Extrasynaptic NMDARs oppose synaptic NMDARs by triggering CREB shut-off and cell death pathways

Nat Neurosci. 2002 May;5(5):405-14. doi: 10.1038/nn835.

Abstract

Here we report that synaptic and extrasynaptic NMDA (N-methyl-D-aspartate) receptors have opposite effects on CREB (cAMP response element binding protein) function, gene regulation and neuron survival. Calcium entry through synaptic NMDA receptors induced CREB activity and brain-derived neurotrophic factor (BDNF) gene expression as strongly as did stimulation of L-type calcium channels. In contrast, calcium entry through extrasynaptic NMDA receptors, triggered by bath glutamate exposure or hypoxic/ischemic conditions, activated a general and dominant CREB shut-off pathway that blocked induction of BDNF expression. Synaptic NMDA receptors have anti-apoptotic activity, whereas stimulation of extrasynaptic NMDA receptors caused loss of mitochondrial membrane potential (an early marker for glutamate-induced neuronal damage) and cell death. Specific blockade of extrasynaptic NMDA receptors may effectively prevent neuron loss following stroke and other neuropathological conditions associated with glutamate toxicity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain-Derived Neurotrophic Factor / genetics
  • Brain-Derived Neurotrophic Factor / metabolism
  • Calcium / metabolism
  • Calcium Channels, L-Type / metabolism
  • Calcium Signaling / drug effects
  • Cell Death / drug effects
  • Cell Death / physiology
  • Cell Hypoxia / physiology
  • Cell Survival / drug effects
  • Cell Survival / physiology
  • Cells, Cultured
  • Cyclic AMP Response Element-Binding Protein / antagonists & inhibitors
  • Cyclic AMP Response Element-Binding Protein / metabolism*
  • Enzyme Inhibitors / pharmacology
  • Excitatory Amino Acid Antagonists / pharmacology
  • Gene Expression Regulation / drug effects
  • Gene Expression Regulation / physiology
  • Glutamic Acid / pharmacology
  • Intracellular Membranes / physiology
  • Membrane Potentials / physiology
  • Mitochondria / physiology
  • Neurons / cytology
  • Neurons / drug effects
  • Neurons / metabolism*
  • Piperidines / pharmacology
  • RNA, Messenger / metabolism
  • Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors
  • Receptors, N-Methyl-D-Aspartate / metabolism*
  • Signal Transduction / drug effects
  • Signal Transduction / physiology*
  • Synapses / metabolism*

Substances

  • Brain-Derived Neurotrophic Factor
  • Calcium Channels, L-Type
  • Cyclic AMP Response Element-Binding Protein
  • Enzyme Inhibitors
  • Excitatory Amino Acid Antagonists
  • NR2B NMDA receptor
  • Piperidines
  • RNA, Messenger
  • Receptors, N-Methyl-D-Aspartate
  • Glutamic Acid
  • ifenprodil
  • Calcium