Document Detail


Experimental uremia affects hypothalamic amino acid neurotransmitter milieu.
MedLine Citation:
PMID:  11373345     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic renal failure is associated with delayed puberty and hypogonadism. To investigate the mechanisms subserving the reported reduced pulsatile release of gonadotropin-releasing hormone (GnRH) in chronic renal failure, this study examined the amino acid neurotransmitter milieu in the medial preoptic area (MPOA), the hypothalamic region where the GnRH-secreting neurons reside, in 5/6-nephrectomized male rats and in ad libitum-fed or pair-fed controls. All rats were castrated and received either a testosterone or a vehicle implant to evaluate additional effects of the prevailing sex steroid milieu. Local excitatory (essential amino acids: aspartate, glutamate) and inhibitory (gamma-aminobutyric acid [GABA], taurine) amino acid transmitter outflow in the MPOA was measured by microdialysis via stereotactically implanted cannulae in the awake, freely moving rats. In addition to basal extracellular concentrations, the neurosecretory capacity was assessed by the addition of 100 mM KCl to the dialysis fluid. The mechanisms of neurosecretion were evaluated further by inhibition of vesicular release with the use of Ca(2+)-free, Mg(2+)-enriched dialysis fluid and by local perfusion with inhibitors of voltage-dependent synaptic release (1 microM tetrodotoxin) and of GABA reuptake (0.5 mM nipecotic acid). In the uremic rats, basal outflow of GABA, glutamate and aspartate, and K(+)-stimulated aspartate outflow were increased. K(+)-stimulated GABA and glutamate release was less sensitive to Ca(2+) depletion in the uremic than in the control rats. The elevated basal GABA and essential amino acid outflow in the uremic rats was due to a voltage- and Ca(2+)-independent mechanism. GABA reuptake was inhibited proportionately by nipecotic acid in uremic and pair-fed control rats. Testosterone supplementation had no independent effects on neurotransmitter outflow. In summary, the amino acid neurotransmitter milieu is altered in the MPOA of uremic rats by a nonsynaptic, nonvesicular mechanism. These abnormalities may contribute to the impaired function of the GnRH pulse generator.
Authors:
F Schaefer; M Vogel; G Kerkhoff; J Woitzik; M Daschner; O Mehls
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Society of Nephrology : JASN     Volume:  12     ISSN:  1046-6673     ISO Abbreviation:  J. Am. Soc. Nephrol.     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-05-24     Completed Date:  2001-08-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9013836     Medline TA:  J Am Soc Nephrol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1218-27     Citation Subset:  IM    
Affiliation:
Division of Paediatric Nephrology, University Children's Hospital, University of Heidelberg, Heidelberg, Germany. franz_schaefer@med.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Amino Acids / metabolism*
Analysis of Variance
Animals
Disease Models, Animal
Gonadotropin-Releasing Hormone / metabolism*
Hypothalamus / metabolism
Male
Microdialysis
Neurotransmitter Agents / metabolism*
Rats
Rats, Sprague-Dawley
Tetrodotoxin / pharmacology
Uremia / physiopathology*
gamma-Aminobutyric Acid / metabolism*
Chemical
Reg. No./Substance:
0/Amino Acids; 0/Neurotransmitter Agents; 33515-09-2/Gonadotropin-Releasing Hormone; 4368-28-9/Tetrodotoxin; 56-12-2/gamma-Aminobutyric Acid

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