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Updated: Aug 13, 2026

Mouse Models of Periventricular Leukomalacia
Published on: May 18, 2010
Role of glutamate receptors in periventricular leukomalacia
1Department of Neurology, Children's Hospital Boston, Program in Neuroscience, Harvard Medical School, Boston, MA 02115, USA. frances.jensen@childrens.harvard.edu
Insights
Periventricular leukomalacia, a white-matter injury in premature infants, involves glutamate excitotoxicity. Targeting specific glutamate receptors may offer age-specific treatments for this condition.
Area of Science:
- Neuroscience
- Neonatal Medicine
- Pathology
Background:
- Periventricular leukomalacia (PVL) is a significant cause of neurological disability in premature infants.
- Hypoxia-ischemia is a primary trigger for PVL, leading to excitotoxicity via glutamate.
- Glutamate receptors are implicated in the pathogenesis of white matter injury.
Purpose of the Study:
- To review the evidence linking glutamate receptors to white matter injury and PVL.
- To explore the differential roles of various glutamate receptor subtypes in PVL.
- To assess the therapeutic potential of targeting glutamate receptors for PVL treatment.
Main Methods:
- Review of existing scientific literature on glutamate receptors and PVL.
- Analysis of studies investigating the role of specific glutamate receptor subtypes.
- Examination of developmental regulation and cell-type specific expression of glutamate receptors.
Main Results:
- Glutamate receptor activation contributes to white matter damage in PVL.
- Different glutamate receptor subtypes have distinct roles depending on cell type and injury timing.
- Certain glutamate receptor subtypes are transiently overexpressed in immature white matter.
Conclusions:
- Glutamate excitotoxicity is a key mechanism in PVL.
- Understanding the developmental and cell-specific roles of glutamate receptors is crucial.
- Pharmacological targeting of glutamate receptors presents potential age-specific therapeutic strategies for PVL.
Abstract:
Periventricular leukomalacia is a form of white-matter injury that occurs in the setting of either primary or secondary hypoxia-ischemia in the premature infant. Hypoxia-ischemia induces increases in cerebral extracellular glutamate levels, thereby activating glutamate receptors on a variety of cell types within the white matter. This review examines the evidence of a role for glutamate receptors in white-matter injury and periventricular leukomalacia. Multiple glutamate receptor subtypes exist, and these appear to play differential roles depending on cell type and time after injury. Glutamate receptors are developmentally regulated on neurons and glia, and certain subtypes are transiently overexpressed in developing rodent brain and are expressed on immature oligodendrocytes in human white matter in the premature period. Pharmacologic agents acting on glutamate receptors might represent age-specific therapeutic strategies for the treatment of periventricular leukomalacia.
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