2013
DOI: 10.1038/jcbfm.2013.73
|View full text |Cite
|
Sign up to set email alerts
|

Brain Alanine Formation as an Ammonia-Scavenging Pathway during Hyperammonemia: Effects of Glutamine Synthetase Inhibition in Rats and Astrocyte—Neuron Co-Cultures

Abstract: Hyperammonemia is a major etiological toxic factor in the development of hepatic encephalopathy. Brain ammonia detoxification occurs primarily in astrocytes by glutamine synthetase (GS), and it has been proposed that elevated glutamine levels during hyperammonemia lead to astrocyte swelling and cerebral edema. However, ammonia may also be detoxified by the concerted action of glutamate dehydrogenase (GDH) and alanine aminotransferase (ALAT) leading to trapping of ammonia in alanine, which in vivo likely leaves… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

1
32
1

Year Published

2014
2014
2024
2024

Publication Types

Select...
6
2

Relationship

2
6

Authors

Journals

citations
Cited by 44 publications
(34 citation statements)
references
References 38 publications
1
32
1
Order By: Relevance
“…Instead, our results indicate that glutamine synthetase dampens the harmful effects of acute NH 4 + /NH 3 intoxication by reducing its effective concentration. In addition, NH 4 + /NH 3 might be metabolized not only via glutamine synthetase, but by the action of glutamate dehydrogenase (GDH) and alanine aminotransferase (ALAT) which results in alanine formation [59]. These enzymes, might, therefore, additionally protect the tissue from harmful effects of hyperammonemia.…”
Section: Discussionmentioning
confidence: 99%
“…Instead, our results indicate that glutamine synthetase dampens the harmful effects of acute NH 4 + /NH 3 intoxication by reducing its effective concentration. In addition, NH 4 + /NH 3 might be metabolized not only via glutamine synthetase, but by the action of glutamate dehydrogenase (GDH) and alanine aminotransferase (ALAT) which results in alanine formation [59]. These enzymes, might, therefore, additionally protect the tissue from harmful effects of hyperammonemia.…”
Section: Discussionmentioning
confidence: 99%
“…The ALAT reaction in concert with glutamate dehydrogenase (GDH) may be a particularly important mechanism for fixation of ammonia during hyperammonemic conditions when the normal activity of glutamine synthetase (see below) is inhibited (Dadsetan et al 2011, 2013). This aspect will be discussed in further detail below.…”
Section: Enzymatic Reactions Involving Glutamate As Substrate or Productmentioning
confidence: 99%
“…As pointed out above, de novo synthesis of glutamine requires CO 2 fixation by pyruvate carboxylase to form oxaloacetate; interestingly, hyperammonemic conditions have been shown to stimulate this pathway (Leke et al 2011). On the other hand, when GS was inhibited and ammonia was fixed in alanine, the glycolytic pathway was accelerated while the anaplerotic pathway did not increase (Dadsetan et al 2011, 2013). This shows that astrocytes are able to switch back and forth between anaplerosis and glycolysis depending on whether pyruvate or a TCA cycle intermediate is needed.…”
Section: Glutamate and Ammonia Homeostasis Under Normal And Hyperammomentioning
confidence: 99%
“…The main mechanism of osmolyte accumulation is fixation of ammonia and production of glutamine by the astrocytic ATP-dependent glutamine synthetase [33, 144]. The osmotic burden due to the enhanced activity of glutamine synthetase is further accentuated by accumulation of brain alanine via the work of the alternative detoxification mechanism incorporating glutamate dehydrogenase and alanine aminotransferase [41, 201]. Actions of astrocytic glutamine are not restricted to its direct osmotic effects; since this amino acid is also thought to induce cellular pathology indirectly, via oxidative and nitrosative stress and impaired mitochondrial function (the "Trojan horse" hypothesis [8]).…”
Section: Common and Unique Roles Of Vrac Within The Brainmentioning
confidence: 99%