4.6 Review

Excitotoxicity Revisited: Mitochondria on the Verge of a Nervous Breakdown

Journal

TRENDS IN NEUROSCIENCES
Volume 44, Issue 5, Pages 342-351

Publisher

CELL PRESS
DOI: 10.1016/j.tins.2021.01.001

Keywords

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Funding

  1. Michael J. Fox Foundation [17240]
  2. Italian Ministry of University and Scientific Research
  3. University of Padua
  4. National Research Council (CNR)
  5. Michael J Fox Foundation
  6. Great Ormond Street Hospital Charitable Trust
  7. SPARKS
  8. Biotechnology and Biological Sciences Research Council (BBSRC)
  9. Wellcome Trust

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Excitotoxicity occurs in pathological scenarios where mitochondrial function is compromised, affecting neuronal responses to glutamate. Research needs to focus on glutamate toxicity in specific disease models and re-evaluate the impact of mitochondrial dysfunction on excitotoxicity to identify new therapeutic targets.
Excitotoxicity is likely to occur in pathological scenarios in which mitochondrial function is already compromised, shaping neuronal responses to glutamate. In fact, mitochondria sustain cell bioenergetics, tune intracellular Ca2+ dynamics, and regulate glutamate availability by using it as metabolic substrate. Here, we suggest the need to explore glutamate toxicity in the context of specific disease models in which it may occur, re-evaluating the impact of mitochondrial dysfunction on glutamate excitotoxicity. Our aim is to signpost new approaches, perhaps combining glutamate and pathways to rescue mitochondrial function, as therapeutic targets in neurological disorders.

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