Carboxylation of pyruvate in the brain was for many years thought to occur
only in glia, an assumption that formed much of the basis for the concept o
f the glutamine cycle. It was shown recently, however, that carboxylation o
f pyruvate to malate occurs in neurons and that it supports formation of tr
ansmitter glutamate. The role of pyruvate carboxylation in neurons is to en
sure tricarboxylic acid cycle activity by compensating for losses of alpha
-ketoglutarate that occur through release of transmitter glutamate and GABA
; these amino acids are a-ketoglutarate derivatives. Available data suggest
that neuronal pyruvate carboxylation is quantitatively important. But beca
use there is no net CO2 fixation in the brain, pyruvate carboxylation must
be balanced by decarboxylation of malate or oxaloacetate. Such decarboxylat
ion occurs in both neurons and astrocytes. Several in vitro studies have sh
own a neuroprotective effect of pyruvate supplementation. Pyruvate carboxyl
ation may be one mechanism through which such treatment is effective, becau
se pyruvate carboxylation through malic enzyme is active during energy defi
ciency and leads to an increase in the level of dicarboxylates that can be
metabolized through the tricarboxylic acid cycle for ATP production. (C) 20
01 Wiley-Liss, Inc.