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Ethanol, stroke, brain damage, and excitotoxicity

F T Crews1, J C Steck, L J Chandler

  • 1Center for Alcohol Studies, School of Medicine, University of North Carolina at Chapel Hill, 27599-7178, USA.

Pharmacology, Biochemistry, and Behavior
|May 20, 1998
PubMed
Summary

Ethanol affects brain damage from NMDA receptor overactivation. Acutely, it inhibits damage, but chronic exposure increases sensitivity, potentially worsening stroke-related brain injury.

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Area of Science:

  • Neuroscience
  • Neuropharmacology
  • Toxicology

Background:

  • The N-methyl-D-aspartate (NMDA) receptor is implicated in brain damage from stroke, trauma, and alcohol.
  • NMDA receptor activation leads to nitric oxide formation and excitotoxicity, contributing to neuronal injury.

Purpose of the Study:

  • To investigate the acute and chronic effects of ethanol on NMDA receptor-mediated excitotoxicity and nitric oxide formation.
  • To examine ethanol's interaction with NMDA receptor pathways in models of global cerebral ischemia.

Main Methods:

  • Primary rat cortical cultures were used to assess NMDA-induced nitric oxide formation and excitotoxicity with and without ethanol exposure.
  • Transient global ischemia models were employed to study neuronal death in the hippocampus.
  • NMDA receptor ligand binding was analyzed post-ischemia.

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Main Results:

  • Ethanol inhibited NMDA-induced nitric oxide formation and excitotoxicity in a dose-dependent manner acutely.
  • Chronic ethanol treatment (100 mM for 4 days) increased NMDA-stimulated nitric oxide formation and excitotoxicity, suggesting supersensitivity.
  • Acute ethanol protected against ischemic brain damage, but this effect was linked to hypothermia and not observed under temperature control.

Conclusions:

  • Ethanol exhibits dual effects on NMDA receptor-mediated excitotoxicity: acute inhibition and chronic potentiation.
  • Chronic ethanol consumption may exacerbate stroke-induced brain damage by increasing NMDA receptor excitotoxicity.
  • The role of NMDA receptors in ischemic brain damage is complex and influenced by factors like ethanol exposure and body temperature.