PMID- 38136657 OWN - NLM STAT- MEDLINE DCOM- 20231225 LR - 20240104 IS - 2218-273X (Electronic) IS - 2218-273X (Linking) VI - 13 IP - 12 DP - 2023 Dec 13 TI - Role of NMDA Receptor in High-Pressure Neurological Syndrome and Hyperbaric Oxygen Toxicity. LID - 10.3390/biom13121786 [doi] LID - 1786 AB - Professional divers exposed to pressures greater than 11 ATA (1.1 MPa) may suffer from high-pressure neurological syndrome (HPNS). Divers who use closed-circuit breathing apparatus and patients and medical attendants undergoing hyperbaric oxygen therapy (HBOT) face the risk of CNS hyperbaric oxygen toxicity (HBOTx) at oxygen pressure above 2 ATA (0.2 MPa). Both syndromes are characterized by reversible CNS hyperexcitability, accompanied by cognitive and motor deficits, and N-methyl-D-aspartate receptor (NMDAR) plays a crucial role in provoking them. Various NMDAR subtypes respond differently under hyperbaric conditions. The augmented currents observed only in NMDAR containing GluN2A subunit increase glutamatergic synaptic activity and cause dendritic hyperexcitability and abnormal neuronal activity. Removal of the resting Zn(2+) voltage-independent inhibition exerted by GluN2A present in the NMDAR is the major candidate for the mechanism underlying the increase in receptor conductance. Therefore, this process should be the main target for future research aiming at developing neuroprotection against HPNS and HBOTx. FAU - Bliznyuk, Alice AU - Bliznyuk A AUID- ORCID: 0000-0002-8943-0407 AD - Ilse Katz Institute for Nanoscale Science and Technology (IKI), Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel. FAU - Grossman, Yoram AU - Grossman Y AD - Department of Physiology and Cell Biology, Zlotowski Center for Neuroscience, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel. LA - eng PT - Journal Article PT - Review DEP - 20231213 PL - Switzerland TA - Biomolecules JT - Biomolecules JID - 101596414 RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - S88TT14065 (Oxygen) SB - IM MH - Humans MH - Receptors, N-Methyl-D-Aspartate/metabolism MH - *High Pressure Neurological Syndrome MH - *Hyperbaric Oxygenation MH - Signal Transduction MH - Oxygen PMC - PMC10742241 OTO - NOTNLM OT - GluN2A OT - HBOTx OT - HPNS OT - NMDAR OT - Zn2+ voltage-independent inhibition OT - high pressure COIS- The authors declare no conflict of interest. EDAT- 2023/12/23 12:42 MHDA- 2023/12/25 06:41 PMCR- 2023/12/13 CRDT- 2023/12/23 01:05 PHST- 2023/10/27 00:00 [received] PHST- 2023/11/26 00:00 [revised] PHST- 2023/12/11 00:00 [accepted] PHST- 2023/12/25 06:41 [medline] PHST- 2023/12/23 12:42 [pubmed] PHST- 2023/12/23 01:05 [entrez] PHST- 2023/12/13 00:00 [pmc-release] AID - biom13121786 [pii] AID - biomolecules-13-01786 [pii] AID - 10.3390/biom13121786 [doi] PST - epublish SO - Biomolecules. 2023 Dec 13;13(12):1786. doi: 10.3390/biom13121786.