Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The tool is not a substitute for the care provided… (more)
“Accumulation of ammonia induces a glutamate neurotoxicity leading to an increased tone of the γ-aminobutyric acid A (GABA-A) receptor system in the brain which results in HE.”
“In addition, ammonia has been shown to inhibit astrocytic uptake of GABA by 30%–50%, an effect which would increase the synaptic availability of GABA at GABA(A) receptors.”
“Chronic exposure to ammonia is thought to inhibit astro cytic uptake of γ-aminobutyric acid —hence, perhaps, the appar ent reversal of coma by fl umazenil— and to increase neuro steroid synthesis, which contributes to encephalopathy.”
“ Ammonia also enhanced GABA release after 4-day treatment, although such release was initially inhibited.”
“These effects of ammonia (inhibition of GABA uptake and enhanced GABA release) may elevate extracellular levels of GABA and contribute to a dysfunction of GABAergic neurotransmission in HE and other hyperammonemic states.”
Fiziologicheskii zhurnal SSSR imeni I. M. Sechenova • 1985 | View Paper
“Combinations of 5 mM ammonia and 5 mM glutamic acid or 5 mM ammonia and 5 mM glutamine as nitrogen source, lead to a 4–5 fold reduction of the maximum activity measurable on 5 mM γ-aminobutyric acid.”