Périer Céline, Marin Concepció, Jimenez Anna, Bonastre Mercè, Tolosa Eduardo, Hirsch Etienne C
INSERM U289, Experimental Neurology and Therapeutics, Hôpital de la Salpêtrière, Paris, France.
J Neurochem. 2003 Sep;86(6):1328-37. doi: 10.1046/j.1471-4159.2003.01960.x.
Inactivation of the subthalamic nucleus (STN) or the internal segment of the pallidum (GPi)/entopeduncular nucleus (EP) by deep brain stimulation or lesioning alleviates clinical manifestations of Parkinson's disease (PD) as well as reducing the side-effects of levodopa treatment. However, the effects of STN or entopeduncular nucleus (EP) lesion on levodopa-related motor fluctuations and on neurochemical changes induced by levodopa remain largely unknown. The effects of such lesions on levodopa-induced motor alterations were studied in 6-hydroxydopamine (6-OHDA)-lesioned rats and were assessed neurochemically by analyzing the functional activity of the basal ganglia nuclei, using the expression levels of the mRNAs coding for glutamic acid decarboxylase and cytochrome oxidase as molecular markers of neuronal activity. At the striatal level, preproenkephalin (PPE) mRNA levels were analyzed. We found in 6-OHDA-lesioned rats that a unilateral STN or EP lesion ipsilateral to the 6-OHDA lesion had no effect on either the shortening in the duration of the levodopa-induced rotational response or the levodopa-induced biochemical changes in the basal ganglia nuclei. In contrast, overexpression of PPE mRNA due to levodopa treatment was reversed by the STN or EP lesion. Our study thus shows that lesion of the EP or STN may counteract some of the neurochemical changes induced by levodopa treatment within the striatum.
通过深部脑刺激或毁损术使丘脑底核(STN)或苍白球内侧部(GPi)/脚内核(EP)失活,可缓解帕金森病(PD)的临床表现,并减少左旋多巴治疗的副作用。然而,STN或脚内核(EP)毁损对左旋多巴相关的运动波动以及左旋多巴诱导的神经化学变化的影响在很大程度上仍不清楚。在6-羟基多巴胺(6-OHDA)毁损的大鼠中研究了此类毁损对左旋多巴诱导的运动改变的影响,并通过分析基底神经节核的功能活性,以编码谷氨酸脱羧酶和细胞色素氧化酶的mRNA表达水平作为神经元活动的分子标记,从神经化学角度进行评估。在纹状体水平,分析了前脑啡肽原(PPE)mRNA水平。我们发现在6-OHDA毁损的大鼠中,与6-OHDA毁损同侧的单侧STN或EP毁损对左旋多巴诱导的旋转反应持续时间缩短或左旋多巴诱导的基底神经节核生化变化均无影响。相反,STN或EP毁损可逆转左旋多巴治疗导致的PPE mRNA过表达。因此,我们的研究表明,EP或STN毁损可能抵消纹状体内左旋多巴治疗诱导的一些神经化学变化。