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Published on: June 23, 2023
In the adult CNS, ethanol prevents rather than produces NMDA antagonist-induced neurotoxicity
Nuri B Farber1, Corey Heinkel, William H Dribben
1Department of Psychiatry, Washington University, Campus Box 8134 660 S. Euclid Ave. St. Louis, MO, 63110-1093, USA. farbern@psychiatry.wustl.edu
Abstract:
Single doses of an NMDA antagonist cause an adult or a prepubertal form of neurodegeneration, depending on the age of the animal. Single doses of ethanol (EtOH) by blocking NMDA receptors produce apoptotic neurodegeneration in young animals. This capability could account, in part, for the ability of EtOH to produce the fetal alcohol syndrome. We investigated whether EtOH could produce NMDA antagonist-induced neurotoxicity (NAN), a different neurotoxicity that is seen only in adult animals. In spite of producing blood EtOH levels (30 to 600 mg/dl) known to block NMDA receptors, EtOH was unable to produce neurotoxicity in the adult central nervous system (CNS). Moreover, EtOH in a dose-dependent fashion (ED(50)=138 mg/dl) prevented the selective and powerful NMDA antagonist, MK-801, from producing NAN in adult animals, suggesting that activity at another site might be negating the neurotoxic effect of EtOH's inherent NMDA antagonistic activity. Because GABA(A) agonism and non-NMDA glutamate antagonism, properties which EtOH possesses, can prevent NAN, we proceeded to study whether GABA(A) antagonists (or agents capable of reversing EtOH's GABAergic effects) and non-NMDA agonists could reverse EtOH's protective effect. Bicuculline, Ro15-4513, finasteride, kainic acid or AMPA, alone or in combination, did not significantly reverse EtOH's protective effect. Given that EtOH has effects on a wide range of ion channels and receptors, determining the precise mechanism of EtOH's protective effect will take additional effort. The inability of EtOH to acutely produce NAN in the adult CNS indicates that, in contrast to fetuses, brief exposure of the adult CNS to EtOH is non-toxic for neurons.
Insights
Ethanol (EtOH) does not cause neurotoxicity in adult brains, unlike in young animals. Instead, it protects adult brains from NMDA antagonist-induced neurotoxicity, suggesting a different mechanism than previously thought.
Area of Science:
- Neuroscience
- Toxicology
- Pharmacology
Background:
- Single doses of NMDA antagonists induce neurodegeneration in a age-dependent manner.
- Ethanol (EtOH) blocks NMDA receptors, causing apoptotic neurodegeneration in young animals, potentially contributing to fetal alcohol syndrome.
- NMDA antagonist-induced neurotoxicity (NAN) is a specific form of neurotoxicity observed only in adult animals.
Purpose of the Study:
- To investigate if EtOH can induce NAN in adult animals.
- To explore the protective effects of EtOH against NAN in adult animals.
- To elucidate the mechanisms underlying EtOH's neuroprotective effects in the adult central nervous system (CNS).
Main Methods:
- Administered varying doses of EtOH to adult animals, monitoring for neurotoxicity.
- Investigated EtOH's ability to prevent MK-801 (a potent NMDA antagonist) from inducing NAN in adult animals.
- Tested the effects of GABA(A) antagonists and non-NMDA glutamate agonists on reversing EtOH's protective effects against NAN.
Main Results:
- EtOH did not induce NAN in adult animals, even at high blood concentrations known to block NMDA receptors.
- EtOH demonstrated a dose-dependent protective effect against MK-801-induced NAN in adult animals (ED(50)=138 mg/dl).
- GABA(A) antagonists and non-NMDA agonists did not significantly reverse EtOH's protective effect.
Conclusions:
- Acute exposure to EtOH does not cause NAN in the adult CNS, contrasting with its effects in fetuses and young animals.
- EtOH's neuroprotective effect against NAN in adults may involve mechanisms beyond NMDA receptor antagonism, possibly related to GABA(A) agonism or non-NMDA glutamate antagonism.
- Further research is needed to fully determine the precise mechanism of EtOH's protective action in the adult CNS due to its broad effects on various receptors and ion channels.
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