Oxidative stress plays a major role in cerebral ammonia toxicity and the pathogenesis of hepatic encephalopathy (HE). As shown in this study, ammonia induces a rapid RNA oxidation in cultured rat astrocytes, vital mouse brain slices, and rat brain in vivo. Ammoniainduced RNA oxidation in cultured astrocytes is reversible and sensitive to MK-801, 1,2-Bis ( A mmonia toxicity to the brain plays a key role in the pathogenesis of hepatic encephalopathy (HE), which defines a reversible neuropsychiatric syndrome frequently associated with acute and chronic liver failure. Disturbances of cognition and fine motor systems are the predominant symptoms of HE in chronic liver disease, and multiple derangements of neurotransmitter and receptor systems in the brain have been described. 1 The mechanisms underlying these changes, however, are largely unclear.