“…287 The resulting increase in cAMP stimulates the enzymatic activity of PKA, which commands the activation of CREB and therefore the synthesis of anti-apoptotic proteins as well as neuritogenesis. 294 The loss of motor neurons in ALS results from intense glutamate activation of NMDA, followed by massive influx of Ca 2+ , resulting in the activation of calpain, mitogen-activated protein kinase (MAPK) p38, and JNK; NO generation; mitochondrial insults; caspase 3 activation; endoplasmic reticulum (ER) stress; burst in ROS; and ultimately apoptosis, as the antioxidant capacities of SOD are weakened. 288 Furthermore, vinpocetine blocked voltage-gated Na + channels with an IC 50 value equal to 0.3 μM 289 and inhibited the increase of free cytoplasmic Ca 2+ concentration of neurons exposed to veratridine.…”