Recent data suggested the existence of a bidirectional relation between depression and
neurodegenerative diseases resulting from
cerebral ischemia injury.
Glutamate, a major excitatory
neurotransmitter, has long been recognised to play a key role in the pathophysiology of
anoxia or
ischemia, due to its excessive accumulation in the extracellular space and the subsequent activation of its receptors. A characteristic response to
glutamate is the increase in cytosolic Na(+) and Ca(2+) levels which is due mainly to influx from the extracellular space, with a consequent cell swelling and oxidative metabolism dysfunction. The present study examined the in vitro effects of the
antidepressant and
type-A monoamine oxidase inhibitor,
moclobemide, in neuronal-astroglial cultures from rat cerebral cortex exposed to
anoxia (for 5 and 7 h) or to
glutamate (2 mM for 6 h), two in vitro models of
brain ischemia. In addition, the affinity of
moclobemide for the different
glutamate receptor subtypes and an interaction with the cell influx of Na(+) and of Ca(2+) enhanced by
veratridine and K(+) excess, respectively, were evaluated.
Moclobemide (10-100 microM) included in the culture medium during
anoxia or with
glutamate significantly increased in a concentration-dependent manner the amount of surviving neurons compared to controls.
Moclobemide displayed no binding affinity for the different
glutamate receptor subtypes (IC(50)>100 microM) and did not block up to 300 microM the entry of Na(+) and of Ca(2+) activated by
veratridine and K(+), respectively. These results suggest that the neuroprotective properties of
moclobemide imply neither the
glutamate neurotransmission nor the Na(+) and Ca(2+) channels.