Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, December 24, 2011

A Signaling Cascade of Nuclear Calcium-CREB-ATF3 Activated by Synaptic NMDA That Protects against Extrasynaptic NMDA Receptor Neuronal Cell Death

This is quite a handful. Followed a calcium tracing book to here.
http://www.jneurosci.org/content/31/13/4978.full

A Signaling Cascade of Nuclear Calcium-CREB-ATF3 Activated by Synaptic NMDA Receptors Defines a Gene Repression Module That Protects against Extrasynaptic NMDA Receptor-Induced Neuronal Cell Death and Ischemic Brain Damage


Abstract

Synapse-to-nucleus signaling triggered by synaptic NMDA receptors can lead to the buildup of a neuroprotective shield. Nuclear calcium activating the cAMP response element binding protein (CREB) plays a key role in neuroprotection acquired by synaptic activity. Here we show that in mouse hippocampal neurons, the transcription factor Atf3 (activating transcription factor 3) is a direct target of CREB. Induction of ATF3 expression by CREB in hippocampal neurons was initiated by calcium entry through synaptic NMDA receptors and required nuclear calcium transients and calcium/calmodulin-dependent protein kinase IV activity. Acting as a transcriptional repressor, ATF3 protects cultured hippocampal neurons from apoptosis and extrasynaptic NMDA receptor-induced cell death triggered by bath application of NMDA or oxygen–glucose deprivation. Expression of ATF3 in vivo using stereotaxic delivery of recombinant adeno-associated virus reduces brain damage following a cerebral ischemic insult in mice. Conversion of ATF3 to a transcriptional activator transforms ATF3 into a potent prodeath protein that kills neurons in cell culture and, when expressed in vivo in the hippocampus, ablates the neuronal cell layer. These results link nuclear calcium-CREB signaling to an ATF3-mediated neuroprotective gene repression program, indicating that activity-dependent shutoff of genes is an important process for survival. ATF3 supplementation may counteract age- and disease-related neuronal cell loss caused by a reduction in synaptic activity, malfunctioning of calcium signaling toward and within the nucleus (“nuclear calciopathy”), or increases in death signaling by extrasynaptic NMDA receptors.

Introduction

The well-being of neurons in the mammalian CNS is dependent on the balance of the activities of the survival-promoting synaptic NMDA receptor and the extrasynaptic NMDA receptor that induces cell death pathways (Hardingham et al., 2002; Hardingham and Bading, 2010). Important for the acquisition of a long-lasting neuroprotective shield following calcium entry through synaptic NMDA receptors is the propagation of calcium signals into the nucleus, the subsequent formation of a nuclear calcium/calmodulin complex, and the initiation of a genomic response (Bading, 2000, Hardingham et al., 2001; 2002; Lee et al., 2005; Papadia et al., 2005; Zhang et al., 2007; 2009; Bengtson et al., 2010). Nuclear calcium is one of the most potent activators of neuronal gene expression and controls a large gene pool that includes a gene program for acquired neuroprotection (Zhang et al., 2009). The transcription factor cAMP response element binding protein (CREB), a key target of nuclear calcium signaling (Hardingham et al., 1997; 2001; Chawla et al., 1998; Zhang et al., 2009), plays an important role in neuronal survival (Mantamadiotis et al., 2002). However, CREB is a multifunctional transcriptional regulator (Mayr and Montminy, 2001; Carlezon et al., 2005) that is also involved in a number of other processes including neuronal plasticity, addiction, neurogenesis, learning, and memory (Carlezon et al., 1998; Silva et al., 1998; Lonze and Ginty, 2002; Zhu et al., 2004; Giachino et al., 2005). CREB signaling may control multiple processes through the activation of target genes, which themselves may encode transcription factors and regulate function-specific genomic subroutines. The concept of a hierarchical transcription factor cascade that starts with a master regulator and branches off to other DNA binding proteins that serve a specific function is not new and has been implemented to control biological processes such as the specification of the body plan and pattern formation in embryonic development (Anderson, 1999; Pearson et al., 2005; Peel et al., 2005; Dequéant and Pourquié, 2008). In this study, we show that the transcriptional repressor ATF3 acts downstream of CREB to mediate the survival function. ATF3 is a direct CREB target that can protect neurons both in vitro and in vivo from death induced by stimulation of extrasynaptic NMDA receptors. CREB-ATF3 signaling, which is controlled by synaptic NMDA receptors and nuclear calcium, represents the core of an activity-regulated survival module that involves the sequential activation of transcriptional induction and gene repression.

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