SUPPLEMENTARY NOTESreport contains color Studies using cultured brain slices have found that compensatory signals are activated in response to different types of excitotoxicity/seizures related to environmental toxin or military threat agent exposure. Surprisingly, glutamate receptors, cannabinoid receptors, and proteoglycan-binding adhesion receptors activated common pathways involving MAP kinase, focal adhesion kinase (FAK), and transcription factors that facilitate endogenous repair mechanisms. Inhibition of the receptors potentiated excitotoxic vulnerability and, correspondingly, promoting receptor-mediated responses enhanced cellular and synaptic repair. The receptors seem to act through transcription regulators to explain common signaling elements including MAPK and FAK. NF-KB is one such regulator, activated in response to both excitotoxicity and receptor activation. Interestingly, NF-KB activation is biphasic; properties of the initial phase are consistent with neuroprotection and the second phase with neurodegeneration. Microarray analyses have confirmed that genes activated initially are those that promote survival, while genes activated during the delayed phase can enhance neuronal vulnerability. The latter phase may explain why months after an insult, select brain regions remaui acutely vulnerable to stroke events and age-related neurodegeneration. Studies with receptor modulators are helping to identify key signal transduction pathways that lead to neuroprotection vs. those that enhance neuronal vulnerability, and what determines the direction of the signaling path.
SUBJECT TERMS
INTRODUCTIONOur previous work has found that excessive glutamatergic activity plays a major role in excitotoxic damage related to environmental toxin or military threat agent exposure. As expected, negative modulation of glutamate receptor activity through antagonists promotes protection against excitotoxic insults (see Buchan et al, 1991;Nellgard and Wieloch, 1992;Sheardown et al., 1993). Interestingly, low-level stimulation of AMPA-type glutamate receptors has been shown to enhance neuronal survival and promote synaptic maintenance (Bambrick et al, 1995;McKinney et al, 1999). This is likely related to the fact that besides having ionotropic properties, AMPA receptors are linked to the neuroprotective mitogen-activated protein kinase (MAPK) pathway (Wang and Durkin, 1995;Hayashi et al., 1999;Limatola et al., 2002). This signaling pathway can be enhanced by the positive modulators call Ampakines , thereby implicating the pathway in Ampakine induction of neurotrophic factor expression (Lauterbom et al, 2000) and neuroprotection agamst stroke-type excitotoxicity . Recent findings indicate that multiple receptor systems are linked to such endogenous repair mechanisms that are responsible for compensatory responses to injury.AMPA receptors are known to participate in higher cognitive fiinctions in the mammalian brain. Positive modulation of AMPA receptors by the Ampakine class of compounds selectively improves channel function...