Winkler C, Bentlage C, Nikkhah G, Samii M, Björklund A
Department of Physiology and Neuroscience, Lund University, S-22362 Lund, Sweden.
Exp Neurol. 1999 Feb;155(2):165-86. doi: 10.1006/exnr.1998.6916.
Intrastriatal transplantation of fetal ventral mesencephalon (VM) is currently explored as a potential clinical therapy in Parkinson's disease (PD). Although providing substantial benefit for the patient, behavioral recovery so far obtained with intrastriatal VM grafts is not complete. Using the 6-hydroxydopamine lesion model of PD, we show here that near-complete restoration of the striatal dopamine (DA) innervation can be achieved by multiple intrastriatal microtransplants of fetal DA cells; nevertheless, complete recovery in complex sensorimotor behaviors was not obtained in these animals. In line with the current model of basal ganglia function, this suggests that the lesion-induced overactivity of the basal ganglia output structures, i.e., the substantia nigra (SN) and the entopeduncular nucleus, may not be completely reversed by intrastriatal VM grafts. In the present study, we have transplanted fetal VM tissue or fetal striatal tissue, as a source of DA and GABA neurons, respectively, into the SN of DA-depleted rats. Intranigral VM grafts induced behavioral recovery in some sensorimotor behaviors (forelimb akinesia and balance tests), but the effect did not exceed the recovery observed after intrastriatal VM grafts. Intranigral grafts of striatal tissue induced a pattern of functional recovery which was distinctly different from that observed after intranigral VM grafts, and recovery in coordinated forelimb use in the paw-reaching test was even more pronounced than after intrastriatal transplantation of VM cells. Combined transplantation of DA neurons into the striatum and GABA-rich striatal neurons into the SN induced additive effects of behavioral recovery observed in the forelimb akinesia test. We propose that intranigral striatal transplants, by a GABA-mediated inhibitory action, can reduce the overactivity of the host SN projection neurons and can induce significant recovery in complex motor behavior in the rat PD model and that such grafts may be used to increase the overall functional efficacy of intrastriatal VM grafts.
目前,胎儿腹侧中脑(VM)的纹状体内移植作为帕金森病(PD)的一种潜在临床治疗方法正在进行探索。虽然对患者有很大益处,但迄今为止,纹状体内VM移植所获得的行为恢复并不完全。利用PD的6-羟基多巴胺损伤模型,我们在此表明,通过多次纹状体内胎儿多巴胺能细胞微移植可实现纹状体多巴胺(DA)神经支配的近乎完全恢复;然而,这些动物在复杂的感觉运动行为中并未实现完全恢复。与当前的基底神经节功能模型一致,这表明纹状体内VM移植可能无法完全逆转损伤诱导的基底神经节输出结构(即黑质(SN)和内苍白球核)的过度活跃。在本研究中,我们分别将胎儿VM组织或胎儿纹状体组织作为DA和GABA能神经元的来源,移植到DA耗尽大鼠的SN中。黑质内VM移植在一些感觉运动行为(前肢运动不能和平衡测试)中诱导了行为恢复,但效果并未超过纹状体内VM移植所观察到的恢复。纹状体组织的黑质内移植诱导了一种功能恢复模式,与黑质内VM移植后观察到的模式明显不同,并且在抓握测试中前肢协调使用的恢复甚至比纹状体内VM细胞移植后更明显。将DA神经元移植到纹状体并将富含GABA的纹状体神经元移植到SN的联合移植在前肢运动不能测试中诱导了行为恢复的叠加效应。我们提出,黑质内纹状体移植通过GABA介导的抑制作用,可以降低宿主SN投射神经元的过度活跃,并可在大鼠PD模型中诱导复杂运动行为的显著恢复,并且这种移植可用于提高纹状体内VM移植的整体功能疗效。