extracellular Glutamate Levels Monitored in the Basal Ganglia of the Rat by In Vivo Microdialysis</title><title>Journal of neurochemistry</title><addtitle>J Neurochem</addtitle><description>: Several putative neurotransmitters and metabolites were monitored simultaneously in the extracellular space of neostriatum, substantia nigra, and cortex and in subcutaneous tissue of the rat by in vivo microdialysis. Glutamate (Glu) and aspartate (Asp) were at submicromolar and γ‐aminobutyric acid (GABA) was at nanomolar concentrations in all brain regions. The highest concentration of dopamine (DA) was in the neostriatum. Dynorphin B (Dyn B) was in the picomolar range in all brain regions. Although no GABA, DA, or Dyn B could be detected in subcutaneous tissue, Glu and Asp levels were ≈5 and ≈0.4 µM, respectively. Lactate and pyruvate concentrations were ≈200 and ≈10 µM in all regions. The following criteria were applied to ascertain the neuronal origin of substances quantified by microdialysis: sensitivity to (a) K+ depolarization, (b) Na+ channel blockade, (c) removal of extracellular Ca2+, and (d) depletion of presynaptic vesicles by local administration of α‐latrotoxin. DA, Dyn B, and GABA largely satisfied all these criteria. In contrast, Glu and Asp levels were not greatly affected by K+ depolarization and were increased by perfusing with tetrodotoxin or with Ca2+‐free medium, arguing against a neuronal origin. However, Glu and Asp, as well as DA and GABA, levels were decreased under both basal and K+‐depolarizing conditions by α‐latrotoxin. Because the effect of K+ depolarization on Glu and Asp could be masked by reuptake into nerve terminals and glial cells, the reuptake blocker dihydrokainic acid (DHKA) or l‐trans‐pyrrolidine‐2,4‐dicarboxylic acid (PDC) was included in the microdialysis perfusion medium. The effect of K+ depolarization on Glu and Asp levels was increased by DHKA, but GABA levels were also affected. In contrast, PDC increased only Glu levels. It is concluded that there is a pool of releasable Glu and Asp in the rat brain. However, extracellular levels of amino acids monitored by in vivo microdialysis reflect the balance between neuronal release and reuptake into surrounding nerve terminals and glial elements.</description><subject>Amino Acids - analysis</subject><subject>Anesthetics, Inhalation - pharmacology</subject><subject>Anesthetics, Intravenous - pharmacology</subject><subject>Animals</subject><subject>Aspartic Acid - analysis</subject><subject>Basal Ganglia - chemistry</subject><subject>Biological and medical sciences</subject><subject>Calcium - pharmacology</subject><subject>Central nervous system</subject><subject>Central neurotransmission. Neuromudulation. Pathways and receptors</subject><subject>Cerebral Cortex - chemistry</subject><subject>Dicarboxylic Acids - pharmacology</subject><subject>Excitatory amino acids</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Glutamic Acid - analysis</subject><subject>Halothane - pharmacology</subject><subject>Kainic Acid - analogs & derivatives</subject><subject>Kainic Acid - pharmacology</subject><subject>Male</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Membrane Potentials - drug effects</subject><subject>Microdialysis</subject><subject>Monoamines</subject><subject>Neuropeptides</subject><subject>Neurotransmitter Agents - analysis</subject><subject>Neurotransmitter Uptake Inhibitors - pharmacology</subject><subject>Potassium - pharmacology</subject><subject>Presynaptic Terminals - chemistry</subject><subject>Presynaptic Terminals - drug effects</subject><subject>Pyrrolidines - pharmacology</subject><subject>Rat</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Sodium Channel Blockers</subject><subject>Spider Venoms - pharmacology</subject><subject>Substantia Nigra - chemistry</subject><subject>Tetrodotoxin - pharmacology</subject><subject>Urethane - pharmacology</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0022-3042</issn><issn>1471-4159</issn><issn>1471-4159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUGP0zAQhS0EWsrCT0CyBOKCEsaO4yTitHSXsqhLJQR7tZxkXFzcpGsnu-2_J6HZ3jhwsj3vm-fRPELeMIgZCPlhEzORsUiwtIhZUchYShAs4zLePyGzk_aUzAA4jxIQ_Dl5EcIGgEkh2Rk5yyXPkoTNiF81tPuFdOXt2ja0NfRq33ldoXO9054uXN_pre6QLvEeXaA3bWO71mNN7bHzkw7a0YVu1s7q0WAsftcdLQ_0uqG39r6lN7bybW21OwQbXpJnRruAr6bznPz8fPVj_iVarhbX84tlVKUskVGRMF6zUmDJa1NqQCwzzLE2tamkFGAKwLTgnOV5rVMUJQcDqZYpzwUUJknOSXT0DQ-460u183ar_UG12qqp9Hu4oRKCAx_59__kL-3thWr9WvW9SiH7S7870jvf3vUYOrW1YVybbrDtg2IZpJynxQB-PILDCkLwaE7GDNSYp9qoMTM1ZqbGPNVjnmo_dL-evunLLdan3inAQX876TpU2hmvm8qGE5YAy6EYh7g8Yg_W4eF_JlBfv80fX8kfEWK9_w</recordid><startdate>199604</startdate><enddate>199604</enddate><creator>Herrera‐Marschitz, M.</creator><creator>You, Z.‐B.</creator><creator>Goiny, M.</creator><creator>Meana, J. J.</creator><creator>Silveira, R.</creator><creator>Godukhin, O. V.</creator><creator>Chen, Y.</creator><creator>Espinoza, S.</creator><creator>Pettersson, E.</creator><creator>Loidl, C. F.</creator><creator>Lubec, G.</creator><creator>Andersson, K.</creator><creator>Nylander, I.</creator><creator>Terenius, L.</creator><creator>Ungerstedt, U.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF2</scope></search><sort><creationdate>199604</creationdate><title>On the Origin of Extracellular Glutamate Levels Monitored in the Basal Ganglia of the Rat by In Vivo Microdialysis</title><author>Herrera‐Marschitz, M. ; You, Z.‐B. ; Goiny, M. ; Meana, J. J. ; Silveira, R. ; Godukhin, O. V. ; Chen, Y. ; Espinoza, S. ; Pettersson, E. ; Loidl, C. F. ; Lubec, G. ; Andersson, K. ; Nylander, I. ; Terenius, L. ; Ungerstedt, U.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5136-9312d1b4eb2dfba0eeb7e8edfdfc6640f90e5922188da5e4b20f05a6528409f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Amino Acids - analysis</topic><topic>Anesthetics, Inhalation - pharmacology</topic><topic>Anesthetics, Intravenous - pharmacology</topic><topic>Animals</topic><topic>Aspartic Acid - analysis</topic><topic>Basal Ganglia - chemistry</topic><topic>Biological and medical sciences</topic><topic>Calcium - pharmacology</topic><topic>Central nervous system</topic><topic>Central neurotransmission. Neuromudulation. Pathways and receptors</topic><topic>Cerebral Cortex - chemistry</topic><topic>Dicarboxylic Acids - pharmacology</topic><topic>Excitatory amino acids</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Glutamic Acid - analysis</topic><topic>Halothane - pharmacology</topic><topic>Kainic Acid - analogs & derivatives</topic><topic>Kainic Acid - pharmacology</topic><topic>Male</topic><topic>MEDICIN</topic><topic>MEDICINE</topic><topic>Membrane Potentials - drug effects</topic><topic>Microdialysis</topic><topic>Monoamines</topic><topic>Neuropeptides</topic><topic>Neurotransmitter Agents - analysis</topic><topic>Neurotransmitter Uptake Inhibitors - pharmacology</topic><topic>Potassium - pharmacology</topic><topic>Presynaptic Terminals - chemistry</topic><topic>Presynaptic Terminals - drug effects</topic><topic>Pyrrolidines - pharmacology</topic><topic>Rat</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Sodium Channel Blockers</topic><topic>Spider Venoms - pharmacology</topic><topic>Substantia Nigra - chemistry</topic><topic>Tetrodotoxin - pharmacology</topic><topic>Urethane - pharmacology</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herrera‐Marschitz, M.</creatorcontrib><creatorcontrib>You, Z.‐B.</creatorcontrib><creatorcontrib>Goiny, M.</creatorcontrib><creatorcontrib>Meana, J. 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V.</au><au>Chen, Y.</au><au>Espinoza, S.</au><au>Pettersson, E.</au><au>Loidl, C. F.</au><au>Lubec, G.</au><au>Andersson, K.</au><au>Nylander, I.</au><au>Terenius, L.</au><au>Ungerstedt, U.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>On the Origin of Extracellular Glutamate Levels Monitored in the Basal Ganglia of the Rat by In Vivo Microdialysis</atitle><jtitle>Journal of neurochemistry</jtitle><addtitle>J Neurochem</addtitle><date>1996-04</date><risdate>1996</risdate><volume>66</volume><issue>4</issue><spage>1726</spage><epage>1735</epage><pages>1726-1735</pages><issn>0022-3042</issn><issn>1471-4159</issn><eissn>1471-4159</eissn><coden>JONRA9</coden><abstract>: Several putative neurotransmitters and metabolites were monitored simultaneously in the extracellular space of neostriatum, substantia nigra, and cortex and in subcutaneous tissue of the rat by in vivo microdialysis. Glutamate (Glu) and aspartate (Asp) were at submicromolar and γ‐aminobutyric acid (GABA) was at nanomolar concentrations in all brain regions. The highest concentration of dopamine (DA) was in the neostriatum. Dynorphin B (Dyn B) was in the picomolar range in all brain regions. Although no GABA, DA, or Dyn B could be detected in subcutaneous tissue, Glu and Asp levels were ≈5 and ≈0.4 µM, respectively. Lactate and pyruvate concentrations were ≈200 and ≈10 µM in all regions. The following criteria were applied to ascertain the neuronal origin of substances quantified by microdialysis: sensitivity to (a) K+ depolarization, (b) Na+ channel blockade, (c) removal of extracellular Ca2+, and (d) depletion of presynaptic vesicles by local administration of α‐latrotoxin. DA, Dyn B, and GABA largely satisfied all these criteria. In contrast, Glu and Asp levels were not greatly affected by K+ depolarization and were increased by perfusing with tetrodotoxin or with Ca2+‐free medium, arguing against a neuronal origin. However, Glu and Asp, as well as DA and GABA, levels were decreased under both basal and K+‐depolarizing conditions by α‐latrotoxin. Because the effect of K+ depolarization on Glu and Asp could be masked by reuptake into nerve terminals and glial cells, the reuptake blocker dihydrokainic acid (DHKA) or l‐trans‐pyrrolidine‐2,4‐dicarboxylic acid (PDC) was included in the microdialysis perfusion medium. The effect of K+ depolarization on Glu and Asp levels was increased by DHKA, but GABA levels were also affected. In contrast, PDC increased only Glu levels. It is concluded that there is a pool of releasable Glu and Asp in the rat brain. However, extracellular levels of amino acids monitored by in vivo microdialysis reflect the balance between neuronal release and reuptake into surrounding nerve terminals and glial elements.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>8627331</pmid><doi>10.1046/j.1471-4159.1996.66041726.x</doi><tpages>10</tpages></addata></record> |
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subjects | Amino Acids - analysis Anesthetics, Inhalation - pharmacology Anesthetics, Intravenous - pharmacology Animals Aspartic Acid - analysis Basal Ganglia - chemistry Biological and medical sciences Calcium - pharmacology Central nervous system Central neurotransmission. Neuromudulation. Pathways and receptors Cerebral Cortex - chemistry Dicarboxylic Acids - pharmacology Excitatory amino acids Fundamental and applied biological sciences. Psychology Glutamic Acid - analysis Halothane - pharmacology Kainic Acid - analogs & derivatives Kainic Acid - pharmacology Male MEDICIN MEDICINE Membrane Potentials - drug effects Microdialysis Monoamines Neuropeptides Neurotransmitter Agents - analysis Neurotransmitter Uptake Inhibitors - pharmacology Potassium - pharmacology Presynaptic Terminals - chemistry Presynaptic Terminals - drug effects Pyrrolidines - pharmacology Rat Rats Rats, Sprague-Dawley Sodium Channel Blockers Spider Venoms - pharmacology Substantia Nigra - chemistry Tetrodotoxin - pharmacology Urethane - pharmacology Vertebrates: nervous system and sense organs |
title | On the Origin of Extracellular Glutamate Levels Monitored in the Basal Ganglia of the Rat by In Vivo Microdialysis |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T17%3A58%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=On%20the%20Origin%20of%20Extracellular%20Glutamate%20Levels%20Monitored%20in%20the%20Basal%20Ganglia%20of%20the%20Rat%20by%20In%20Vivo%20Microdialysis&rft.jtitle=Journal%20of%20neurochemistry&rft.au=Herrera%E2%80%90Marschitz,%20M.&rft.date=1996-04&rft.volume=66&rft.issue=4&rft.spage=1726&rft.epage=1735&rft.pages=1726-1735&rft.issn=0022-3042&rft.eissn=1471-4159&rft.coden=JONRA9&rft_id=info:doi/10.1046/j.1471-4159.1996.66041726.x&rft_dat=%3Cproquest_swepu%3E17052259%3C/proquest_swepu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=17052259&rft_id=info:pmid/8627331&rfr_iscdi=true |