Synaptic versus extrasynaptic NMDA receptor signalling: implications for neurodegenerative disorders

Nat Rev Neurosci. 2010 Oct;11(10):682-96. doi: 10.1038/nrn2911. Epub 2010 Sep 15.


There is a long-standing paradox that NMDA (N-methyl-D-aspartate) receptors (NMDARs) can both promote neuronal health and kill neurons. Recent studies show that NMDAR-induced responses depend on the receptor location: stimulation of synaptic NMDARs, acting primarily through nuclear Ca(2+) signalling, leads to the build-up of a neuroprotective 'shield', whereas stimulation of extrasynaptic NMDARs promotes cell death. These differences result from the activation of distinct genomic programmes and from opposing actions on intracellular signalling pathways. Perturbations in the balance between synaptic and extrasynaptic NMDAR activity contribute to neuronal dysfunction in acute ischaemia and Huntington's disease, and could be a common theme in the aetiology of neurodegenerative diseases. Neuroprotective therapies should aim to both enhance the effect of synaptic activity and disrupt extrasynaptic NMDAR-dependent death signalling.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cell Death / physiology
  • Gene Expression
  • Humans
  • Neurodegenerative Diseases / metabolism*
  • Neuroprotective Agents / metabolism
  • Oxidative Stress
  • Receptors, N-Methyl-D-Aspartate / metabolism*
  • Signal Transduction / physiology*
  • Synapses / metabolism*


  • Neuroprotective Agents
  • Receptors, N-Methyl-D-Aspartate