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Relationship: 2781
Title
Overactivation, NMDARs leads to Status epilepticus
Upstream event
Downstream event
AOPs Referencing Relationship
| AOP Name | Adjacency | Weight of Evidence | Quantitative Understanding | Point of Contact | Author Status | OECD Status |
|---|---|---|---|---|---|---|
| Acetylcholinesterase Inhibition Leading to Neurodegeneration | adjacent | Moderate | Low | Allie Always (send email) | Under development: Not open for comment. Do not cite |
Taxonomic Applicability
Sex Applicability
| Sex | Evidence |
|---|---|
| Unspecific | High |
Life Stage Applicability
| Term | Evidence |
|---|---|
| All life stages | High |
N-methyl-D-aspartate (NMDA) receptors are ligand and voltage-gated receptors. They require both a post-synaptic depolarization to remove the Mg2+ block and binding of glutamate for receptor activation (Kandel et al., 2013). High frequency stimulation that occurs during seizure activity aides in removal of the Mg2+ block through depolarization of the affected neuron. The conditions for NMDA receptor activation are ideal as there is prolonged firing and overall increased depolarization during seizure activity (Kapur, 2018). Sustainment of seizure activity for greater than 5 minutes develops into status epilepticus (McDonough and Shih, 1997).
Evidence was collected in multiple ways: literature searches of external databases, review of related KEs and KERS in the AOPWiki, and consultation with experts. Extensive literature searches were conducted in Scopus, Pubmed, and Google Scholar using keywords applicable to each KE, with an initial focus on zebrafish data to then focusing on rat data. Related KEs and KERs in the AOPWiki were also reviewed for relevant evidence and their sources. The “snowball method” was used to find additional articles, i.e., relevant citations within an article were obtained if they provided additional evidence. EndNote reference managing software was used to store results from the literature searches and when possible, a pdf of the manuscript was attached to each record. Papers were reviewed and categorized by whether they contained data to support one or more parts of the AOP. An Excel spreadsheet was used to record reviewed papers and any information worth noting.
| ID | Experimental Design | Species | Upstream Observation | Downstream Observation | Citation (first author, year) | Notes |
|---|
| Title | First Author | Biological Plausibility |
Dose Concordance |
Temporal Concordance |
Incidence Concordance |
|---|
Biological Plausibility
Dose Concordance Evidence
Temporal Concordance Evidence
Incidence Concordance Evidence
Uncertainties and Inconsistencies
Rats exposed to diisopropylfluorophosphate (DFP) manifested status epilepticus and did not respond to treatment with MK-801 (Deshpande et al., 2010).
Response-response Relationship
Time-scale
Known Feedforward/Feedback loops influencing this KER
The effect of overactivation of NMDA receptors leading to seizure activity has been shown in vertebrate species. Notably, in vivo evidence is provided above in empirical evidence for both rats and guinea pigs (Borris et al., 2000, Braitman and Sparenborg, 1989, Mazarati and Wasterlain, 1999, Sparenborg et al., 1992)