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Humana Press
Brain Homeostasis
in Health and Disease
Edited by
Wolfgang Walz
The
Neuronal
Environment
The Neuronal Environment
Contemporary Neuroscience
The Neuronal Environment: Brain
Homeostasis in Health and Disease,
edited by Wolfgang Walz, 2002
Neurotransmitter Transporters:
Structure, Function, and Regulation,
2/e, edited by Maarten E. A. Reith,
2002
Pathogenesis of Neurodegenerative
Disorders, edited by Mark P. Mattson,
2001
Stem Cells and CNS Development, edited
by Mahendra S. Rao, 2001
Neurobiology of Spinal Cord Injury,
edited by Robert G. Kalb and
Stephen M. Strittmatter, 2000
Cerebral Signal Transduction: From
First to Fourth Messengers, edited by
Maarten E. A. Reith, 2000
Central Nervous System Diseases:
Innovative Animal Models from Lab to
Clinic, edited by Dwaine F. Emerich,
Reginald L. Dean, III,
and Paul R. Sanberg, 2000
Mitochondrial Inhibitors and
Neurodegenerative Disorders, edited
by Paul R. Sanberg, Hitoo Nishino,
and Cesario V. Borlongan, 2000
Cerebral Ischemia: Molecular and
Cellular Pathophysiology, edited by
Wolfgang Walz, 1999
Cell Transplantation for Neurological
Disorders, edited by
Thomas B. Freeman and
Håkan Widner,1998
Gene Therapy for Neurological
Disorders and Brain Tumors, edited
by E. Antonio Chiocca and
Xandra O. Breakefield, 1998
Highly Selective Neurotoxins: Basic and
Clinical Applications, edited by
Richard M. Kostrzewa, 1998
Neuroinflammation: Mechanisms and
Management, edited by Paul L.
Wood, 1998
Neuroprotective Signal Transduction,
edited by Mark P. Mattson, 1998
Clinical Pharmacology of Cerebral
Ischemia, edited by Gert J. Ter Horst
and Jakob Korf, 1997
Molecular Mechanisms of Dementia,
edited by Wilma Wasco and
Rudolph E. Tanzi, 1997
Neurotransmitter Transporters:
Structure, Function, and Regulation,
edited by Maarten E. A. Reith, 1997
Motor Activity and Movement Disorders:
Research Issues and Applications,
edited by Paul R. Sanberg,
Klaus-Peter Ossenkopp, and
Martin Kavaliers, 1996
Neurotherapeutics: Emerging
Strategies, edited by Linda M. Pullan
and Jitendra Patel, 1996
Neuron–Glia Interrelations During
Phylogeny: II. Plasticity and
Regeneration, edited by Antonia
Vernadakis and Betty I. Roots, 1995
Neuron–Glia Interrelations During
Phylogeny: I. Phylogeny and
Ontogeny of Glial Cells, edited by
Antonia Vernadakis and
Betty I. Roots, 1995
The Biology of Neuropeptide Y and
Related Peptides, edited
by William F. Colmers and
Claes Wahlestedt, 1993
The Neuronal
Environment
Brain Homeostasis
in Health and Disease
Edited by
Wolfgang Walz
Department of Physiology,
University of Saskatchewan, Saskatoon,
Saskatchawan, Canada
Humana Press
Totowa, New Jersey
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Library of Congress Cataloging in Publication Data
The neuronal environment: brain homeostasis in health and diease/edited by
Wolfgang Walz
p. cm (Contemporary neuroscience)
Includes bibliographical references and index.
ISBN : 0-89603-882-3 (alk. paper)
1. Neurons Physiology. 2. Homeostasis. 3. Neuroglia. 4. Brain Metabolism. 5. Blood-brain barrier.
I. Walz, Wolfgang. II. Series.
QP363.N47758 2002
612.8’2 dc21
2001039827
Preface
To function properly, neurons cannot tolerate fluctuations of their local environ-
mental variables. This mainly results from their high degree of specialization in synap-
tic integration and action potential conduction. Even small changes of certain
extracellular ion concentrations, as well as in the dimensions of the extracellular space,
alter ion channel kinetics in such a way as to distort the information represented by the
nerve impulses. Another potential problem is the huge consumption of glucose and
oxygen by neurons caused by the heavy compensatory ion pumping used for counter-
acting passive ion flux. This problem is compounded by the low glucose storage capac-
ity of the neurons. A complicated structure surrounds the neurons to sustain the required
level of metabolites and to remove waste products.
The Neuronal Environment: Brain Homeostasis in Health and Disease
examines the function of all the components involved, including their perturbation dur-
ing major disease states, and relates them to neuronal demands. The two introductory
chapters focus on neuronal requirements. The dependence of their excitability on
external factors that accumulate in the extracellular space, as well as their varying
demands for energy metabolites, are described. Following that, the close interaction of
neurons with elements of their microenvironment is illustrated. The extracellular space
is no longer seen as a passive constituent of the CNS, but as a separate compartment in
its own right, as a communication channel, and an entity that reacts with plastic changes
in its size that will affect the concentrations of all its contents. Astrocytes participate in
many neuronal processes, particularly in the removal of excess waste and signal sub-
stances, the supply of energy metabolites, and the modulation of synaptic transmission.
In addition to their homeostatic role, astrocytes are now seen as an active partner
involved in synaptic transmission between neurons. The classical example of a close
relationship of neurons with a component of their environment is, of course, their rela-
tionship with the surrounding myelin sheath. This speeds up action potential conduc-
tion, but is itself a potential source of problems in various disease states. In the last few
years new imaging techniques have demonstrated a close coupling between local blood
flow and neuronal activity, and several theories have been put forward to explain these
interactions. The special status of the brain in having its own insulated circulation
system—the cerebrospinal fluid contained in the ventricles and ducts—is also under-
lined. The brain is the only organ that is protected from fluctuations of blood-borne
chemicals by the existence of the blood–brain barrier. However, windows exist in this
barrier in the form of the circumventricular organs that allow direct two-way commu-
nication between neurons and blood constituents. Finally, despite their protection and
insulation, the neurons are accessible to the immune system. Resident macrophages
and invasion by blood-borne immune cells that cross the endothelial cell barrier enable
v
an immune reaction to take place. This complex interaction of neurons with their
immediate environment is integral to the tasks that the neurons must perform to ensure
that the organism can cope with its environmental challenges. Most diseases originat-
ing in the brain start in these accessory systems of the neuronal microenvironment and
affect neurons only second hand. Therefore, understanding the elements of the neu-
ronal environment and the interactions with neurons, and with each other, is crucial in
understanding the development and impact of most brain diseases.
All the authors contributing to The Neuronal Environment: Brain Homeostasis in
Health and Disease have made an attempt not only to explain the normal functioning
of these accessory elements, but also their involvement in major diseases. Therefore,
this book not only addresses researchers, graduate students, and educators who want to
understand the complex environment of neurons, but also health professionals who
need to know more about the normal homeostatic role of the neuronal environment to
follow disease patterns.
Wolfgang Walz
vi Preface
Contents
vii
Preface v
Contributors ix
I. NEURONAL ACTIVITY AND ITS DEPENDENCE ON THE MICROENVIRONMENT
1 Central Nervous System Microenvironment
and Neuronal Excitability 3
Stephen Dombrowski, Imad Najm, and Damir Janigro
2 Neuronal Energy Requirements 25
Avital Schurr
II. BRAIN MICROENVIRONMENT
3 Plasticity of the Extracellular Space 57
Eva Syková
4 Transmitter–Receptor Mismatches in Central Dopamine,
Serotonin, and Neuropeptide Systems: Further Evidence
for Volume Transmission 83
Anders Jansson, Laurent Descarries, Virginia Cornea-Hébert,
Mustapha Riad, Daniel Vergé, Mircea Bancila,
Luigi Francesco Agnati, and Kjell Fuxe
5 The Extracellular Matrix in Neural Development, Plasticity,
and Regeneration 109
Jeremy Garwood, Nicolas Heck, Franck Rigato,
and Andreas Faissner
6 Homeostatic Properties of Astrocytes 159
Wolfgang Walz and Bernhard H. J. Juurlink
7 Glutamate–Mediated Astrocyte–Neuron Communication
in Brain Physiology and Pathology 187
Micaela Zonta and Giorgio Carmignoto
8 Axonal Conduction and Myelin 211
Jeffrey D. Kocsis
9 Coupling of Blood Flow to Neuronal Excitability 233
Albert Gjedde
III. BRAIN MACROENVIRONMENT
10 Choroid Plexus and the Cerebrospinal–Interstitial
Fluid System 261
Roy O. Weller
viii Contents
11 The Blood–Brain Barrier 277
Richard F. Keep
12 Circumventricular Organs 309
James W. Anderson and Alastair V. Ferguson
13 Glial Linings of the Brain 341
Marc R. Del Bigio
IV. I
MMUNE SYSTEM-NEURON INTERACTIONS
14 Microglia in the CNS 379
Sophie Chabot and V. Wee Yong
15 Invasion of Ischemic Brain by Immune Cells 401
Hiroyuki Kato and Takanori Oikawa
Index 419
Contributors
LUIGI FRANCESCO AGNATI, Department of Human Physiology,
University of Modena, Modena, Italy
JAMES W. ANDERSON, Department of Physiology, Queen’s University,
Kingston, Ontario, Canada
MIRCEA BANCILA, Laboratoire de Neurobiologie de Signaux Intercellulaires,
Institut des Neurosciences, Université Pierre et Marie Curie, Paris, France
GIORGIO CARMIGNOTO, Department of Experimental Biomedical Sciences,
University of Padova, Padova, Italy
SOPHIE CHABOT, Department of Oncology and Clinical Neurosciences,
University of Calgary, Calgary, Canada
VIRGINIA CORNEA-HÉBERT, Département de Pathologie et Biologie Cellulaire,
Université de Montréal, Montréal, Canada
MARC DEL BIGIO, Department of Pathology, Health Sciences Centre and
University of Manitoba, Winnipeg, Canada
LAURENT DESCARRIES, Département de Pathologie et Biologie Cellulaire,
Université de Montréal, Montréal, Canada
STEPHEN DOMBROWSKI, Department of Neurosurgery,
Cleveland Clinic Foundation, Cleveland, OH
ANDREAS FAISSNER, Laboratoire de Neurobiologie du Developpment et de la
Regeneration, Strasbourg, France
ALASTAIR V. F ERGUSON, Department of Physiology, Queen's University,
Kingston, Ontario, Canada
KJELL FUXE, Department of Neuroscience, Karolinska Institute, Stockholm, Sweden
JEREMY GARWOOD, Laboratoire de Neurobiologie du Developpment et de la
Regeneration, Strasbourg, France
ALBERT GJEDDE, The Pathophysiology and Experimental Tomography Center,
Aarhus General Hospital, Aarhus C, Denmark
NICOLAS HECK, Centre National De la Recherche Scientifique, Strasbourg, France
D
AMIR JANIGRO, Division of Cerebrovascular Research,
Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH
ANDERS JANSSON, Department of Neuroscience, Division of Cellular
and Molecular Neurochemistry, Karolinska Institute, Stockholm, Sweden
ix
[...]... is of the same order as the unstressed heart and renal cortex.” These two contrasting views are not necessarily contradictory Whether or not the brain has higher energy requirements than other tissues, the brain is unique, both in its energy-demanding functions and the limitations on the types of fuels it uses and their routes of delivery The above statements are also indicative of the reason brain- energy... developed into a separate specialty, in which the energy supply and demand of the brain are studied as the basis for many brain dysfunctions and disorders The past 15 years witnessed several discoveries and new developments in the field of cerebral energy metabolism, which could explain some of the brain s unique energy requirements, and provide a better understanding of various brain disorders 1.1 Neuronal. .. sacrificed, leaving the composition of extracellular fluids in the brain at the mercy of the brain cells themselves The subsequent necessity to shield the central nervous system from uncontrolled systemic influences, and in order to minimize the extravasation of potentially noxious or osmotically active molecules from the blood, is perhaps the best-understood reason for the creation of the blood brain- barrier... present in the cerebral spinal fluid (26–28) Part of this process is energy-dependent, and directly impacts the ionic homeostasis for potassium ions (see Subheading 3.) Vascular smooth muscle are also indirectly involved in the control of brain homeostasis, since their powerful effect on the control of cerebral perfusion will be the final determinant of the amount of oxygen and glucose delivered to the brain, ... for any other potential energy substrate Clarke and Sokoloff (7) warn their readers about the discrepancies between in vivo and in vitro results concerning brain tissue, and the great hazard of extrapolating from in vitro data to conclusions about in vivo metabolic function In vitro systems bypass functions, such as blood flow, but the uniqueness of the brain in vivo stems from the blood brain barrier... terminals Of the multiple transport processes that take place in the brain, ion transport is believed to demand the most energy (as high as 50–60% of all brain- energy-consuming processes) (1) Of these, the maintenance of sodium ions (Na+) and potassium ions (K+) gradients is the most demanding Unlike other tissues, the central nervous system (CNS) stores only minute amounts of endogenous fuel Brain. .. lactate remains in the brain, and could later be used aerobically for energy metabolism under resting conditions Other recent studies show significant increases in lactate levels in human visual cortex (7,8) and in rat hippocampus and striatum, on physiological stimulation (9) Thus, although the impermeability of the BBB to lactate is irrelevant, since the bulk of brain lactate is produced in the brain itself,... Energy-Demanding Functions, and Energy Substrates 1.1.1 Neuronal Energy Requirements and Energy-Demanding Functions The majority of the energy-demanding reactions in the brain belong to two categories: biosynthesis and transport The biosynthesis of macromolecules, such as proteins, polypeptides, and lipids, occurs mostly in cell bodies; that of smaller molecules, such as neurotransmitters, occurs in nerve... metallothioneins I + II in brainstem of adult rats treated with 6-aminonicotinamide Brain Res 774, 256–259 38 Tsukamoto, H., Hamada, Y., Wu, D., Boado, R J., and Pardridge, W M (1998) GLUT1 glucose transporter: differential gene transcription and mRNA binding to cytosolic and polysome proteins in brain and peripheral tissues Brain Res Mol Brain Res 58, 170–177 39 Lauger, P (1991) Na,K-ATPase, in Electrogenic... of potassium homeostasis performed by astrocytes (24,25) 2.2 Vascular Endothelium and Smooth Muscle In addition to parenchymally located glial cells, at least two additional cell types participate in the process of the control of the composition of the extracellular space in the brain: the cellular elements constituting intraparenchymal vessels, the endothelial cells lining the intraluminal portion . contributing to The Neuronal Environment: Brain Homeostasis in
Health and Disease have made an attempt not only to explain the normal functioning
of these. Disease
examines the function of all the components involved, including their perturbation dur-
ing major disease states, and relates them to neuronal demands. The
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