Document Detail


Glutamatergic mechanisms in different disease states: overview and therapeutical implications -- an introduction.
MedLine Citation:
PMID:  12373529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Glutamate is the most widely distributed excitatory transmitter in the central nervous system (CNS). It is acting via large - and still growing - families of receptors: NMDA-, AMPA-, kainate-, and metabotropic receptors. Glutamate has been implicated in a large number of CNS disorders, and it is hoped that novel glutamate receptor ligands offer new therapeutic possibilities in disease states such as chronic pain, stroke, epilepsy, depression, drug addiction and dependence or Parkinson's disease. While an extensive preclinical literature exists showing potential beneficial effects of NMDA-, AMPA-, kainate- and metabotropic receptor ligands, only NMDA receptor antagonists have been characterized clinically to any appreciable degree. In these trials it has been shown that while several compounds are therapeutically active, they also produce serious side effects at therapeutic doses. Current interest largely centers on the development of receptor subtype-selective compounds, namely compounds selective for receptors containing the NR2B subunit. Preclinical findings and the first clinical results are encouraging, and it may be that such subunit-selective compounds may have a sufficiently wide therapeutic window to be safe for human use.
Authors:
T M Tzschentke
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Amino acids     Volume:  23     ISSN:  0939-4451     ISO Abbreviation:  Amino Acids     Publication Date:  2002  
Date Detail:
Created Date:  2002-10-09     Completed Date:  2004-02-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9200312     Medline TA:  Amino Acids     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  147-52     Citation Subset:  IM    
Affiliation:
Grünenthal GmbH, Research and Development, Department of Pharmacology, Aachen, Germany. thomas.tzschentke@gruenthal.de
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MeSH Terms
Descriptor/Qualifier:
Animals
Excitatory Amino Acid Antagonists / metabolism,  therapeutic use*
Glutamic Acid / metabolism*
Humans
Ligands
Nervous System Diseases / drug therapy*
Receptors, Glutamate / metabolism*
Chemical
Reg. No./Substance:
0/Excitatory Amino Acid Antagonists; 0/Ligands; 0/Receptors, Glutamate; 56-86-0/Glutamic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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