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The dual face of glutamate: from a neurotoxin to a potential survival factor—metabolic implications in health and disease

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Abstract

Glutamate is the major excitatory neurotransmitter in the central nervous system. Beyond this function, glutamate also plays a key role in intermediary metabolism in all organs and tissues, linking carbohydrate and amino acid metabolism via the tricarboxylic acid cycle. Under both physiological and pathological conditions, we have recently found that the ability of glutamate to fuel cell metabolism selectively relies on the activity of two main transporters: the sodium–calcium exchanger (NCX) and the sodium-dependent excitatory amino-acid transporters (EAATs). In ischemic settings, when glutamate is administered at the onset of the reoxygenation phase, the coordinate activity of EAAT and NCX allows glutamate to improve cell viability by stimulating ATP production. So far, this phenomenon has been observed in both cardiac and neuronal models. In this review, we focus on the most recent findings exploring the unusual activity of glutamate as a potential survival factor in different settings.

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Fig. 1

The figure has been entirely reproduced from Magi et al. 2012 [58] in accordance with the journal policy

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Abbreviations

AD:

Alzheimer’s disease

ALS:

Amyotrophic lateral sclerosis

AGCs:

Aspartate/glutamate carriers

AMPA:

α-Amino-3-hydroxy-5-methyl-4-isoxazole propionic acid

DL-TBOA:

DL-Threo-β-benzyloxyaspartic acid

EAAC1:

Excitatory amino acid carrier 1

EAATs:

Excitatory amino-acid transporters

KA:

Kainate

GLAST:

Glutamate–aspartate transporter

GLT1:

Glutamate transporter 1

mGluR:

Metabotropic glutamate receptors

NCX:

Sodium–calcium exchanger

NMDA:

N-Methyl-d-aspartate

SN-6:

2-[[4-[(4-Nitrophenyl)methoxy]phenyl]methyl]-4-thiazolidinecarboxylic acid ethyl ester

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Magi, S., Piccirillo, S. & Amoroso, S. The dual face of glutamate: from a neurotoxin to a potential survival factor—metabolic implications in health and disease. Cell. Mol. Life Sci. 76, 1473–1488 (2019). https://doi.org/10.1007/s00018-018-3002-x

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