Neurotransmitters thiamin

The transport of amino acids at the BBB differs depending on their chemical class and the dual function of some amino acids as nutrients and neurotransmitters. Essential large neutral amino acids are shuttled into the brain by facilitated transport via the large neutral amino acid transporter (LAT) system [29] and display rapid equilibration between plasma and brain concentrations on a minute time scale. The LAT-system at the BBB shows a much lower Km for its substrates compared to the analogous L-system of peripheral tissues and its mRNA is highly expressed in brain endothelial cells (100-fold abundance compared to other tissues). Cationic amino acids are taken up into the brain by a different facilitative transporter, designated as the y system, which is present on the luminal and abluminal endothelial membrane. In contrast, active Na -dependent transporters for small neutral amino acids (A-system ASC-system) and cationic amino acids (B° system), appear to be confined to the abluminal surface and may be involved in removal of amino acids from brain extracellular fluid [30]. Carrier-mediated BBB transport includes monocarboxylic acids (pyruvate), amines (choline), nucleosides (adenosine), purine bases (adenine), panthotenate, thiamine, and thyroid hormones (T3), with a representative substrate given in parentheses [31]. 

As noted in Section 6.3.1.3, brain GABA falls in thiamin deficiency, but there is increased flux through the GABA shunt. The changes in the cerebellum occur early, and asymptomatic animals are more sensitive than normal to the GABA antagonist picrotoxin. Brain concentrations of glutamate and aspartate are also reduced in thiamin deficiency, as are several other neurotransmitters. 

Butterworth RF (1982) Neurotransmitter function in thiamine deficiency. Neurochemistry International 4, 449-65. 

Addition of thiamine to thiamine-free cellular preparations or to animals early in the progression of thiamine deficiency results in a rapid normalisation of function and of neurotransmitter synthesis. This reversible metabolic phenomenon is generally referred to as the biochemical lesion in thiamine deficiency. 

The nervous system consists of various cell types that are functionally interconnected so as to allow efficient signal transmission throughout the system (see Chapter 48). The cells of the central nervous system are protected from potentially toxic compounds by the blood-brain barrier, which restricts entry of compounds into the nervous system (ammonia, however, is a notable exception). The brain cells communicate with each other and with other organs, through the synthesis of neurotransmitters and neuropeptides. Many of the neurotransmitters are derived from amino acids, most of which are synthesized within the nerve cell. Because the pathways of amino acid and neurotransmitter biosynthesis require cofactors (such as pyridoxal phosphate, thiamine pyrophosphate, and vitamin BI2), deficiencies of these cofactors can lead to neuropathies (dysfunction of specific neurons within the nervous system). 

Data on the role of acetylcholine deficit in thiamine deficiency are conflicting, but most recent studies do not favor a significant decrease in the synthesis of this neurotransmitter (Hazell et al, 1998 Vorhees et al, 1977). This would be consistent with normal pyruvate dehydrogenase activity in experimental thiamine deficiency, which should not, therefore, result in a lower Acetyl CoA level as a precursor to acetylcholine. 

Vitamin Bi, also called thiamine, is required for all tissues and high concentrations are found in skeletal muscle, heart, liver, kidneys and brain. Thiamine diphosphate (TDP) is the active form and it serves as a cofactor for several enzymes involved in carbohydrate catabolism. These enzymes are also important in the biosynthesis of many cellular constituents, including neurotransmitters, and for the production of reducing equivalents used in oxidant stress defenses (Ba 2008). Thiamine is considered an anti-stress vitamin because it strengthens the immune system and improves the body s ability to withstand stress conditions (Haas 1988). 

Thiamine defideney may cause excessive production of neurotransmitters which stimulate glutamate receptors and induce neurotoxicity. 

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