TY - JOUR
T1 - Brain energy metabolism and mitochondrial dysfunction in acute and chronic hepatic encephalopathy
AU - Rama Rao, Kakulavarapu V.
AU - Norenberg, Michael D.
N1 - Funding Information:
This work was supported by grants from the Department of Veterans Affairs Merit review and the NIH ( DK063311 ).
PY - 2012/6
Y1 - 2012/6
N2 - One proposed mechanism for acute and chronic hepatic encephalopathy (HE) is a disturbance in cerebral energy metabolism. It also reviews the current status of this mechanism in both acute and chronic HE, as well as in other hyperammonemic disorders. It also reviews abnormalities in glycolysis, lactate metabolism, citric acid cycle, and oxidative phosphorylation as well as associated energy impairment. Additionally, the role of mitochondrial permeability transition (mPT), a recently established factor in the pathogenesis of HE and hyperammonemia, is emphasized. Energy failure appears to be an important pathogenetic component of both acute and chronic HE and a potential target for therapy.
AB - One proposed mechanism for acute and chronic hepatic encephalopathy (HE) is a disturbance in cerebral energy metabolism. It also reviews the current status of this mechanism in both acute and chronic HE, as well as in other hyperammonemic disorders. It also reviews abnormalities in glycolysis, lactate metabolism, citric acid cycle, and oxidative phosphorylation as well as associated energy impairment. Additionally, the role of mitochondrial permeability transition (mPT), a recently established factor in the pathogenesis of HE and hyperammonemia, is emphasized. Energy failure appears to be an important pathogenetic component of both acute and chronic HE and a potential target for therapy.
KW - Ammonia
KW - Astrocytes
KW - Brain edema
KW - Energy metabolism
KW - Hepatic encephalopathy
KW - Mitochondrial permeability transition
KW - Oxidative stress
UR - http://www.scopus.com/inward/record.url?scp=84861599689&partnerID=8YFLogxK
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U2 - 10.1016/j.neuint.2011.09.007
DO - 10.1016/j.neuint.2011.09.007
M3 - Review article
C2 - 21989389
AN - SCOPUS:84861599689
SN - 0197-0186
VL - 60
SP - 697
EP - 706
JO - Neurochemistry International
JF - Neurochemistry International
IS - 7
ER -