We compared the effect of hyperammonemia on NADH levels in brain slices and on the rate of oxygen consumption from isolated nonsynaptic brain mitochondria in ammonia-sensitive Wistar rats with that in ammonia-tolerant gulf toadfish (Opsanus beta). The NADH content was significantly decreased (12% less than control after 45 min with 1 mM NH4Cl) in rat brain slices, but it was not affected in brain slices from toadfish (with both 1 and 6 mM NH 4Cl). The rates of oxygen consumption of different sets of enzymes of the electron transport chain (ETC; complexes I, II, III, and IV; II, III, and IV; and IV alone) were unaltered by hyperammonemic conditions in isolated nonsynaptic mitochondria from either rats or toadfish. These results lead us to conclude that the differing effects of ammonia on NADH levels in rat and toadfish brain slices must be due to aspects other than the direct effects of ammonia on enzymes of the ETC. Additionally, because these effects were seen in vitro, our studies enabled us to rule out the possibility that effects of ammonia on metabolism were via indirect systemic effects. These results are discussed in the context of current views on mechanisms of central nervous system damage in hyperammonemic states. hepatic encephalopathy; hyperammonemia; NADH; mitochondria; Opsanus beta; glutamine metabolism MAMMALS IN GENERAL are physiologically sensitive to increases in the concentration of ammonia in the body. In particular, excess brain ammonia 1 (i.e., as low as 500 to 1,000 mol/kg tissue wt) caused by liver failure (e.g., hepatic encephalopathy) or inborn errors in urea metabolism or by injection of ammonia in experimental animals leads to brain neuropathies. A general sequence of symptoms progresses from altered sleep patterns to muscular incoordination, stupor, coma, and death, at a rate that is dependent on the extent and rate of ammonia intoxication; a lethal dose of ammonia can cause symptoms within minutes [reviewed by Cooper and Plum (6) and more recently by Hazell and Butterworth (10)]. Much earlier literature focuses on the causes of these neurological symptoms being related to "cerebral energy failure." Indeed, in the early stages of hyperammonemia, brain metabolic rate decreases, with precipitous drops in whole brain creatine phosphate levels, whereas whole brain ATP content falls later in the onset of disease. Because the decline in whole brain ATP follows severe neurological impairment, many have argued that cerebral energy failure cannot be the cause of the impairment.Following this line of reasoning, many investigators have now focused attention on other changes associated with hyperammonemia and hepatic encephalopathy. One is the phenomenon of astrocyte swelling in hyperammonemia-induced brain pathologies. Astrocytes contain most of the brain's activity of the enzyme glutamine synthetase (GSase), which ostensibly detoxifies ammonia by combining it with glutamate to form glutamine (20). Thus, during hyperammonemia, glutamine accumulates in the brain and astrocytes then become swolle...