2004
DOI: 10.1523/jneurosci.0805-04.2004
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Dual-Gene, Dual-Cell Type Therapy against an Excitotoxic Insult by Bolstering Neuroenergetics

Abstract: Increasing evidence suggests that glutamate activates the generation of lactate from glucose in astrocytes; this lactate is shuttled to neurons that use it as a preferential energy source. We explore this multicellular "lactate shuttle" with a novel dual-cell, dual-gene therapy approach and determine the neuroprotective potential of enhancing this shuttle. Viral vector-driven overexpression of a glucose transporter in glia enhanced glucose uptake, lactate efflux, and the glial capacity to protect neurons from … Show more

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Cited by 61 publications
(56 citation statements)
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“…This implies that the decrease in glutamate-induced glucose uptake and lactate release might affect substrate delivery to neurons during neuronal activation. In this context, it is of interest to note that enhancing lactate ''shuttling'' by either increasing lactate utilization by neurons and/or lactate release by astrocytes increases neuronal resistance to excitotoxicity (Bliss et al, 2004). Stimulation of ROS and RNS production appears also to be potentially neurotoxic, since neurons, in contrast to astrocytes, are extremely sensitive to nitrosative stress and oxidative stress induced by H 2 O 2 in particular (Ben Yoseph et al, 1996;Bolanos et al, 2004;Dringen et al, 1999).…”
Section: Discussionmentioning
confidence: 99%
“…This implies that the decrease in glutamate-induced glucose uptake and lactate release might affect substrate delivery to neurons during neuronal activation. In this context, it is of interest to note that enhancing lactate ''shuttling'' by either increasing lactate utilization by neurons and/or lactate release by astrocytes increases neuronal resistance to excitotoxicity (Bliss et al, 2004). Stimulation of ROS and RNS production appears also to be potentially neurotoxic, since neurons, in contrast to astrocytes, are extremely sensitive to nitrosative stress and oxidative stress induced by H 2 O 2 in particular (Ben Yoseph et al, 1996;Bolanos et al, 2004;Dringen et al, 1999).…”
Section: Discussionmentioning
confidence: 99%
“…It may also provide an alternative mechanism to supply mitochondrial NADH under oxidative stress conditions, where ␣-KGDH is selectively inhibited (65). Lactate, and not glucose, is the major neuronal energy substrate after an insult, and overexpression of a lactate transporter in neurons enhances neuronal resistance to excitotoxicity (66), suggesting that the aralar-MAS pathway might also enhance survival to glutamate excitotoxicity.…”
Section: Discussionmentioning
confidence: 99%
“…As this case illustrates, astrocytes and their metabolic properties might represent an interesting therapeutic target in various neurological diseases. Some studies have already shown the putative neuroprotective impact of modifying the intrinsic metabolic characteristics of astrocytes, either by exposing them to specific trophic factors (Escartin et al, 2007) or by overexpression of intrinsic metabolic components (Bliss et al, 2004). …”
Section: The Indispensable Astrocyte – Implications In Various Brain mentioning
confidence: 99%