Freeman A, Ciliax B, Bakay R, Daley J, Miller R D, Keating G, Levey A, Rye D
Emory University, Department of Neurology, Atlanta, GA 30322, USA.
Ann Neurol. 2001 Sep;50(3):321-9. doi: 10.1002/ana.1119.
Movement, cognition, emotion, and positive reinforcement are influenced by mesostriatal, mesocortical, and mesolimbic dopamine systems. We describe a fourth major pathway originating from mesencephalic dopamine neurons: a mesothalamic system. The dopamine transporter, specific to dopamine containing axons, was histochemically visualized in thalamic motor and limbic-related nuclei and regions that modulate behavioral state as opposed to sensory nuclei in rats, nonhuman primates, and humans. Anatomical tracing established this innervation's origin via axon collaterals from the mesostriatal pathway. These findings implicate the thalamus as a novel site for disease specific alterations in dopamine neurotransmission, such as exist with nigral degeneration attending Parkinson's disease. This was confirmed in hemiparkinsonian animals where reduction of thalamic dopamine innervation occurred coincident with signs of active axonal degeneration. Individual mesencephalic dopamine neurons therefore have the potential to modulate normal and pathologic behavior not only through traditional nigrostriatal pathways but also by way of axon collaterals that innervate the thalamus.
运动、认知、情感和正强化受中脑纹状体、中脑皮质和中脑边缘多巴胺系统的影响。我们描述了一条源自中脑多巴胺神经元的第四条主要通路:中脑丘脑系统。在大鼠、非人灵长类动物和人类中,对含多巴胺轴突具有特异性的多巴胺转运体,通过组织化学方法在丘脑运动及与边缘系统相关的核团和区域中可视化,这些核团和区域可调节行为状态,而非感觉核团。解剖追踪通过中脑纹状体通路的轴突侧支确定了这种神经支配的起源。这些发现表明丘脑是多巴胺神经传递中疾病特异性改变的一个新位点,例如帕金森病伴黑质变性时出现的改变。这在偏侧帕金森病动物中得到证实,其中丘脑多巴胺神经支配的减少与活跃轴突变性的迹象同时出现。因此,单个中脑多巴胺神经元不仅有可能通过传统的黑质纹状体通路调节正常和病理行为,还可通过支配丘脑的轴突侧支来调节。