To evaluate the role of excitotoxicity in the pathogenesis of amyotrophic l
ateral sclerosis (ALS), we compared the sensitivity of motor neurons and th
at of dorsal horn neurons to kainic acid (KA). Short exposure to KA resulte
d in the death of motor neurons, while dorsal horn neurons were unaffected.
This selective motor neuron death was completely dependent on extracellula
r Ca2+ and insensitive to inhibitors of voltage-operated Ca2+ or Na+ channe
ls. It was also completely inhibited by the specific AMPA antagonist LY3001
64 and by Joro spider toxin (JSTx), a selective blocker of AMPA receptors t
hat lack the edited GluR2 subunit. KA selectively killed those motor neuron
s that stained positive for the Co2+ histochemical staining, a measure for
the presence of Ca2+-permeable AMPA receptors. These results suggest that C
a2+ entry via Ca2+-permeable AMPA receptors is responsible for the selectiv
e motor neuron death. As the Ca2+ permeability of the AMPA receptor is regu
lated by its GluR2 subunit, we stained motor neurons for GluR2. Immunoreact
ivity was present in all motor neurons, albeit to a variable degree. Howeve
r, double-staining experiments demonstrated that motor neurons clearly expr
essing GluR2, also expressed Ca2+-permeable AMPA receptors. This indicates
that despite the abundant expression of GluR2, this subunit is excluded fro
m a subset of AMPA receptors and that the activation of these receptors is
responsible for the selective motor neuron death. (C) 2000 Elsevier Science
B.V. All rights reserved.