Maybe #1 in my list of
neuronal cascade of death items is not really a problem. Or at least not an easy problem to solve.
1. Excitotoxicity
2. Glutamate poisoning
3. Capillaries that don't open due to pericytes
4. Inflammatory action leaking through the blood brain barrier
5. Lysosomal Membrane Permeabilization as a Key Player in Brain Ischemic Cell Death.
6. Reperfusion injury
http://www.cell.com/retrieve/pii/S0092867403010171
Cell, Volume 115, Issue 7, 863-877, 26 December 2003
Copyright © 2003 Cell Press All rights reserved.
Authors
Abstract
Excitotoxicity
in brain ischemia triggers neuronal death and neurological disability,
and yet these are not prevented by antiexcitotoxic therapy (AET) in
humans. Here, we show that in neurons subjected to prolonged oxygen
glucose deprivation (OGD), AET unmasks a dominant death mechanism
perpetuated by a Ca
2+-permeable nonselective cation conductance (I
OGD). I
OGD was activated by reactive oxygen/nitrogen species (ROS), and permitted neuronal Ca
2+ overload and further ROS production despite AET. I
OGD
currents corresponded to those evoked in HEK-293 cells expressing the
nonselective cation conductance TRPM7. In cortical neurons, blocking I
OGD or suppressing TRPM7 expression blocked TRPM7 currents, anoxic
45Ca
2+
uptake, ROS production, and anoxic death. TRPM7 suppression eliminated
the need for AET to rescue anoxic neurons and permitted the survival of
neurons previously destined to die from prolonged anoxia. Thus,
excitotoxicity is a subset of a greater overall anoxic cell death
mechanism, in which TRPM7 channels play a key role.
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