Blum D, Torch S, Lambeng N, Nissou M, Benabid A L, Sadoul R, Verna J M
Unité Mixte INSERM/UJF E0108, Neurodégénérescence et plasticité, CHU Michallon, Pavillon de Neurologie, BP217, 38043 Cedex 9, Grenoble, France.
Prog Neurobiol. 2001 Oct;65(2):135-72. doi: 10.1016/s0301-0082(01)00003-x.
Parkinson's disease (PD) is a neurodegenerative disorder characterized by a preferential loss of the dopaminergic neurons of the substantia nigra pars compacta. Although the etiology of PD is unknown, major biochemical processes such as oxidative stress and mitochondrial inhibition are largely described. However, despite these findings, the actual therapeutics are essentially symptomatical and are not able to block the degenerative process. Recent histological studies performed on brains from PD patients suggest that nigral cell death could be apoptotic. However, since post-mortem studies do not allow precise determination of the sequence of events leading to this apoptotic cell death, the molecular pathways involved in this process have been essentially studied on experimental models reproducing the human disease. These latter are created by using neurotoxic compounds such as 6-hydroxydopamine (6-OHDA), 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) or dopamine (DA). Extensive study of these models have shown that they mimick, in vitro and in vivo, the histological and/or the biochemical characteristics of PD and thus help to define important cellular actors of cell death presumably critical for the nigral degeneration. This review reports recent data concerning the biochemical and molecular apoptotic mechanisms underlying the experimental models of PD and correlates them to the phenomena occurring in human disease.
帕金森病(PD)是一种神经退行性疾病,其特征是黑质致密部的多巴胺能神经元优先丧失。尽管PD的病因尚不清楚,但氧化应激和线粒体抑制等主要生化过程已得到广泛描述。然而,尽管有这些发现,实际的治疗方法基本上只是对症治疗,无法阻止退行性过程。最近对PD患者大脑进行的组织学研究表明,黑质细胞死亡可能是凋亡性的。然而,由于死后研究无法精确确定导致这种凋亡性细胞死亡的事件顺序,因此该过程中涉及的分子途径主要是在重现人类疾病的实验模型上进行研究的。后者是通过使用神经毒性化合物如6-羟基多巴胺(6-OHDA)、1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)或多巴胺(DA)创建的。对这些模型的广泛研究表明,它们在体外和体内模拟了PD的组织学和/或生化特征,从而有助于确定可能对黑质变性至关重要的细胞死亡的重要细胞因素。本综述报告了有关PD实验模型潜在的生化和分子凋亡机制的最新数据,并将它们与人类疾病中发生的现象相关联。