PMID- 21947661 OWN - NLM STAT- MEDLINE DCOM- 20121214 LR - 20211020 IS - 1438-2199 (Electronic) IS - 0939-4451 (Print) IS - 0939-4451 (Linking) VI - 43 IP - 1 DP - 2012 Jul TI - Increased concentrations of both NMDA receptor co-agonists D-serine and glycine in global ischemia: a potential novel treatment target for perinatal asphyxia. PG - 355-63 LID - 10.1007/s00726-011-1086-9 [doi] AB - Worldwide, perinatal asphyxia is an important cause of morbidity and mortality among term-born children. Overactivation of the N-methyl-D-aspartate receptor (NMDAr) plays a central role in the pathogenesis of cerebral hypoxia-ischemia, but the role of both endogenous NMDAr co-agonists D-serine and glycine remains largely elusive. We investigated D-serine and glycine concentration changes in rat glioma cells, subjected to oxygen and glucose deprivation (OGD) and CSF from piglets exposed to hypoxia-ischemia by occlusion of both carotid arteries and hypoxia. We illustrated these findings with analyses of cerebrospinal fluid (CSF) from human newborns affected by perinatal asphyxia. Extracellular concentrations of glycine and D-serine were markedly increased in rat glioma cells exposed to OGD, presumably through increased synthesis from L-serine. Upon reperfusion glycine concentrations normalized and D-serine concentrations were significantly lowered. The in vivo studies corroborated the finding of initially elevated and then normalizing concentrations of glycine and decreased D-serine concentrations upon reperfusion These significant increases of both endogenous NMDAr co-agonists in combination with elevated glutamate concentrations, as induced by global cerebral ischemia, are bound to lead to massive NMDAr activation, excitotoxicity and neuronal damage. Influencing these NMDAr co-agonist concentrations provides an interesting treatment target for this common, devastating and currently poorly treatable condition. FAU - Fuchs, Sabine A AU - Fuchs SA AD - Department of Metabolic and Endocrine Diseases, University Medical Center Utrecht, Postbox 85090, 3508 AB, Utrecht, The Netherlands. S.Fuchs@umcutrecht.nl FAU - Peeters-Scholte, Cacha M P C D AU - Peeters-Scholte CM FAU - de Barse, Martina M J AU - de Barse MM FAU - Roeleveld, Martin W AU - Roeleveld MW FAU - Klomp, Leo W J AU - Klomp LW FAU - Berger, Ruud AU - Berger R FAU - de Koning, Tom J AU - de Koning TJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110923 PL - Austria TA - Amino Acids JT - Amino acids JID - 9200312 RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 452VLY9402 (Serine) RN - TE7660XO1C (Glycine) SB - IM MH - Animals MH - Animals, Newborn MH - Asphyxia Neonatorum/*cerebrospinal fluid/metabolism MH - Cell Line, Tumor MH - Glycine/*analysis MH - Humans MH - Hypoxia MH - Hypoxia-Ischemia, Brain/cerebrospinal fluid/*metabolism MH - Infant, Newborn MH - Neurons/metabolism MH - Rats MH - Receptors, N-Methyl-D-Aspartate/agonists/antagonists & inhibitors/*metabolism MH - *Reperfusion MH - Respiratory Distress Syndrome, Newborn/cerebrospinal fluid/metabolism MH - Serine/*analysis MH - Swine PMC - PMC3374112 EDAT- 2011/09/29 06:00 MHDA- 2012/12/15 06:00 PMCR- 2011/09/23 CRDT- 2011/09/28 06:00 PHST- 2011/04/28 00:00 [received] PHST- 2011/09/13 00:00 [accepted] PHST- 2011/09/28 06:00 [entrez] PHST- 2011/09/29 06:00 [pubmed] PHST- 2012/12/15 06:00 [medline] PHST- 2011/09/23 00:00 [pmc-release] AID - 1086 [pii] AID - 10.1007/s00726-011-1086-9 [doi] PST - ppublish SO - Amino Acids. 2012 Jul;43(1):355-63. doi: 10.1007/s00726-011-1086-9. Epub 2011 Sep 23.