Kurkowska-Jastrzebska Iwona, Litwin Tomasz, Joniec Ilona, Ciesielska Agnieszka, Przybyłkowski Adam, Członkowski Andrzej, Członkowska Anna
Department of Neurology, Institute of Psychiatry and Neurology, ul. Sobieskiego 1/9, 02-957 Warsaw, Poland.
Int Immunopharmacol. 2004 Oct;4(10-11):1307-18. doi: 10.1016/j.intimp.2004.05.006.
The pathological process of neurodegeneration, which is observed in Alzheimer's (AD) and Parkinson's (PD) diseases and that follows any insult to the central nervous system, is accompanied by an inflammatory reaction, which is believed to contribute to the pathogenesis of the diseases. In accordance to this, the anti-inflammatory agents are suggested to be effective in slowing or inhibiting the degenerative process. In this study, we investigated the influence of dexamethasone (DXM) on the nigrostriatal dopaminergic neurons damage following administration of 1-methyl-4-phenyl-1,2,3,6-tetrahydropiridine (MPTP). Mice C57BL received pre-treatment of the various doses of dexamethasone followed by MPTP administration (40 mg/kg). We found that dexamethasone 1 mg/kg diminished a dopamine content depletion in striatum by about 20%, when the doses of 0.1 mg/kg was ineffective and 10 mg/kg even aggravate the dopamine content decrease. In the second step of the experiment, we chose the effective doses, 1 mg/kg, and started the treatment before and 24 h after MPTP administration. We observed the same protection in both situations: less dopamine depletion and less decrease in the number of dopaminergic cells in the substantia nigra (SN). Dexamethasone also similarly decreased the inflammatory reaction (glial activation, lymphocytic infiltration) in the injured areas. Our study showed that dexamethasone may exert a neuroprotective effect towards neurons injured by MPTP, but only when used in a proper dose. The mechanism of dexamethasone protective properties may be an inhibition of inflammatory process; however, direct interactions with neurons are also possible.
神经退行性变的病理过程,见于阿尔茨海默病(AD)和帕金森病(PD)以及任何中枢神经系统损伤后,伴有炎症反应,人们认为这种炎症反应促成了这些疾病的发病机制。据此,抗炎药物被认为对减缓或抑制退行性过程有效。在本研究中,我们调查了地塞米松(DXM)对1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)给药后黑质纹状体多巴胺能神经元损伤的影响。C57BL小鼠接受不同剂量地塞米松预处理,随后给予MPTP(40 mg/kg)。我们发现,1 mg/kg地塞米松使纹状体多巴胺含量减少约20%,而0.1 mg/kg无效,10 mg/kg甚至加剧多巴胺含量降低。在实验的第二步,我们选择有效剂量1 mg/kg,并在MPTP给药前和给药后24小时开始治疗。我们在两种情况下都观察到了相同的保护作用:多巴胺耗竭减少,黑质(SN)中多巴胺能细胞数量减少也较少。地塞米松同样也降低了损伤区域的炎症反应(胶质细胞活化、淋巴细胞浸润)。我们的研究表明,地塞米松可能对MPTP损伤的神经元发挥神经保护作用,但前提是使用适当的剂量。地塞米松保护特性的机制可能是抑制炎症过程;然而,与神经元的直接相互作用也有可能。