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Role of Platelets in Glutamate Mediated Excitotoxicity: An O | 46326

Journal of Neurology & Neurophysiology

ISSN - 2155-9562

Abstract

Role of Platelets in Glutamate Mediated Excitotoxicity: An Overview

Deepa, Arundhati Tiwari, Rameshwar Nath Chaurasia and Debabrata Dash

Glutamate, the main excitatory neurotransmitter in central nervous system (CNS), binds primarily to two types of
receptors on the post-synaptic membrane of neuronal cells, namely metabotropic receptors and ionotropic
receptors. Metabotropic receptors are G-protein coupled receptors while ionotropic receptors are non-selective
ligand-gated ion channels, which allow movement of cations like Na+, K+ and Ca2+. The three most studied ionic
receptors are N-methyl-D-aspartate receptor (NMDAR), α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid
receptor (AMPAR), and Kainate receptor.
Glutamate synapse plays a pivotal role in many neurodegenerative disorders like Huntington disease, trauma,
epilepsy, Alzheimer and Amyotrophic lateral sclerosis, and cerebral ischemia. Understanding the mechanism of
these glutamate ligand-gated ion channels (LGIC) can assist in the development of therapy against ischemic stroke,
a leading cause of death and disability worldwide.
This review focuses on how aggregated platelet microthrombi cross blood-brain barrier, reach neural parenchyma
and release glutamate. Accumulated glutamate hyperstimulates glutamate LGIC, thus leading to neurotoxicity and
apoptosis of neuronal cells.

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