NMDA receptors: neuroprotective or excitotoxic?

Published on April 2, 2014 Updated on April 7, 2014   44 min

A selection of talks on Neurology

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0:00
Hi. My name is Giles Hardingham. I work at the University of Edinburgh. And my laboratory is interested in signal pathways and genes that control the protection, as well as the death and dysfunction, of neurons. Now, we're particularly interested in calcium signalling pathways and how calcium mediates these kind of effects. And one particular focus in the lab is on an important source of calcium influx, the NMDA subtype of ionotrophic glutamate receptors.
0:33
So a typical glutamatergic synapse, such as the one shown in the cartoon here, the NMDA receptor is a very important source of activity-dependent calcium influx. What happens is you get presynaptic release of glutamate into the synaptic cleft, which causes postsynaptic depolarization mediated by the AMPA subtype of glutamate receptor. This postsynaptic depolarization alleviates the voltage-dependent magnesium block on the NMDA receptor. Which when, coincident with glutamate binding to the receptor, opens the channel and in flows sodium, and importantly calcium. And it's this calcium that is a major mediator of the neuroprotective, as well as the toxic effects of NMDA receptor activity.
1:22
So before going over more contemporary research, I just want to briefly outline the origins of this field. And the origins of the field, the research into the control of survival and death by NMDA receptors can be traced back to a paper published in 1957 by Lucas and Newhouse. And what they observed was that the amino acid glutamate, when administered to the retina, was toxic to the neurons in the inner layers of the retina. Now, this work wasn't followed up until the late '60s, when John Olney demonstrated that glutamate could be toxic to a wide variety of neurons in different brain regions. And he coined the term "excitotoxity" because, of course, glutamate by then was well known as an excitatory neurotransmitter, as well as being potentially toxic. So it wasn't until the mid-1980s that the major cause of glutamate excitotoxity was pinned down by Choi, Meldrum, and others as being due to calcium influx into the neurons. And that this calcium influx was mediated by the NMDA receptor, the NMDA subtype of ionotrophic glutamate receptors. And extremely soon afterwards, it became clear that NMDA receptor-mediated excitotoxity was physiologically relevant because it was implicated in contributing to neuronal loss and dysfunction in acute disorders, particularly stroke and traumatic brain injury. And later, it was implicated in more chronic disorders, such as Huntington's disease and Alzheimer's, Abeta toxicity as well. So, of course, all this happened before genes encoding the NMDA receptor were cloned. At the time, researchers still had pharmacological tools that could isolate the currents mediated by the NMDA receptor and distinguish them from other types of glutamate receptor, like the AMPA and kainate receptor. So the other thing I want to just go over before we get into more modern literature is how NMDA receptor-mediated excitotoxicity actually takes place. And regardless of whether the disorder is an acute one, such as ischemia, or a more chronic one, such as Huntington's, it seems that loss of glutamate homeostasis is a key mediator.

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NMDA receptors: neuroprotective or excitotoxic?

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