Effects of hyperammonemia on brain energy metabolism: controversial findings in vivo and in vitro
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Effects of hyperammonemia on brain energy metabolism : controversial findings in vivo and in vitro. / Schousboe, Arne; Waagepetersen, Helle S.; Leke, Renata; Bak, Lasse K.
In: Metabolic Brain Disease, Vol. 29, No. 4, 01.03.2014, p. 913-917.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Effects of hyperammonemia on brain energy metabolism
T2 - controversial findings in vivo and in vitro
AU - Schousboe, Arne
AU - Waagepetersen, Helle S.
AU - Leke, Renata
AU - Bak, Lasse K
PY - 2014/3/1
Y1 - 2014/3/1
N2 - The literature related to the effects of elevated plasma ammonia levels on brain energy metabolism is abundant, but heterogeneous in terms of the conclusions. Thus, some studies claim that ammonia has a direct, inhibitory effect on energy metabolism whereas others find no such correlation. In this review, we discuss both recent and older literature related to this controversial topic. We find that it has been consistently reported that hepatic encephalopathy and concomitant hyperammonemia lead to reduced cerebral oxygen consumption. However, this may not be directly linked to an effect of ammonia but related to the fact that hepatic encephalopathy is always associated with reduced brain activity, a condition clearly characterized by a decreased CMRO2. Whether this may be related to changes in GABAergic function remains to be elucidated.
AB - The literature related to the effects of elevated plasma ammonia levels on brain energy metabolism is abundant, but heterogeneous in terms of the conclusions. Thus, some studies claim that ammonia has a direct, inhibitory effect on energy metabolism whereas others find no such correlation. In this review, we discuss both recent and older literature related to this controversial topic. We find that it has been consistently reported that hepatic encephalopathy and concomitant hyperammonemia lead to reduced cerebral oxygen consumption. However, this may not be directly linked to an effect of ammonia but related to the fact that hepatic encephalopathy is always associated with reduced brain activity, a condition clearly characterized by a decreased CMRO2. Whether this may be related to changes in GABAergic function remains to be elucidated.
U2 - 10.1007/s11011-014-9513-8
DO - 10.1007/s11011-014-9513-8
M3 - Journal article
C2 - 24577633
VL - 29
SP - 913
EP - 917
JO - Metabolic Brain Disease
JF - Metabolic Brain Disease
SN - 0885-7490
IS - 4
ER -
ID: 120585729