Bilirubin, a product of haemoglobin metabolism, has been suggested to damag
e neurons by increasing activation of N-methyl-D-aspartate (NMDA) receptors
when it reaches high levels in the blood [15,19], as occurs in neonatal ja
undice [7]. Bilirubin is also generated in the brain following synthesis of
the messenger carbon monoxide (CO) by haem oxygenase, and haem oxygenase i
s upregulated in Alzheimer's disease [23]. We examined the effect of biliru
bin on currents generated by NMDA and alpha -amino-3-hydroxy-5-methyl-4-iso
xazole propionate (AMPA) receptors in hippocampal pyramidal cells, and on g
lutamate transporter currents in retinal glial cells. Bilirubin did not mod
ulate either receptor-gated currents or transporter currents. These data sh
ow the negative, but important result that bilirubin does not induce neuron
al death by acting directly on NMDA or AMPA receptors, nor indirectly by bl
ocking glutamate uptake and raising the extracellular concentration of glut
amate. (C) 2000 Elsevier Science B.V. All rights reserved.