Cerebral N-methyl-D-aspartate (NMDA)-type glutamate receptor activity plays a role in synapse formation and brain development and has been implicated as a mechanism of hypoxic brain injury. Dexamethasone (DX) may enhance organ maturation and decrease perinatal brain injury. To investigate the maturational changes in the NMDA receptor during development in fetal sheep, we determined MK-801 binding as an index of receptor ion channel activity in 1 fetal sheep at 60d gestation (term=154d), 6 at 84d, and 8 at 120d, 4 treated with placebo and 4 treated with DX. DX-treated fetuses were studied 12 hrs after DX, 6 mg IM q 12 hrs × 4 doses, was administered to the ewes.3[H]MK-801 binding was determined in a 200 μl medium containing 100μg membrane protein, 100 μM glutamate, 100 μM glycine, 10 mM HEPES/1 mM EDTA buffer (pH 7.0), and concentrations of 3[H]MK-801 from 0.5-50 nM. Nonspecific binding was determined in the presence of 10 mM unlabelled MK-801. Scatchard plots were constructed and Bmax (apparent receptor number) and Kd (dissociation constant) calculated. During development Bmax (mean± SD) increased from 0.51 pmoles/mg protein at 60d to 0.6±0.09 at 84d and 0.97±0.14 at 120d (p <0.005, 84d vs 120d). In contrast, Kd did not change significantly with increasing brain maturation (4.25, 5.07±0.38 and 4.90±0.81 nM at 60d, 84d, and 120d, respectively). Dexamethasone had no effect on either Bmax or Kd at 120d. Thus the apparent number of NMDA receptors increased with brain maturation but the affinity of the receptor for MK-801 was unchanged, similar to the results of our previous studies in fetal guinea pigs at mid- to late gestation. Dexamethasone did not enhance the maturational changes in the NMDA receptor MK-801 binding site at 120d, in contrast to its reported effects on other aspects of brain function. The apparent increase in number of NMDA receptors with maturation may be related to the timing of synaptogenesis in fetal brain and may enhance susceptibility to hypoxic injury. (NIH HD 20337, HD 34618)
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