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Glutamate receptor

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Glutamic acid

Glutamate receptors are transmembrane receptors located primarily on the membranes of neuronal cells. These receptors bind the neurotransmitter glutamate, which is one of the 20 amino acids and one of the most abundant neurotransmitters in the body.

Glutamate receptors are present in large numbers in the central nervous system, but are also found in some other areas of the body. These receptors are responsible for the glutamate-mediated post-synaptic excitation of neural cells, and are important for interneural communication, memory formation, learning, and regulation. Furthermore, glutamate receptors are implicated in the pathologies of a great number of neurodegenerative diseases due to their central role in excitotoxicity and prevalence throughout the central nervous system.

Function

Glutamate is the most prominent neurotransmitter in the body,[1] being present in over 50% of nervous tissue. Glutamate was initially discovered to be a neurotransmitter in insect studies in the early 1960s. The primary glutamate receptor is specifically sensitive to N-Methyl-D-Aspartate (NMDA), which causes direct action of the central pore of the receptor, an ion channel, to drive the neuron to depolarize. Depolarization will trigger the firing, or action potential of the neuron, therefore NMDA is excitatory.[1] One of the major functions of glutamate receptors appears to be the modulation of synaptic plasticity; a property of the brain thought to be vital for memory and learning. Both metabotropic and ionotropic glutamate receptors have been shown to have an effect on synaptic plasticity.[2] An increase or decrease in the number of ionotropic glutamate receptors on a post-synaptic cell may lead to long-term potentiation or long-term depression of that cell, respectively.[3][4] Additionally, metabotropic glutamate receptors may modulate synaptic plasticity by regulating post-synaptic protein synthesis through second messenger systems.[5]

Types

Glutamate receptors can be divided into two groups according to the mechanism by which their activation gives rise to a postsynaptic current.[6] Ionotropic glutamate receptors (iGluRs) form the ion channel pore that activates when glutamate binds to the receptor. Metabotropic glutamate receptors (mGluRs) indirectly activate ion-channels on the plasma membrane through a signaling cascade that involves G proteins. Ionotropic receptors tend to be quicker in relaying information but metabotropic are associated with a more prolonged stimulus. This is due to the usage of many different messengers to carry out the signal but since there is a cascade, just one activation of a G-protein can lead to multiple activations. Glutamate receptors are usually not specifically geared towards glutamate exclusively as the ligand and sometimes even requires another agonist.

There are many specific subtypes of glutamate receptors, and it is customary to refer to primary subtypes by a chemical which binds to it more selectively than glutamate. The research, though, is ongoing as subtypes are identified and chemical affinities measured. There are several compounds which are routinely used in glutamate receptor research and associated with receptor subtypes:

Type Name Agonist(s)
ionotropic NMDA receptor NMDA
Kainate receptor Kainate
AMPA receptor AMPA
imetabotropic mGluR L-AP4, ACPD, L-QA[7]

Due to the diversity of glutamate receptors, their subunits are encoded by numerous gene families. Sequence similarities between mammals show a common evolutionary origin for many mGluR and all iGluR genes.[8] There is complete conservation of reading frames and splice sites of GluR genes between chimpanzees and humans, suggesting no gross structural changes after humans diverged from the human-chimpanzee common ancestor. However, there is a possibility that two human-specific "fixed" amino acid substitutions, in GRIN3A and R727H, are specifically associated with human brain function.[9]

Ionotropic

Ionotropic glutamate receptor subunits and their genes:[10]

Receptor Family Subunit Gene Chromosome
(human)
AMPA GluR1 GRIA1 5q33
GluR2 GRIA2 4q32-33
GluR3 GRIA3 Xq25-26
GluR4 GRIA4 11q22-23
Kainate GluR5 GRIK1 21q21.1-22.1
GluR6 GRIK2 6q16.3-q21
GluR7 GRIK3 1p34-p33
KA-1 GRIK4 11q22.3
KA-2 GRIK5 19q13.2
NMDA NR1 GRIN1 9q34.3
NR2A GRIN2A 16p13.2
NR2B GRIN2B 12p12
NR2C GRIN2C 17q24-q25
NR2D GRIN2D 19q13.1qter
NR3A GRIN3A 9q31.1

Metabotropic

Metabotropic glutamate receptors are all named mGluR# and are further broken down into three groups:

Group Receptor Gene Chromosome
(human)
Effect
1 mGluR1 GRM1 6q24 Increase in Ca2+ concentration in the cytoplasm.
mGluR5 GRM5 11q14.3 Release of K+ from the cell by activating K+ ionic channels
2 mGluR2 GRM2 3p21.2 inhibition of adenylyl cyclase causing shut down of the cAMP-dependent pathway
and therefore decreasing amount of cAMP
mGluR3 GRM3 7q21.1-q21.2
3 mGluR4 GRM4 6p21.3 Activation of Ca2+ channels, allowing more Ca2+ to enter the cell[11]
mGluR6 GRM6 5q35
mGluR7 GRM7 3p26-p25
mGluR8 GRM8 7q31.3-q32.1

Structure and mechanism

Glutamate receptors exist primarily in the central nervous system. These receptors can be found on the dendrites of post-synaptic cells and bind to glutamate released into the synaptic cleft by pre-synaptic cells. The glutamate binds to the extracellular portion of the receptor and provokes a response, however the various types of receptors can produce different responses.[12]

Ionotropic

All ionotropic glutamate receptors are ligand-gated nonselective cation channels which allow the flow of K+, Na+ and sometimes Ca2+ in response to glutamate binding. All produce excitatory post-synaptic current, but the speed and duration of the current is different for each type. NMDA receptors have an internal binding site for an Mg2+ ion creating a voltage dependant block which is removed by outward flow of positive current.[13] This causes NMDA receptors to have a slower and more prolonged post-synaptic current than AMPA/kainite receptors.

Metabotropic

Metabotropic glutamate receptors, which belong to subfamily C of G protein-coupled receptors are divided into three groups, with a total of eight sub-types. The mGluRs are composed of three distinct regions: the extracellular region, the transmembrane region, and the intracellular region.[14] The extracellular region is composed of a Venus Flytrap (or VFT) module that binds glutamate,[15] and a cysteine-rich domain that is thought to play a role in transmitting the conformational change induced by ligand binding from in the VFT module to the transmembrane region. [14] The transmembrane region consists of seven transmembrane domains and connects the extracellular region to the intracellular region where G protein coupling occurs.[15] Glutamate binding to the extracellular region of an mGluR causes G proteins bound to the intracellular region to be phosphorylated, affecting multiple biochemical pathways and ion channels in the cell.[16] Because of this, mGluRs can both increase or decrease the exitability of the post synaptic cell, thereby causing a wide range of physiological effects.

Effects outside the central nervous system

Glutamate receptors are thought to be responsible for the reception and transduction of umami taste stimuli. Taste receptors of the T1R family, belonging to the same class of GPCR as metabotropic Glutamate Receptors are involved. Additionally, the mGluRs as well as ionotropic glutamate receptors in neural cells have been found in taste buds and may contribute to the umami taste.[17] Numerous ionotropic glutamate receptor subunits are expressed by heart tissue, but their specific function is still unknown. Western blots and northern blots confirmed the presence of iGluRs in cardiac tissue. Immunohistochemistry localized them to cardiac nerve terminals, ganglia, conducting fibers, and some myocardiocytes.[18] Glutamate receptors are (as mentioned above) also expressed in pancreatic islet cells.[19] AMPA iGluRs modulate the secretion of insulin and glucagon in the pancreas, opening the possibility of treatment of diabetes via glutamate receptor antagonists.[20][21] Small unmyelinated sensory nerve terminals in the skin also express NMDA and non-NMDA receptors. Subcutaneous injections of receptor blockers in rats successfully analgesized skin from formalin-induced inflammation, raising possibilities of targetting peripheral glutamate receptors in the skin for pain treatment.[22]

Clinical significance

So far, no genetic diseases in humans have been linked to mutations of any of the glutamate receptor subunit genes. However, a specific genotype of human GluR6 was discovered to have a slight influence on the age of onset of Huntington's disease.[23] Antibodies to glutamate receptor subunit genes accompany various neurological disorders (e.g. GluR3 in Rasmussen's encephalitis[24] and GluR2 in nonfamilial olivopontocerebellar degeneration,[25] but the exact role of antibodies in disease manifestation is still not entirely known.[26]

Excitotoxicity

Overstimulation of glutamate receptors causes neuronal degradation and death through a process called excitotoxicity. Excessive glutamate, or excitotoxins acting on the same glutamate receptors, overactivate glutamate receptors, causing high levels of calcium ions (Ca2+) to influx into the postsynaptic cell.[27]

High Ca2+ concentrations activate a cascade of cell degradation processes involving proteases, lipases, nitric oxide synthase, and a number of enzymes that damage cell structures often to the point of cell death.[28] Ingestion or exposure to excitotoxins that act on glutamate receptors can induce excitotoxicity and cause toxic effects on the central nervous system.[29] This becomes a problem for cells as it feeds into a cycle of positive feedback cell death.

Neurodegeneration

In the case of traumatic brain injury or cerebral ischemia (e.g. cerebral infarction or hemorrhage), acute neurodegeneration may spread to proximal neurons through two processes. Hypoxia and hypoglycemia trigger bioenergetic failure, decreasing ion concentration gradients across the plasma membrane. Depolarization increases synaptic release of glutamate and reversed glutamate transport (efflux) in affected neurons and astrocytes.[30] In addition, cell death via lysis or apoptosis releases cytoplasmic glutamate outside of the ruptured cell.[31] These two forms of glutamate release cause a continual domino effect of excitotoxic cell death and further increased extracellular glutamate concentrations.

Neurodegenerative diseases

Glutamate receptors’ significance in exitotoxicity links it to many neurogenerative diseases. Conditions such as exposure to excitotoxins, old age, congenital predisposition, and brain trauma can trigger glutamate receptor activation and ensuing excitotoxic neurodegeneration. This damage to the central nervous system propagates symptoms associated with a number of diseases.[32]

Neurogenerative diseases thought to be mediated (at least in part) through stimulation of glutamate receptors[33]:

Potential therapeutic applications

Glutamate receptors have been found to have an influence in ischemia/stroke, seizures, Parkinson's Disease, Huntington's Disease, and aching.[34] As mentioned in the pathology section, almost every disease involving glutamate receptors have very similar if not identical pathways, differing slightly only in the area in the brain where the issue occurs. The following explores some of the treatments currently being proposed by targeting the glutamate receptor pathway.

Ischemia

It has been observed that during ischemia, the brain has an unnaturally high concentration of extracellular glutamate.[35] This is linked to an inadequate supply of ATP which drives the glutamate transport levels that keep the concentrations of glutamate in balance.[36] This usually leads to an excessive activation of glutamate receptors, which may lead to neuronal injury. After this overexposure, the post synaptic terminals tend to keep glutamate around for long periods of time which results in a difficulty in depolarization.[36] Antagonists for NDMA and AMPA receptors seem to have a large benefit, with more aid the sooner it is administered after onset of the neural ischemia.[29]

Seizures

Glutamate receptors have been discovered to have a role in the onset of epilepsy. NMDA and metabotropic types have been found to induce epileptic convulsions. Using rodent models, labs have found that the introduction of antagonists to these glutamate receptors help counteract the epileptic symptoms.[37] Since glutamate is a ligand for ligand-gated ion channels, the binding of this neurotransmitter will open gates and increase sodium and calcium conductance. These ions play an integral part in the causes of seizures. Group 1 metabotropic glutamate receptors (mGlu1 and mGlu5) are the primary cause of seizing so applying an antagonist to these receptors helps in preventing convulsions.[38]

Parkinson's disease

Late onset neurological disorders like Parkinson's disease may be partially due to endogenous glutamate binding NMDA and AMPA glutamate receptors.[29] Invitro spinal cord cultures with glutamate transport inhibitors led to degeneration of motor neurons which was counteracted by some AMPA receptor antagonists like GYKI 52466.[29] Research also suggests that the metabotropic glutamate receptor, mGlu4, is directly involved in movement disorders associated with the basal ganglia through selectively modulating glutamate in the striatum.[39]

Huntington's disease

In addition to similar mechanisms causing Parkinson's disease in respect to NMDA or AMPA receptors, Huntington's disease was also proposed to exhibit metabolic and mitochondrial deficiency, which exposes striatal neurons to the over activation of NMDA receptors.[29] There has been a proposition of using folic acid as a possible treatment for Huntington's due to the inhibition it exhibits on homocysteine, which increases vulnerability of nerve cells to glutamate.[40] This could decrease the effect that the glutamate has on glutamate receptors and reduce cell response to a safer level, not reaching excitotoxicity.

Aching

Hyperalgesia is directly involved with spinal NMDA receptors. Administered NMDA antagonists in a clinical setting produce significant side effects, although more research is being done in intrathecal administration.[29] Since the spinal NMDA receptors are what links the area of pain to the brain's pain processing center, the thalamus, these glutamate receptors are a prime target for treatment. One proposed way to cope with the pain is actually subconsciously through the visualization technique.[36]

Diabetes

Diabetes is a peculiar case because it is influenced by glutamate receptors present outside of the central nervous system, and it also influences glutamate receptors in the central nervous system. Diabetes mellitus, an endocrine disorder, induces cognitive impairment and defects of long-term potential in the hippocampus, interfering with synaptic plasticity. Defects of long-term potential in the hippocampus are due to abnormal glutamate receptors, specifically the malfunctioning NMDA glutamate receptors during early stages of the disease.[41]

Research is being done to address the possibility of using hyperglycaemia and insulin to regulate these receptors and restore cognitive functions. Pancreatic islets regulating insulin and glucagon levels also express glutamate receptors.[19] It is possible to treat diabetes via glutamate receptor antagonists, but not much research has been done. The difficulty of modifying peripheral GluR without having detrimental effects on the central nervous system, which is saturated with GluR, may be the cause of this.

See also

References

  1. ^ a b ""Glutamate Receptors - Structures and Functions" at bris.ac.uk". Retrieved 2007-09-02.
  2. ^ Debanne D, Daoudal G, Sourdet V, Russier M (2003). "Brain plasticity and ion channels". J. Physiol. Paris. 97 (4–6): 403–14. doi:10.1016/j.jphysparis.2004.01.004. PMID 15242652.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. ^ Pérez-Otaño I, Ehlers MD (2005). "Homeostatic plasticity and NMDA receptor trafficking". Trends Neurosci. 28 (5): 229–38. doi:10.1016/j.tins.2005.03.004. PMID 15866197. {{cite journal}}: Unknown parameter |month= ignored (help)
  4. ^ Asztély F, Gustafsson B (1996). "Ionotropic glutamate receptors. Their possible role in the expression of hippocampal synaptic plasticity". Mol. Neurobiol. 12 (1): 1–11. doi:10.1007/BF02740744. PMID 8732537. {{cite journal}}: Unknown parameter |month= ignored (help)
  5. ^ Weiler IJ, Greenough WT (1993). "Metabotropic glutamate receptors trigger postsynaptic protein synthesis". Proc. Natl. Acad. Sci. U.S.A. 90 (15): 7168–71. PMC 47097. PMID 8102206. {{cite journal}}: Unknown parameter |month= ignored (help)
  6. ^ Palmada M, Centelles J. "Excitatory amino acid neurotransmission. Pathways for metabolism, storage and reuptake of glutamate in brain". Front Biosci. 3: d701–18. PMID 9665875.
  7. ^ Ohashi H, Maruyama T, Higashi-Matsumoto H, Nomoto T, Nishimura S, Takeuchi Y (2002). "A novel binding assay for metabotropic glutamate receptors using [3H] L-quisqualic acid and recombinant receptors" (subscription required). Z Naturforsch [C]. 57 (3–4): 348–55. PMID 12064739.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  8. ^ Suchanek B, Seeburg PH, Sprengel R (1995). "Gene structure of the murine N-methyl D-aspartate receptor subunit NR2C". J. Biol. Chem. 270 (1): 41–4. PMID 7814402. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  9. ^ Goto H, Watanabe K, Araragi N, Kageyama R, Tanaka K, Kuroki Y, Toyoda A, Hattori M, Sakaki Y, Fujiyama A, Fukumaki Y, Shibata H (2009). "The identification and functional implications of human-specific "fixed" amino acid substitutions in the glutamate receptor family". BMC Evol. Biol. 9: 224. doi:10.1186/1471-2148-9-224. PMC 2753569. PMID 19737383.{{cite journal}}: CS1 maint: multiple names: authors list (link) CS1 maint: unflagged free DOI (link)
  10. ^ Dingledine R, Borges K, Bowie D, Traynelis SF (1999). "The glutamate receptor ion channels". Pharmacol. Rev. 51 (1): 7–61. PMID 10049997. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  11. ^ Conn PJ; et al. (2005). "Metabotropic glutamate receptors in the basal ganglia motor circuit". Nat Rev Neurosci. 6 (10): 787–98. PMID 16276355. {{cite journal}}: Explicit use of et al. in: |author= (help)
  12. ^ Palmada M, Centelles J. "Excitatory amino acid neurotransmission. Pathways for metabolism, storage and reuptake of glutamate in brain". Front Biosci. 3: d701–18. PMID 9665875.
  13. ^ Johnson JW and Ascher P (1990) Voltage-dependent block by intracellular Mg2+ of N-methyl-D-aspartate activated channels. Biophys J 57: 1085-1090[Medline]
  14. ^ a b Muto T, Tsuchiya D, Morikawa K, Jingami H (2007). "Structures of the extracellular regions of the group II/III metabotropic glutamate receptors". Proc. Natl. Acad. Sci. U.S.A. 104 (10): 3759–64. doi:10.1073/pnas.0611577104. PMC 1820657. PMID 17360426. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  15. ^ a b Pin JP, Acher F (2002). "The metabotropic glutamate receptors: structure, activation mechanism and pharmacology". Curr Drug Targets CNS Neurol Disord. 1 (3): 297–317. PMID 12769621. {{cite journal}}: Unknown parameter |month= ignored (help)
  16. ^ Platt SR (2007). "The role of glutamate in central nervous system health and disease--a review". Vet. J. 173 (2): 278–86. doi:10.1016/j.tvjl.2005.11.007. PMID 16376594.
  17. ^ Kinnamon SC, Vandenbeuch A (2009). "Receptors and transduction of umami taste stimuli". Ann. N. Y. Acad. Sci. 1170: 55–9. doi:10.1111/j.1749-6632.2009.04106.x. PMID 19686108. {{cite journal}}: Unknown parameter |month= ignored (help)
  18. ^ Gill SS, Pulido OM, Mueller RW, McGuire PF (1998). "Molecular and immunochemical characterization of the ionotropic glutamate receptors in the rat heart". Brain Res. Bull. 46 (5): 429–34. PMID 9739005. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  19. ^ a b Weaver CD, Yao TL, Powers AC, Verdoorn TA (1996). "Differential expression of glutamate receptor subtypes in rat pancreatic islets". J. Biol. Chem. 271 (22): 12977–84. PMID 8662728. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  20. ^ Bertrand G, Gross R, Puech R, Loubatières-Mariani MM, Bockaert J (1993). "Glutamate stimulates glucagon secretion via an excitatory amino acid receptor of the AMPA subtype in rat pancreas". Eur. J. Pharmacol. 237 (1): 45–50. PMID 7689469. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  21. ^ Weaver CD, Gundersen V, Verdoorn TA (1998). "A high affinity glutamate/aspartate transport system in pancreatic islets of Langerhans modulates glucose-stimulated insulin secretion". J. Biol. Chem. 273 (3): 1647–53. PMID 9430708. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  22. ^ Carlton SM, Hargett GL, Coggeshall RE (1995). "Localization and activation of glutamate receptors in unmyelinated axons of rat glabrous skin". Neurosci. Lett. 197 (1): 25–8. PMID 8545047. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  23. ^ Diguet E, Fernagut PO, Normand E, Centelles L, Mulle C, Tison F (2004). "Experimental basis for the putative role of GluR6/kainate glutamate receptor subunit in Huntington's disease natural history". Neurobiol. Dis. 15 (3): 667–75. doi:10.1016/j.nbd.2003.12.010. PMID 15056475. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  24. ^ Carlson NG, Gahring LC, Twyman RE, Rogers SW (1997). "Identification of amino acids in the glutamate receptor, GluR3, important for antibody-binding and receptor-specific activation". J. Biol. Chem. 272 (17): 11295–301. PMID 9111034. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  25. ^ Gahring LC, Rogers SW, Twyman RE (1997). "Autoantibodies to glutamate receptor subunit GluR2 in nonfamilial olivopontocerebellar degeneration". Neurology. 48 (2): 494–500. PMID 9040745. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  26. ^ He XP, Patel M, Whitney KD, Janumpalli S, Tenner A, McNamara JO (1998). "Glutamate receptor GluR3 antibodies and death of cortical cells". Neuron. 20 (1): 153–63. PMID 9459451. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  27. ^ Dubinsky JM (1993). "Intracellular calcium levels during the period of delayed excitotoxicity". J. Neurosci. 13 (2): 623–31. PMID 8093901. {{cite journal}}: Unknown parameter |month= ignored (help)
  28. ^ Manev H, Favaron M, Guidotti A, Costa E (1989). "Delayed increase of Ca2+ influx elicited by glutamate: role in neuronal death". Mol. Pharmacol. 36 (1): 106–12. PMID 2568579. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  29. ^ a b c d e f Meldrum B (1993). "Amino acids as dietary excitotoxins: a contribution to understanding neurodegenerative disorders". Brain Res. Brain Res. Rev. 18 (3): 293–314. PMID 8401596. Cite error: The named reference "mel1" was defined multiple times with different content (see the help page).
  30. ^ Hirsch JA, Gibson GE (1984). "Selective alteration of neurotransmitter release by low oxygen in vitro". Neurochem. Res. 9 (8): 1039–49. PMID 6149480. {{cite journal}}: Unknown parameter |month= ignored (help)
  31. ^ Obrenovitch TP, Richards DA (1995). "Extracellular neurotransmitter changes in cerebral ischaemia". Cerebrovasc Brain Metab Rev. 7 (1): 1–54. PMID 7742171.
  32. ^ Beal MF (1992). "Mechanisms of excitotoxicity in neurologic diseases". FASEB J. 6 (15): 3338–44. PMID 1464368. {{cite journal}}: Unknown parameter |month= ignored (help)
  33. ^ Budd, S. L., Gillessen, T., & Lipton, S. A. (2008). Excitatory amino acid neurotoxicity. Madame Curie Bioscience Database, 2008
  34. ^ "Glutamate Receptors (Glutamate Receptor)." Chi Precision Medical Data Mining. Carehunter Inc. <http://www.curehunter.com/public/keywordSummaryD017470.do.> Web. 24 Oct. 2009.
  35. ^ Nishizawa Y. (2001). "Glutamate release and neuronal damage in ischemia". Life Sci. 69 (4): 369–81. PMID 11459428.
  36. ^ a b c Ole Petter Otterson. "Sources of Glutamate in Cerebral Ischemia." The Neurodegeneration Research Group.<http://www.med.uio.no/imb/anatomi/gruppe_3/ischemia.htm> Web. Accessed 25 Oct. 2009. Cite error: The named reference "web2" was defined multiple times with different content (see the help page).
  37. ^ Astrid G. Chapman (2000). "Glutamate and Epilepsy". Journal of Nutrition: 1043S–1045S.
  38. ^ Moldrich Rx; et al. (2003). "Glutamate metabotropic receptors as targets for drug therapy in epilepsy". Eur J Pharmacol. 476 (1–2): 3–16. PMID 12969743. {{cite journal}}: Explicit use of et al. in: |author= (help)
  39. ^ Cuomo D.; et al. (2009). "Metabotropic glutamate receptor subtype 4 selectively modulates both glutamate and GABA transmission in the striatum: implications for Parkinson's disease treatment". J Neurochem. 109 (4): 1096–105. PMID 19519781. {{cite journal}}: Explicit use of et al. in: |author= (help)
  40. ^ Aline McKenzie. "Test reveals effectiveness of potential Huntington's disease drugs." Innovations Report. <http://www.innovations-report.com/html/reports/life_sciences/report-73183.html> Web. Accessed 25 Oct. 2009.
  41. ^ Trudeau F, Gagnon S, Massicotte G (2004). "Hippocampal synaptic plasticity and glutamate receptor regulation: influences of diabetes mellitus". Eur. J. Pharmacol. 490 (1–3): 177–86. doi:10.1016/j.ejphar.2004.02.055. PMID 15094084. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)