A stroke can cause serious complications because the brain requires a constant supply of energy. Now, research from Ruhr University Bochum sheds light on how energy disruptions caused by strokes can trigger nerve cell damage through the uncontrolled release of the neurotransmitter glutamate. This groundbreaking discovery reveals that when the brain lacks energy, an unusual, self-amplifying release of glutamate occurs, ultimately damaging nerve cells.
The study, published in iScience, details how a team led by Dr. Tim Ziebarth investigated the effects of energy deficiency on glutamate release. Under normal conditions, brain tissue is sufficiently supplied with energy, which is required for the selective release and reuptake of neurotransmitters. “However, if there is no longer enough energy available, this balance between neurotransmitter release and reuptake can quickly become disrupted,” explains Ziebarth. Specifically, during a stroke, the interruption of blood supply to the brain leads to an extracellular increase in glutamate, severely impairing synapse function and nerve cell survival.
Using a model system and a fluorescent sensor protein to visualize glutamate release in real-time, Ziebarth observed atypical, local glutamate signals that were large, long-lasting, and heterogeneous. Under normal conditions, these events were sporadic, but during energy deficiency, their frequency significantly increased.
Professor Andreas Reiner concludes, "It seems that under metabolic stress conditions, such as energy depletion, these atypical release events are particularly favored, which led to the accumulation of glutamate. In contrast, the normal glutamate release by neurons, which itself requires substantial amounts of energy, came to a halt."
The team further demonstrated that increased extracellular glutamate concentrations promoted additional release events, creating a self-reinforcing loop. Inhibiting glutamate receptors, especially NMDA receptors, significantly reduced this type of glutamate release.
While the exact mechanisms behind these unusual neurotransmitter releases and the responsible cell types remain unclear, further research is crucial to determine the contribution of this release type in stroke situations and neurodegenerative diseases. Understanding how strokes disrupt brain energy and cause excess glutamate release could pave the way for new therapeutic interventions.