2016
DOI: 10.1007/s11064-016-2014-x
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Neurotoxicity of Ammonia

Abstract: Abnormal liver function has dramatic effects on brain functions. Hyperammonemia interferes profoundly with brain metabolism, astrocyte volume regulation, and in particular mitochondrial functions. Gene expression in the brain and excitatory and inhibitory neurotransmission circuits are also affected. Experiments with a number of pertinent animal models have revealed several potential mechanisms which could underlie the pathological phenomena occurring in hepatic encephalopathy.

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Cited by 65 publications
(60 citation statements)
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References 104 publications
(106 reference statements)
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“…The oxidative deamination of amino acids generates toxic ammonium (NH 3 , NH 4 + ), which can cause immunosuppression and neurotoxic effects 68, 69 . In a normal state, giant African snails mainly convert ammonium into uric acid and excrete it out of their body through the urine, while during aestivation, they convert ammonium into urea and store it in their body 24, 70 .…”
Section: Resultsmentioning
confidence: 99%
“…The oxidative deamination of amino acids generates toxic ammonium (NH 3 , NH 4 + ), which can cause immunosuppression and neurotoxic effects 68, 69 . In a normal state, giant African snails mainly convert ammonium into uric acid and excrete it out of their body through the urine, while during aestivation, they convert ammonium into urea and store it in their body 24, 70 .…”
Section: Resultsmentioning
confidence: 99%
“…Ammonia is cleared mainly through conversion to urea (by the urea cycle consisting of five enzymatic steps) in the liver . Elevated concentrations of ammonia lead to the symptoms of ammonia intoxication (e.g., tremors, vomiting, and cerebral edema), coma, and even death . A number of serious diseases such as phenylketonuria, homocystinuria, and albinism can be traced to genetic defects in the enzymes of amino acid metabolism .…”
mentioning
confidence: 99%
“…Ammonia is a neurotoxic substance produced in the body through the metabolism of proteins and amino acids as well as by the actions of intestinal bacteria 3. Under normal conditions, the majority of this ammonia is converted in the liver to the water soluble substance urea via the urea cycle 4.…”
Section: Discussionmentioning
confidence: 99%