2002
DOI: 10.1023/a:1021945515514
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Abstract: Glutamatergic dysfunction has been suggested to play an important role in the pathogenesis of hepatic encephalopathy (HE) in acute liver failure (ALF). Increased extracellular brain glutamate concentrations have consistently been described in different experimental animal models of ALF and in patients with increased intracranial pressure due to ALF. High brain ammonia levels remain the leading candidate in the pathogenesis of HE in ALF and studies have demonstrated a correlation between ammonia and increased c… Show more

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Cited by 65 publications
(11 citation statements)
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“…In brain tissue of mammals the high accumulation of glutamine as a result of the ammonia intoxication process, is suggested to induce oxidative stress [17], [74]. Elevation in glutamine level can cause astrocyte swelling, and/or activation of N -methyl-D-aspartate type glutamate (NMDA) receptors [75][78]. The over-activation of NMDA receptors incites excess production of ROS and reactive nitrogen species [79].…”
Section: Discussionmentioning
confidence: 99%
“…In brain tissue of mammals the high accumulation of glutamine as a result of the ammonia intoxication process, is suggested to induce oxidative stress [17], [74]. Elevation in glutamine level can cause astrocyte swelling, and/or activation of N -methyl-D-aspartate type glutamate (NMDA) receptors [75][78]. The over-activation of NMDA receptors incites excess production of ROS and reactive nitrogen species [79].…”
Section: Discussionmentioning
confidence: 99%
“…For this to occur in vivo, NH 4 ϩ /NH 3 fluctuations at the astrocyte membrane in the millimolar range would have to arise; however, precise temporal NH 4 ϩ /NH 3 transients in vivo data are not available. Ammonia fluctuations and subsequently cytosolic alkaline shifts are larger at the onset of ALF, suggesting that a deregulation of glutamate release by ammonia from astrocytes may be an early phenomenon and in addition one of the sources leading to this increased extracellular brain glutamate/glutamatergic dysfunction consistently found in different models of ALF (45).…”
Section: Ammonia-triggered Release Of Ca 2ϩ From Intracellular Er Stomentioning
confidence: 99%
“…Because fishes have less advanced central nervous systems than higher vertebrates, this may explain why fishes are more tolerant of ammonia than mammals (Evans et al, 2005). Several theories (glutamatergic dysfunction, glutamine accumulation leading to astrocyte swelling, activation of N -methyl- d -aspartate-type (NMDA) glutamate receptors) have been proposed to address the mechanisms of acute ammonia toxicity in mammalian brains (Brusilow, 2002; Felipo and Butterworth, 2002; Rose, 2002), but they have yet to be confirmed in fish.…”
Section: Impediment Of Ammonia Excretion Ammonia-loading and Mechanmentioning
confidence: 99%
“…In mammals, high levels of brain ammonia (1–3 mmol l −1 ) lead to glutamatergic dysfunction (Felipo and Butterworth, 2002; Rose, 2002) which remains as the leading candidate in the pathogenesis of hepatic encephalopathy in acute liver failure. However, many tropical air-breathing fishes (see Ip et al, 2004b; Chew et al, 2006b for reviews) can tolerate high levels of environmental ammonia, and these environmental tolerance correlate well with their high tolerance of ammonia at the cellular and sub-cellular levels (Ip et al, 2005a).…”
Section: Passage Of Ammonia Across the Blood–brain Barrier And Into Bmentioning
confidence: 99%