Document 0148 DOCN M9550148 TI Neurotoxic effects of tumor necrosis factor alpha in primary human neuronal cultures are mediated by activation of the glutamate AMPA receptor subtype: implications for AIDS neuropathogenesis. DT 9505 AU Gelbard HA; Dzenko KA; DiLoreto D; del Cerro C; del Cerro M; Epstein LG; Department of Neurology, University of Rochester Medical Center,; N.Y. 14642. SO Dev Neurosci. 1993;15(6):417-22. Unique Identifier : AIDSLINE MED/95136893 AB Human immunodeficiency virus type 1 (HIV) infection of the central nervous system is characterized by neuronal loss in discrete areas of the central nervous system. We have previously demonstrated that HIV-infected monocytes in culture with astroglial cells produce high levels (> or = 200 pg/ml) of the cytokine tumor necrosis factor-alpha (TNF alpha). We now demonstrate that TNF alpha (> or = 200 pg/ml) is neurotoxic to cultured primary human fetal cortical neurons at both light and electron microscopic levels. Subtoxic doses of TNF alpha (50 pg/ml) are neurotoxic in combination with the glutamate (+/-)-alpha-amino-3-hydroxy-5-methylisoxazole-4-proprionic acid (AMPA) subtype receptor agonist AMPA (100 microM). The neurotoxic effects of TNF alpha (200 pg/ml) are blocked in part by the AMPA receptor antagonist, 6-cyano-7-nitroquinoxaline-2, 3-dione (10 microM). This suggests that TNF alpha may exert neurotoxic effects on human neurons by indirect activation of AMPA receptors, which may be important in the pathogenesis and treatment of HIV-mediated encephalopathy. DE AIDS Dementia Complex/*PATHOLOGY Cell Survival/DRUG EFFECTS Cells, Cultured Dizocilpine Maleate/PHARMACOLOGY Human Microscopy, Electron Neurons/*DRUG EFFECTS/ULTRASTRUCTURE Receptors, AMPA/*AGONISTS/ANTAGONISTS & INHIB Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. Tumor Necrosis Factor/*TOXICITY 6-Cyano-7-nitroquinoxaline-2,3-dione/PHARMACOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).