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NADPH对KA介导的神经元兴奋性毒性的保护作用及其机制 Title:TheProtectiveRoleofNADPHAgainstKA-MediatedNeuronalExcitotoxicityandItsMechanisms Abstract: Neuronalexcitotoxicityisapathologicalprocesscharacterizedbyexcessiveneuronalactivityandsubsequentcelldeath.Kainicacid(KA),apotentagonistofglutamatereceptors,iswidelyusedtoinduceexcitotoxicityinexperimentalmodels.NADPH,acriticalcoenzymeinredoxreactions,hasbeenshowntopossessprotectiveeffectsagainstKA-mediatedneuronalexcitation.ThisreviewaimstoexplorethemechanismsbywhichNADPHexertsitsneuroprotectiveeffectsinthecontextofexcitotoxicityinducedbyKA. Introduction: Neurodegenerativediseases,stroke,andepilepsyareassociatedwiththeoccurrenceofexcitotoxicitymediatedbyexcessiveglutamatereleaseandsubsequentoveractivationofglutamatereceptors.Theseeventsleadtoanincreaseinintracellularcalciumlevels,mitochondrialdysfunction,oxidativestress,andultimatelycelldeath.Kainicacid(KA),apotentagonistofionotropicglutamatereceptors,caninduceexcitotoxicityandiswidelyusedasamodelcompoundinneurotoxicologicalresearch.However,recentstudieshaveshownthatNADPHpossessesprofoundneuroprotectiveeffectsagainstKA-inducedneuronalexcitotoxicity. MechanismsofNADPH-mediatedNeuroprotection: 1.RegulationofGlutamateExcitotoxicity: NADPHenhancesthefunctionofglutamatetransportersonastrocytes,promotingthereuptakeofextracellularglutamateandpreventingexcessiveglutamateaccumulation.Bymaintaininglowextracellularglutamatelevels,NADPHcanattenuateexcitotoxicity. 2.ModulationofCalciumHomeostasis: Excessivecalciuminfluxthroughglutamatereceptorstriggersacascadeofeventsleadingtocellulardamage.NADPHhasbeenreportedtoregulatecalciumchannels,reducingcalciuminfluxandpreventingexcitotoxicneuronaldamage. 3.PreservationofMitochondrialFunction: Mitochondrialdysfunctionisakeyeventinexcitotoxicity.NADPHactsasanessentialcofactorformitochondrialantioxidantenzymes,suchasglutathionereductaseandthioredoxinreductase,whichprotectagainstoxidativestress-inducedmitochondrialdamage. 4.AntioxidantDefense: NADPHplaysacriticalrole