N-methyl-D-aspartic acid (NMDA) is known to stimulate adrenocorticotropin (ACTH) release after peripheral administration in spite of its inability to readily cross the blood-brain barrier (BBB). The importance of the area postrema, the hindbrain circumventricular organ which lacks a BBB, for NMDA action and ACTH release during stress was evaluated in this study. ACTH response to NMDA injection (4 mg/kg ip) was significantly reduced in rats with ablation of the area postrema compared to sham-operated animals. Integrity of the area postrema was also found to be required for full ACTH release in response to two stress stimuli (immobilization, handling). The data show that the area postrema is a brain region involved in the control of the hypothalamic-pituitary-adrenocortical (HPA) axis mediating, at least partially, the stimulatory action of NMDA and of stress stimuli on ACTH release.
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http://dx.doi.org/10.1111/j.1365-2826.1992.tb00151.x | DOI Listing |
Heliyon
January 2025
Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
Introduction: The area postrema, located on the floor of the fourth ventricle, regulates vomiting, fluid balance, osmoregulation, and immunomodulation. First documented in 1896, it has been a subject of scientific interest ever since. Area postrema syndrome (APS) is characterised by intractable nausea, vomiting, or hiccups, typically associated with neuromyelitis optica spectrum disorder (NMOSD).
View Article and Find Full Text PDFCurr Opin Neurobiol
January 2025
Department of Physiology, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. Electronic address:
Our internal sensory systems encode various gut-related sensations, such as hunger, feelings of fullness, and nausea. These internal feelings influence our eating behaviors and play a vital role in regulating energy balance. Among them, the neurological basis for nausea has been the least well characterized, which has hindered comprehension of the connection between these sensations.
View Article and Find Full Text PDFJ Neuroendocrinol
January 2025
Department of Psychology, Columbia University, New York, New York, USA.
Among contributors to diffusible signaling are portal systems which join two capillary beds through connecting veins. Portal systems allow diffusible signals to be transported in high concentrations directly from one capillary bed to the other without dilution in the systemic circulation. Two portal systems have been identified in the brain.
View Article and Find Full Text PDFMult Scler
January 2025
Department of Neurology, National Hospital Organization, Fukuoka Higashi Medical Center, Koga, Japan.
An 80-year-old man with aquaporin-4-antibody-positive neuromyelitis optica spectrum disorder presented with a 2-week history of cough and hiccups, followed by progressive bilateral lower limb weakness, a bandlike burning sensation in the upper body, and urinary retention. Magnetic resonance imaging showed area postrema and thoracic central medullary lesions. Thorax computed tomography showed bilateral upper lung lobe consolidations.
View Article and Find Full Text PDFFront Neurol
December 2024
Department of Neurology and Neurosurgery, Mcgill University, Montreal, QC, Canada.
Introduction: Although neuromyelitis optica spectrum disorders (NMOSD) and myelin oligodendrocyte glycoprotein antibody disease (MOGAD) are rare diseases, they pose a significant burden on both society and the healthcare system. This study aims to discuss the demographics and patient characteristics of these diseases in a single center in the United Arab Emirates (UAE).
Methods: This is a retrospective, descriptive study that included patients with either NMOSD or MOGAD treated at Rashid Hospital, UAE during the period between January 2019 and January 2024.
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