Free aminoacids in the cerebrospinal fluid of newborn infants with hipoxic ischemic encephalopathyCerebrospinal fluid free aminoacid (AA| composition depends on blood -CSF barrier, nervous tissue and ependima captation. It has been previously reported that in mammalian cerebral cortex a decrease of adenosinetriphosphate (ATP) is associated with an increase in asparlic acid, a deciease in glutarnic acid, aminobulyric acid and glutamine contents and that fuel deprivation causes changes in brain levels of ATP and those mentioned aminoacids. Using gas cromatography, after isobuthanol sterification of the carboxilic group and heptafluorbulyrate acylation of the amino group, free aminoacid content of cerebrospinal fluid and plasma were studied in eighl normal canlrol newborn infants and eight patients with neonatal hipoxic ischemic encephalopathy in order to detect changes in these late, but no differences of aminoacid concentration in cerebrospinal fluid were recorded among both groups. This result is in contradiction with recent reports of increased excitatory aminoacid (glutamic and aspartic acid) concentration in the cerebrospinal fluid of six asphyxiated newborn infants, and of a good ccxfelalion of these changes and neurologic prognosis of patients. More experience is needed in these respecl.(Key words; amino acids, cerebiospinal fluid cerebral ischemia, newborn.)Durante los primeros dias del periodo neonatal, los aminoa'cidos libres (AA) del plasma experimentan cambios significativos, disminuyendo en general sus concentracion.es 1 . La relaci6n entre las concentraciones de los aminoa'cidos en el plasma y el liquido cefalorraquideo (LCR) ha sido estudiada principalmente en edades mas tardias 2 " 4 y para la mayoria de ellos es menor en el segundo caso, con coeficientes individuates de relacibn que sugieren quc la composition aminoacidica de este ultimo dependen'a fundamentalmente del paso a traves de la barrera hematoencefalica, pero tambie"n de la captation porel tejido cerebral y ependimario de cada compuesto 5 . For otra parte, el glutamato y los aminoacidos relacionados, incluyendo glutamina aspartato y gama-aminobutotrato, sc cncucn- tran en concentraciones elevadas en el par6n-quima cerebral, con respecto a otros tejidos 6 y se ha sugerido que ellos juegan un importante rol como neurotransmisores 7 . Recientemente se ha seflalado tambien que, en la corteza cerebral de mamiferos, la disminucitfn de adenosina trifosfato (ATP) sc asocia con aumento del aspartato y disminucion del glutamato, aminobutotrato y glutamina y que la deprivaci6n energetica causa cafdas significativas en los niveles de ATP de estos aminoa'tidos en el cerebro 8 . La asfixia es una condici6n clinica en qae la deprivation energetica aguda esta bien rcpresentada. Nuestra hipotesis de trabajo ha sido que pudiese existir un efecto directo de la asfixia sobrc la difusi6n de aminoa'cidos libres a traves de la barrcra hematoencefalica. El prop6sito de esta investigacitfn fue medir el contcnido de aminoacidos en el plasma y el liquido cefalorra...
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