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Effect of Ammonia on Brain Serotonin Metabolism in Relation to Function in the Portacaval Shunted Rat
Author(s) -
Bergeron Marcelle,
Swain Margaret S.,
Reader Tomás A.,
Grondin Louise,
Butterworth Roger F.
Publication year - 1990
Publication title -
journal of neurochemistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.75
H-Index - 229
eISSN - 1471-4159
pISSN - 0022-3042
DOI - 10.1111/j.1471-4159.1990.tb08842.x
Subject(s) - portacaval anastomosis , medicine , endocrinology , hyperammonemia , portacaval shunt , serotonin , chemistry , metabolite , hepatic encephalopathy , encephalopathy , cirrhosis , receptor , portal hypertension
Four weeks following portacaval anastomosis (PCA) in the rat, severe liver atrophy, sustained hyperammonemia, and increased plasma and brain tryptophan are observed. Administration of ammonium acetate (NH 4 Ac) to rats with PCA precipitates severe signs of hepatic encephalopathy (HE) (loss of righting reflex progressing to loss of consciousness and ultimately deep coma). To evaluate the relationship between the deterioration of neurological status in HE and serotonin (5‐HT) metabolism, the levels of 5‐HT, its precursor 5‐hydroxytryptophan, and its major metabolite 5‐hydroxyindole‐3‐acetic acid (5‐HIAA) were measured by HPLC with ion‐pairing and electrochemical detection in three well‐defined areas of the cerebral cortex: anterior cingulate, piriform and entorhinal, and frontoparietal; as well as in the caudateputamen, the raphe nuclei, and the locus ceruleus in rats with PCA at different stages of HE, before and after injection of NH 4 Ac, as well as in sham‐operated controls. The results demonstrate increased 5‐HIAA/5‐HT ratios after PCA and NH 4 Ac loading, suggesting increased 5‐HT turnover in the brains of these animals. However, these changes do not appear to be related to the precipitation of coma as no significant difference in 5‐HT turnover was observed between precoma and coma stages of HE. Increased 5‐HT turnover in brain of shunted rats may be related to early symptoms of HE such as altered sleep patterns and disorders of motor coordination.