Ammonia is a toxin that has been strongly implicated in the pathogenesis of
hepatic encephalopathy (HE), and the astrocyte appears to be the principal
target of ammonia toxicity. The specific neurochemical mechanisms underlyi
ng HE, however, remain elusive. One of the suggested mechanisms for ammonia
toxicity is impaired cellular bioenergetics. Because there is evidence tha
t the mitochondrial permeability transition (MPI is associated with mitocho
ndrial dysfunction, we determined whether the MPT might be involved in the
bioenergetic alterations related to ammonia toxicity. Accordingly, we exami
ned the mitochondrial membrane potential (Atom) in cultured astrocytes and
neurons using laser-scanning confocal microscopy after loading the cells wi
th the voltage-sensitive dye JC-1. We found that ammonia induced a dissipat
ion of the Delta psi (m) in a time- and concentration dependent manner. The
se findings were supported by flow cytometry using the voltage-sensitive dy
e tetramethylrhodamine ethyl ester (TMRE). Cyclosporin A, a specific inhibi
tor of the MPT, completely blocked the ammonia-induced dissipation of the A
om. We also found an increase in the mitochondrial permeability to 2-deoxyg
lucose in astrocytes that had been exposed to 5 mM NH4Cl, further supportin
g the concept that ammonia induces the MPT in these cells. Pretreatment wit
h methionine sulfoximine, an inhibitor of glutamine synthetase, blocked the
ammonia-induced collapse of Delta psi (m), suggesting a role of glutamine
in this process. Over a 24-hr period, ammonia had no effect on the Delta ps
i (m) in cultured neurons. Collectively, our data indicate that ammonia ind
uces the MPT in cultured astrocytes, which may be a factor in the mitochond
rial dysfunction associated with HE and other hyperammonemic states. (C) 20
01 Wiley-Liss, Inc.