- Mechanism
- Ligand-gated AND Voltage-gated.
- Requires Glutamate + Glycine (co-agonist).
- Depolarization removes the Mg2+ plug blocking the pore.
- Result: Ca2+ influx (critical for signaling).
- Physiology
- Long-Term Potentiation (LTP): Basis for learning/memory.
- Pathology
- Excitotoxicity: Excess Ca2+ influx → neuronal death (e.g., Ischemic Stroke, Huntington Disease).
- Pharmacology (NMDA Antagonists)
- Memantine: Alzheimer’s disease (neuroprotective).
- Ketamine: Dissociative anesthetic.
- PCP: Hallucinogen (violence, nystagmus).
- Amantadine: Parkinson’s disease.
- Dextromethorphan: Antitussive (abuse potential).