Abstract:
:There is substantial evidence that hyperammonemia is one of the main factors contributing to the neurological alterations found in hepatic encephalopathy. The mechanisms by which chronic moderate hyperammonemia affects brain function involves alterations in neurotransmission at different steps. This article reviews the effects of hyperammonemia on phosphorylation of key brain proteins involved in neurotransmission (the microtubule-associated protein (MAP-2), Na+/K+-ATPase and NMDA receptors). The physiological function of these proteins is modulated by phosphorylation and its altered phosphorylation in hyperammonemia may contribute to impairment of neurotransmission. The effects of chronic hyperammonemia on signal transduction pathways associated to glutamate receptors, such as the glutamate-nitric oxide (NO)-cGMP pathway, are also reviewed. The possible contribution of the impairment of this pathway in brain in vivo to the neurological alterations present in patients with hepatic encephalopathy is discussed.
journal_name
Neurochem Intjournal_title
Neurochemistry internationalauthors
Corbalán R,Hernández-Viadel M,Llansola M,Montoliu C,Felipo Vdoi
10.1016/s0197-0186(02)00030-xsubject
Has Abstractpub_date
2002-08-01 00:00:00pages
103-8issue
2-3eissn
0197-0186issn
1872-9754pii
S019701860200030Xjournal_volume
41pub_type
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