Overestimation of serum concentrations of γ-aminobutyric acid in patients with hepatic encephalopathy by the γ-aminobutyric acid-radioreceptor assay

Hepatology ◽  
1988 ◽  
Vol 8 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Peter Ferenci ◽  
Josef Ebner ◽  
Christof Zimmermann ◽  
Christian Kikuta ◽  
Erich Roth ◽  
...  
1987 ◽  
Vol 73 (5) ◽  
pp. 531-534 ◽  
Author(s):  
L. J. Levy ◽  
J. Leek ◽  
M. S. Losowsky

1. Gas–liquid chromatography and a radioreceptor assay were used to measure plasma γ-aminobutyric acid (GABA) in patients with liver disease and hepatic encephalopathy. 2. There was a significant correlation between the results obtained by the two methods, and compared with controls plasma GABA was elevated. 3. These findings suggest that the increased GABA binding inhibitory activity of plasma of these patients is probably due to GABA itself.


Blood ◽  
2003 ◽  
Vol 102 (4) ◽  
pp. 1525-1528 ◽  
Author(s):  
Brian J. Ruscito ◽  
Neil L. Harrison

Abstract Liver failure is often accompanied by cognitive impairment and coma, a syndrome known as hepatic encephalopathy (HE). The administration of flumazenil, a benzodiazepine (BZ) antagonist, is effective in reversing the symptoms of HE in many patients. These clinical observations gave rise to notions of an endogenous BZ-like mechanism in HE, but to date no viable candidate compounds have been characterized. We show here that the hemoglobin (Hb) metabolites hemin and protoporphyrin IX (PPIX) interact with the BZ site on the γ-aminobutyric acid (GABAA) receptor and enhance inhibitory synaptic transmission in a manner similar to diazepam and zolpidem. This finding suggests that hemin and PPIX are neuroactive porphyrins capable of acting as endogenous ligands for the central BZ site. The accumulation of these porphyrins under pathophysiologic conditions provides a potentially novel mechanism for the central manifestations of HE.


1978 ◽  
Vol 56 (2) ◽  
pp. 359-363 ◽  
Author(s):  
John A. Carter ◽  
Gary B. Dunphy

Thirty-eight ninhydrin-positive compounds (NPCs) were detected in the serum of wild, controlled-diet and starved lobsters Homarus americanus (Milne Edwards). Glycine, proline, alanine, taurine, serine, glutamic acid, ornithine, and glutamine comprised approximately 82% of the total serum NPC concentration in wild and starved lobsters and 70% in fed lobsters. The urea cycle intermediates arginine, citrulline, ornithine, and urea were detected in many samples. The following NPCs, previously unreported in lobster haemolymph, were detected as well: β-alanine, α-aminoadipic acid, α -amino-n-butyric acid, γ-aminobutyric acid, ammonia, anserine, as-paragine, cystathionine, cysteic acid – phosphoserine, ethanolamine, glycerophosphoethanol-amine, hydroxyproline, 1- and 3-methylhistidine. Starved lobsters showed pronounced reductions in serum NPC concentrations relative to those of fed lobsters. Starvation caused an apparent increase in the serum concentrations of the methylhistidine isomers and glycerophosphoethanolamine.


Sign in / Sign up

Export Citation Format

Share Document