A glutamate surge caused by a stroke or brain injury radiates out from the area of original damage, and kills neurons in nearby areas. © 3D4Medical.com/Getty Images
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Protecting the Brain from a Glutamate Storm

By Vivian Teichberg and Luba Vikhanski
May 10, 2007

When a stroke or head injury releases a flood of the chemical messenger glutamate, the excess glutamate leaves damaged neurons in its wake. Israeli scientist Vivian Teichberg, Ph.D., has developed a new method that may protect the brain from this destruction by harnessing the brain’s natural ability to keep glutamate levels in check.

 

The human brain is packed with a substance that needs to be treated like a handle-with-care explosive. Glutamate, one of the most abundant chemical messengers in the brain, plays a role in many vital brain functions, such as learning and memory, but it can inflict massive damage if it is accidentally spilled into brain tissue in large amounts.

Glutamate flow in the brain is normally kept in check by a system of dam-like structures, which release a trickle of the substance only when and where it is needed. But burst a dam—as happens in stroke, head trauma, and some other neurological disorders—and the treacherous messenger floods the brain. The surge of glutamate radiates out from the area of original damage, and kills neurons in nearby areas.  The expanded damage can leave in its wake signs of impaired brain function, such as slurred speech and shaky movement.

Depending on the severity and location of the stroke or head trauma, recovery can be slow and incomplete. Now new hope is coming from a completely new approach to protecting the brain against the ravages of injury and disease. It consists of “mopping up” excess glutamate by boosting a natural process that the healthy brain already uses to safeguard itself from a glutamate overdose. If this concept is borne out in clinical trials, it might be helpful in treating a variety of acute and chronic brain insults and diseases. 

Inside the Glutamate Storm

The amino acid glutamate is the major signaling chemical in nature. All invertebrates (worms, insects, and the like) use glutamate for conveying messages from nerve to muscle. In mammals, glutamate is mainly present in the central nervous system, brain, and spinal cord, where it plays the role of a neuronal messenger, or neurotransmitter. In fact, almost all brain cells use glutamate to exchange messages. Moreover, glutamate can serve as a source of energy for the brain cells when their regular energy supplier, glucose, is lacking. However, when its levels rise too high in the spaces between cells—known as extracellular spaces—glutamate turns its coat to become a toxin that kills neurons.*

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Comments

Glutamate and MSG

Maryann Morningstar

2/10/2010 10:15:41 AM

When I ingest any MSG, I get extremely tired, very thirsty, withdraw and can't function unless I sleep for several hours. Is this from excess glutamate in my brain and can I do something to counteract this awful reaction?

MSG(2)

Ken

12/8/2009 9:47:44 PM

Glutamate and Mono sodium glutamate are different .

MSG

Jim Keith

11/28/2008 11:16:23 AM

Regarding the final statement of this paper, I have a shocking question ["* The glutamate in MSG (monsodium glutamate), used in some foods, is related to brain glutamate but does not appear to get into the brains of adults very well. It can get into the brains of infants and be toxic to brain cells, however, which is why the FDA has not approved it for use in baby food."]

The issue is expecting women--is MSG approved for consumption by pregnant women where it could possibly cause brain damage to the developing baby? Why is MSG included in some childhood vaccines? Why have they put (at least in the past) MSG in some baby foods? Changing the subject somewhat--why are we being smothered with MSG in virtually all prepared foods? Yesterday, I had a traditional Thanksgiving dinner and marveled how wonderful food tastes without this stuff.

Possible therapy

C Ed Wright

11/15/2007 3:59:48 PM

To Nancy Young: Here's something absolutely free that might -- operative word MIGHT -- help, although after 20 years, who knows? Anyway, many years ago some people found that crawling on hands & knees seems to dramatically stimulate recovery in stroke or other brain trauma patients. The hypothesis it that this activates some unknown neurophysiological development process that normally is only triggered in infancy, normally only needed then, that unexpectedly lies more or less dormant into adulthood. You could try this in private, and if someone did happen to catch you doing it, you could always be "looking for something" if you choose not to explain. Anyway, it can't possibly hurt to try. It would be very interesting if this does help you.

Glutamate

C Ed Wright

11/14/2007 9:07:29 PM

The footnote "* The glutamate in MSG (monosodium glutamate), used in some foods, is related to brain glutamate but does not appear to get into the brains of adults very well. It can get into the brains of infants and be toxic to brain cells, however, which is why the FDA has not approved it for use in baby food." is nonsense! Free glutamic acid is free glutamic acid, period – how do the authors suppose the ‘glutamate’ normally present in the brain got there in the first place?

Glutamate is any salt of glutamic acid. When sodium glutamate, dissolves in water it dissociates into its ionic components sodium and glutamic acid. Glutamate as used here means free glutamic acid, a nonessential proteinogenic amino acid, when ionized in solution. Any difference between susceptibility of infants and adults – adolescents are not mentioned here – would obviously be due to the immaturity of some as-yet undetermined regulatory or other protective mechanism. Adolescent reaction to glutamate manifests as negative behavioral disturbances ranging from adverse excitability to full-blown ADHD. Adults just get headaches.

Head Injury Victim

Nancy Young

10/23/2007 11:44:55 AM

I would really like to contact anyone who could help me with my ongoing problem, as I had a stroke and head injury approximately 20 years prior to today's date. I have a family of my own now, but find it rather difficult to deal with day to day situations from time to time. Nancy Young

References

1. Ikonomidou, C, and Turski, L. Why Did NMDA Receptor Antagonists Fail Clinical Trials for Stroke and Traumatic Brain Injury? The Lancet Neurology 2002; 1 (6): 383–386.

2. Gottlieb M, Wang Y, Teichberg VI. Blood-Mediated Scavenging of Cerebrospinal Fluid Glutamate. Journal of Neurochemistry 2003; 87: 119–126.

3. Zlotnik A, Gurevich B, Tkachov S, et al. Brain Neuroprotection by Scavenging Blood Glutamate. Experimental Neurology 2007; 203: 213–220.