Changes

Jump to navigation Jump to search
no edit summary
Line 14: Line 14:     
This is a reversible abnormality of the cerebral metabolism.  Its pathogensis is not yet fully understood.  Increased concentration of ammonia level is most common cause of this disease manifestations due to the toxic effect it has on  brain cells.  Due to the lack of urea cycle in the brain, ammonia in cerebrospinal fluid (CSF) is detoxified into glutamine.  Level of glutamine can be shown to correlate with clinical signs.  Aromatic amino acids, especially tryptophan and its metabolites, share an antiport transporter with ammonia in CSF.  Consequently, dogs with congenital PSS are reported to have an increased aromatic amino acid concentrations in CSF.  Increased ammonia concentrations also have a number of other effects on the central nervous system, including a reduction in serotonin activity, an increased in NMDA (N-methyl-D-aspartic acid) and peripheral-type benzodiazepine receptors.
 
This is a reversible abnormality of the cerebral metabolism.  Its pathogensis is not yet fully understood.  Increased concentration of ammonia level is most common cause of this disease manifestations due to the toxic effect it has on  brain cells.  Due to the lack of urea cycle in the brain, ammonia in cerebrospinal fluid (CSF) is detoxified into glutamine.  Level of glutamine can be shown to correlate with clinical signs.  Aromatic amino acids, especially tryptophan and its metabolites, share an antiport transporter with ammonia in CSF.  Consequently, dogs with congenital PSS are reported to have an increased aromatic amino acid concentrations in CSF.  Increased ammonia concentrations also have a number of other effects on the central nervous system, including a reduction in serotonin activity, an increased in NMDA (N-methyl-D-aspartic acid) and peripheral-type benzodiazepine receptors.
 +
 +
The sources resposible for an increase in ammonia levels include:
 +
 +
*the bacterial and intestinal breakdown of urea by urease, which then diffuses into the colon from the blood.
 +
*the bacterial breakdown of undigested amino acids and in the colon.
 +
*the catabolic metabolism of glutamine as an enerygy source by small intestinal enterocytes.
 +
*endogenous hepatic protein metabolism by excess dietary protein, breakdown of lean body mass and gastrointestinal bleeding.
     
592

edits

Navigation menu