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

MSG(3)

Danielle Polk

6/1/2013 9:32:32 PM

to those that are a little suspicious of the disclaimer at the end of the article stating that MSG cannot enter the blood brain barrier, you may be interested in looking into the research of dr. russell blaylock, a certified neurosurgeon. according to him, not only can MSG actually open up the blood brain barrier itself, but there are also times in which one's blood brain barrier may be compromised--in cases of head trauma and diseases such as alzheimer's among others. therefore, msg (free glutamate) in the diet CAN cause brain damage by over exciting neurons to death just as this article describes. for more information on this topic and how to avoid MSG in your diet, the folks over at www.msgmyth.com are very well educated on the topic and will help you. for a more scientific explaination from a neurosurgeon, pick up blaylock's book excitotoxins: the taste that kills.

glutamate antagonist

Selma

4/7/2013 11:05:47 AM

Does anybody know fodds that act as glutamate antigonist?

MSG and the adult brain

Wesley L. King MD

2/25/2013 10:17:34 AM

MSG is much more toxic than recognized. I have a patient who gets focal seizures related to MSG intake and who has been significantly helped by the glutamate blocking drug, mematine. (used to treat Alzheimer´s dementia) We should stop "hiding our heads in the sand" about the dangers of MSG in our diets and environment. How is it that a drug that helps block glutamate help individuals with Alzheimer´s and yet we continue to feed them more glutamate? --too much MONEY gained from MSG to get any fair evaluation of its toxicity.

glutamate article

RODNEY C. WILLIAMS

10/3/2012 3:03:25 PM

I HAD A STROKE IN 2/2012, IF THERE IS NO TREATMENT FOR THIS GLUTAMATE STUFF; HOW DOES THIS HELP ME?

MSG in my brain

Barbara

9/20/2012 11:36:57 PM

He states that msg doesn't get in adult brains very well. I beg to differ. My sleep is interrupted although I'm not aware. I toss and turn. The next day I feel like I've been hit by a MAC truck. I'm in a fog until noon or later. I now recognize that I must try to remember what I ate the day before. Invariably I remember I ate out. I won't eat anything I think has msg, so it was added without my knowing it. May have an msg hangover into the next day.

Crawling

Angela

7/27/2012 3:30:41 PM

Interesting comment about crawling... My dd is currently going through 32 weeks of crawling... To help ADHD. A theory that dr. Mirium bender created, studied and explains decades ago. Seems to have been successful for many over the past 2 or 3 decades, particularly if a child didn't crawl very much as a baby. The crawling exercises however aren't recommended until age 5... And up, even into old age. There's so much about the foundation of all other development involved with thus. We bought the book "Stopping ADHD" used on amazon.... It's very interesting and seemed right on target with all of it's research and conclusions. Now I've gotta go freak out about this glutamate thing.... But we will continue our crawling exercises until done.

glutamate storm as it relates to epilepsy

Charlotte Kennon

3/6/2012 8:37:05 PM

I have a 21 year old daughter who has suffered from Epilepsy, Landau-Kleffner Syndrome, Bi-lateral Todd's Paralysis, Autism, and profound Intellectual Disabilities due to an Anoxic Brain Injury at the age of 18 months. Conventional drugs used to treat epilepsy have not only been ineffective, they have actually proven to exacerbate the severity of her seizures. I have therefore taken a less "conventional" approach to treatment over the years. I have been interested for some time in the idea of a Glutamate Storm perhaps being partly responsible for her seizures. Your phrase "...almost all brain cells use Glutamate to communicate..." presented me with an "Ah Ha" moment. I can predict seizures with a fair level of accuracy because I have noticed that my daughter's cognitive level rises significantly just before seizures strike. Could an excess level of Glutamate be causing the increased cognitive levels and could her Glutamate levels be continuing to rise to the point of excess--triggering seizures? I simply want to thank you for the article. I intend to pursue the idea of Glutamate Blockers in order to control my daughter's seizures. I did note that this article is from 2007 and I was wondering if there have been any more recent developments with regard to this avenue of research.

Reducing Glutamate in the brain

James Tolonen

10/21/2011 4:08:33 PM

Dr. Costa is researching a drug to reduce Glutamate in the brain as a treatment for Down's Syndrome. http://www.nytimes.com/2011/07/31/magazine/a-fathers-search-for-a-drug-for-down-syndrome.html?pagewanted=3&_r=2&emc=eta1

Methyl cycle genomics

C Barr

2/9/2011 2:59:53 PM

I have a genetic defect in the methyl cycle which can interfere with the glutimate-gaba balance.http://www.heartfixer.com/AMRI-Outcomes-Non-CV-Autism-Methyl%20Cycle.htm. You can be tested at holisticheal.com or Dr. Jim Roberts in Toledo, OH. If you don't want to pay for testing just supplement as if you had the genetic deficiencies.

Vit B12 Methylcobalamin(2)

Zahna Klaver

2/4/2011 1:40:42 PM

Many ABI patients are having excellent success with mega doses (5-15mg) of Vitamin B12 Methylcobalamin to counteract the effects that seem to be about glutamate flooding even years after the initial injury. Our small group of survivors is communicating about our success but have not managed to find any real research to support our findings. Does anyone know of any such research? Or is anyone willing to conduct any... regardless of the inexpensive nature of the B12 Methylcobalamin?

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.