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Although ablation of the inferior olive with 3-AP affords substantial protection against Purkinje cell degeneration, the attenuation is not complete, because loss of an occasional Purkinje cell was observed in some rats that received the 3-AP regimen before ibogaine. Compared with degeneration caused by ibogaine, Purkinje cell loss resulting from the 3-AP regimen alone is considerably less, and neuronal degeneration produced by these two drugs is dissimilar in distribution. 2) An alternative explanation for these data is that, in addition to sustained climbing fiber activation because of ibogaine, the presence of severe tremor might indirectly lead to increased activity in parallel fibers. Although harmaline and related drugs clearly produce activation of olivary neurons, particular subdivisions of the inferior olivary complex differ in their susceptibility to this effect. Alternatively, the additional Purkinje cell degeneration in the vermis may be because of ibogaine-induced activation of spared inferior olivary neurons. After receiving 3-AP plus ibogaine, Purkinje cell loss, although infrequent, was slightly more common in the vermis than after 3-AP alone; however, no increase in degeneration was appreciated in the lateral part of the hemispheres compared with that caused by 3-AP alone. However, it is difficult to exclude the possibility that ibogaine may have an undetected neurotoxic effect that produces no morphological or immunocytochemical changes.

However, none of the other neuronal groups that may be injured by 3-AP is known to innervate Purkinje cells directly. Sparing of Buy nembutal uk and the preservation of their normal morphology in rats that received ibogaine after ablation of the inferior olive does not lend support to this interpretation. Although the most likely interpretation of the present results is that ibogaine-induced Purkinje cell degeneration is trans-synaptically mediated via the olivocerebellar projection, the possible involvement of other mechanisms and factors should be considered. Neuronal plasticity and neurotrophic factors in drug responses. Zetler et al. (1972, 1974) reported that the positions and number of methoxy groups (left) greatly influence tremorigenic potency, whereas the additional ring structures (right) have little effect on drug action within this group of compounds. These compounds were also found to act as selective α3β4 nicotinic acetylcholine antagonists, with little or no effect on NMDA receptors. 1) Ibogaine might have a direct, deleterious effect on Purkinje cells that could impair their response to excessive excitatory input and, combined with increased climbing fiber activation, may contribute to degeneration. It is unlikely that the increased firing rate would protect Purkinje cells against the toxic effects of ibogaine. Harmaline, ibogaine, and ibogaline share an indole nucleus and have nearly identical types of behavioral effects.

Based on the hypothesis that ibogaine, like harmaline and ibogaline, causes a sustained increase in frequency of neuronal firing in the inferior olive, we propose that this property, combined with the highly secure synaptic relationship between climbing fibers and Purkinje cells, results in Purkinje cell injury by an excitotoxic mechanism. This example of neurotoxicity, using intrinsic circuitry that uses glutamate as neurotransmitter, supports the hypothesis that ibogaine causes trans-synaptic, excitotoxic neuronal degeneration. The release of glutamate simultaneously at every synaptic terminal on a Purkinje cell produces “complex spikes,” consisting of an initial spike followed by a high-frequency burst of smaller calcium-mediated action potentials (Eccles et al., 1966a,b; Llinás and Nicholson, 1971; Llinás and Sugimori, 1980). The multiplicity of climbing fiber synapses is responsible for the highly secure synaptic transmission in this projection, yet this synaptic relationship also places the Purkinje cell in substantial jeopardy of excitotoxic injury. Glutamate receptors that are postsynaptic to climbing fiber terminals are of the non-NMDA (AMPA or kainate) (Konnerth et al., 1990; Perkel et al., 1990), or metabotropic receptor subtype (Masu et al., 1991; Martin et al., 1992; Baude et al., 1993). Although NMDA receptors are expressed transiently by Purkinje cells during early development, in mature animals Purkinje cells do not exhibit functional NMDA receptors (Crepel et al., 1982; Perkel et al., 1990; Crepel and Audinat, 1991; Rosenmund et al., 1992), and they would therefore not play a role in neurotoxicity attributed to ibogaine or harmaline.
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Climbing fibers are required for maintenance of normal Purkinje cell dendritic structure (Sotelo et al., 1975; Bradley and Berry, 1976). Climbing fiber deafferentation induced by 3-AP occurs within 18-24 hr (Desclin and Escubi, 1974; Sotelo et al., 1975) and is followed by an increase in the density of spines on secondary and tertiary dendritic branches of the Purkinje cells. Climbing fiber axons pass over the Purkinje cell body and form branches that closely follow the proximal two-thirds of Purkinje cell dendrites (Eccles et al., 1967; Palay and Chan-Palay, 1974). Each climbing fiber forms several hundred synaptic contacts on dendritic spines distributed over one Purkinje cell (Llinás et al., 1969), resulting in a unique and extensive excitatory synaptic input. Partial inferior olive ablation is followed by sprouting of new collaterals that reinnervate neighboring Purkinje cells (Rossi et al., 1991). Although ibogaine usa might be expected to favor Purkinje cell degeneration mediated by surviving climbing fibers, the sprouting takes longer than 6 d and would not likely be functional at the time of ibogaine administration in this study. The increase in dendritic spines would not predictably diminish excitotoxic vulnerability of these cells. ibogaine usa postulate that the distributed nature of climbing fiber-Purkinje cell innervation renders Purkinje cells especially susceptible to excitotoxic injury and may be the basis for the heightened vulnerability of Purkinje cells to a wide variety of insults.


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