Questioning glutamate excitotoxicity in acute brain damage: the importance of spreading depolarization

RD Andrew, E Farkas, JA Hartings, KC Brennan… - Neurocritical care, 2022 - Springer
Background Within 2 min of severe ischemia, spreading depolarization (SD) propagates like
a wave through compromised gray matter of the higher brain. More SDs arise over hours in …

The critical role of spreading depolarizations in early brain injury: consensus and contention

RD Andrew, JA Hartings, C Ayata, KC Brennan… - Neurocritical care, 2022 - Springer
Background When a patient arrives in the emergency department following a stroke, a
traumatic brain injury, or sudden cardiac arrest, there is no therapeutic drug available to help …

Glutamate‐mediated injury in focal cerebral ischemia: the excitotoxin hypothesis revised

KA Hossmann - Brain Pathology, 1994 - Wiley Online Library
Neuronal injury following focal cerebral ischemia is widely attributed to the excitotoxic effects
of gluta‐mate. However, critical analysis of published data on glutamate toxicity in vitro and …

Excitotoxicity and metabolic crisis are associated with spreading depolarizations in severe traumatic brain injury patients

JM Hinzman, JA Wilson, AT Mazzeo… - Journal of …, 2016 - liebertpub.com
Cerebral microdialysis has enabled the clinical characterization of excitotoxicity (glutamate>
10 μM) and non-ischemic metabolic crisis (lactate/pyruvate ratio [LPR]> 40) as important …

Emerging mechanisms of disrupted cellular signaling in brain ischemia

M Tymianski - Nature neuroscience, 2011 - nature.com
Recent findings have provided insights into pathogenic mechanism (s) that may complement
and add to the traditional glutamatergic mechanisms to which ischemic brain injury is …

Excitotoxic damage in neurotrauma: fact or fiction

X Di, T Harpold, JC Watson… - Restorative neurology …, 1996 - content.iospress.com
Secondary brain injury is a well-demonstrated contributor to the morbidity and mortality of
severe head injury. At least ten new compounds which antagonize the effects of glutamate in …

[HTML][HTML] Glutamate excitotoxicity: Potential therapeutic target for ischemic stroke

Z Shen, M Xiang, C Chen, F Ding, Y Wang… - Biomedicine & …, 2022 - Elsevier
Glutamate-mediated excitotoxicity is an important mechanism leading to post ischemic
stroke damage. After acute stroke, the sudden reduction in cerebral blood flow is most …

[HTML][HTML] Excitotoxicity and stroke: identifying novel targets for neuroprotection

TW Lai, S Zhang, YT Wang - Progress in neurobiology, 2014 - Elsevier
Excitotoxicity, the specific type of neurotoxicity mediated by glutamate, may be the missing
link between ischemia and neuronal death, and intervening the mechanistic steps that lead …

Ketamine improves neuronal recovery following spreading depolarization in peri‐infarct tissues

KM Reinhart, RA Morton, KC Brennan… - Journal of …, 2024 - Wiley Online Library
Spreading depolarization (SD) has emerged as an important contributor to the enlargement
of acute brain injuries. We previously showed that the N‐methyl‐D‐aspartate receptor …

Novel concepts in excitotoxic neurodegeneration after stroke

MM Aarts, M Arundine, M Tymianski - Expert reviews in molecular …, 2003 - cambridge.org
Brain injury following cerebral ischaemia (stroke) involves a complex combination of
pathological processes, including excitotoxicity and inflammation leading to necrotic and …