We studied excitatory and inhibitory amino acid binding sites autoradi
ographically in control and multiple system atrophy (MSA) cerebella. W
ithin the dentate nucleus (DN) of MSA specimens, we found a significan
t increase in the level of GABA(A), benzodiazepine, and metabotropic b
inding sites compared with controls. In the granule cell layer, kainat
e, N-methyl-D-aspartate, and GABA(A) binding sites were all decreased
significantly in MSA specimens compared with controls. In the molecula
r layer of MSA cerebellum, pha-amino-3-hydroxy-5-methylisoxazole-4-pro
pionate binding sites were decreased significantly compared with contr
ols. Cerebellar cortical binding site decreases are likely due to Purk
inje and granule cell loss. The increase of binding site levels in DN
of MSA specimens may represent receptor up-regulation reflecting loss
of descending inhibitory Purkinje cell and ascending excitatory affere
nts to the DN.