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Vol. 50, Issue 4, 597-664, December 1998

Glycine and N-Methyl-D-Aspartate Receptors: Physiological Significance and Possible Therapeutic Applications

Wojciech Danysza and Chris G. Parsons

Department of Pharmacological Research, Merz and Co., Frankfurt/M, Germany

I. Introduction
II. N-Methyl-D-Aspartate Receptors
    A. Basic Characteristics
    B. NR1 Splice Variants
    C. Distribution and Ontogeny
    D. Glutamate and Glycine Binding Sites
III. Physiological Role of Glycine
    A. Glycine as a Coagonist
    B. Desensitization
    C. Endogenous Agonists: Glycine and/or D-Serine
        1. Distribution within the central nervous system.
        2. Uptake.
        3. Release.
        4. Source and synthesis.
        5. Metabolism.
        6. N-Methyl-D-aspartate receptor-coupled recognition site and its distribution.
        7. Are glycineB sites saturated in vivo?
    D. Kynurenic Acid as an Endogenous Antagonist of the GlycineB Site
IV. Exogenous Ligands
    A. Agonists of the GlycineB Site
    B. Partial Agonists of the GlycineB Site
    C. Antagonists
        1. Kynurenic acid derivatives.
        2. 2-Carboxyindoles.
        3. 2-Carboxytetrahydroquinolines.
        4. 4-Hydroxy-2-quinolones.
        5. Quinoxaline-2,3-diones.
        6. 3-Hydroxy-1H-1-benzazepine-2,5-diones.
        7. Tricyclic glycineB site antagonists.
        8. Prodrugs.
        9. Modification of endogenous kynurenic acid metabolism.
    D. Implications
    E. 3H-Radiolabeled Ligands for the GlycineB Site
    F. Allosteric Interactions Involving the GlycineB Site
V. N-Methyl-D-Aspartate Receptor Subtypes: Differences in GlycineB Recognition Sites
VI. Therapeutic Aspects for Agents Acting at the GlycineB Site
    A. Pharmacokinetic Aspects
    B. Side Effects
        1. Drug discrimination.
        2. Learning impairment.
        3. Ataxia, myorelaxation, and sedation.
        4. Neurotoxicity in the retrosplenial/cingulate cortex.
        5. Psychotomimetic side effects.
    C. Anxiety
    D. Depression
    E. Schizophrenia
    F. Convulsions and Epilepsy
    G. Drug Dependence and Tolerance
        1. Opioids.
        2. Cocaine.
    H. Pain
    I. Ethanol Dependence and Abuse
    J. Huntington's Disease
    K. Alzheimer's Disease and Dementia
    L. Parkinson's Disease
    M. Neuroprotection Against Acute Insults
        1. Introduction.
        2. Ischemia.
    N. Other Neurodegenerative Diseases
VII. First Clinical Experiences with GlycineB Antagonists
VIII. Concluding Remarks
Acknowledgments
References


a   Address for correspondence: Wojciech Danysz, Department of Pharmacological Research, Merz and Co., Eckenheimer Landstrasse 100-104, 60318 Frankfurt/M, Germany. E-mail: wojciech.danysz{at}merz.de.


0031-6997/98/5004-0597$03.00/0
PHARMACOLOGICAL REVIEWS
Copyright © 1998 by The American Society for Pharmacology and Experimental Therapeutics



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