“…The primary cause of striatum degeneration in GAI is still not defined despite the intense investigations performed using different in vitro systems where brain tissue was exposed to the metabolites accumulating in GAI (Kölker et al, 1999(Kölker et al, , 2000(Kölker et al, , 2001a(Kölker et al, ,b, 2002aKoeller et al, 2002;Latini et al, 2002Latini et al, , 2005ade Oliveira Marques et al, 2003;Ferreira et al, 2005). Data merging from these studies suggest that GA and 3-HGA can induce brain damage by primary or secondary excitotoxicity (Kölker et al, 1999(Kölker et al, , 2000(Kölker et al, , 2002ade Mello et al, 2001;Frizzo et al, 2004;Porciuncula et al, 2004;Rosa et al, 2004), oxidative stress (Latini et al, 2002(Latini et al, , 2005bde Oliveira Marques et al, 2003), or energy depletion (Ullrich et al, 1999;Silva et al, 2000;Das et al, 2003;Ferreira et al, 2005;Latini et al, 2005a).…”