RT Journal Article SR Electronic T1 Plasma Glutamate and Glycine Levels in Patients with Amyotrophic Lateral Sclerosis JF In Vivo JO In Vivo FD International Institute of Anticancer Research SP 137 OP 141 VO 22 IS 1 A1 ELISABETH ANDREADOU A1 ELISABETH KAPAKI A1 PANAGIOTIS KOKOTIS A1 GEORGE P. PARASKEVAS A1 NIKOLAOS KATSAROS A1 GEORGIA LIBITAKI A1 OLGA PETROPOULOU A1 VASSILIOS ZIS A1 CONSTANTINOS SFAGOS A1 DEMETRIOS VASSILOPOULOS YR 2008 UL http://iv.iiarjournals.org/content/22/1/137.abstract AB Defective glutamate (Glu) metabolism and glutamate excitotoxicity have been implicated in the pathogenesis of amyotrophic lateral sclerosis (ALS). Glycine (Gly), the main inhibitory neurotransmitter, has been shown to potentiate excitatory transmission. In the present study, the levels of Glu and Gly in fasting plasma were measured by high performance liquid chromatography (HPLC) in 20 healthy volunteers and in 65 untreated ALS patients. Increased plasma Glu levels were observed in ALS (p=0.05), correlating with longer disease duration (p=0.03, beta=0.34) and male gender (p=0.02). Furthermore, the increase was found only in the spinal subtype of the disease (p=0.03), while in the bulbar subtype, no significant increase was noted. As regards plasma Gly, no difference was observed between patients and controls; however female patients had higher levels than males. The above results are compatible with the “glutamate hypothesis” of ALS and suggest that the spinal and bulbar-onset subtypes of the disease may be biochemically different. Copyright © 2008 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved