Fleming Sheila M, Fernagut Pierre-Olivier, Chesselet Marie-Françoise
Departments of Neurology and Neurobiology, The David Geffen School of Medicine, UCLA, Los Angeles, California 90095, USA.
NeuroRx. 2005 Jul;2(3):495-503. doi: 10.1602/neurorx.2.3.495.
Parkinson's disease (PD) is a progressive neurodegenerative disorder. Patients with PD display a combination of motor symptoms including resting tremor, rigidity, bradykinesia, and postural instability that worsen over time. These motor symptoms are related to the progressive loss of dopamine neurons in the substantia nigra pars compacta. PD patients also suffer from nonmotor symptoms that may precede the cardinal motor symptoms and that are likely related to pathology in other brain regions. Traditional toxin models of PD have focused on the nigrostriatal pathway and the loss of dopamine neurons in this region, and these models have been important in our understanding of PD and in the development of symptomatic treatments for the disease. However, they are limited in that they do not reproduce the full pathology and progression seen in PD, thus creating a need for better models. The recent discovery of specific genes causing familial forms of PD has contributed to the development of novel genetic mouse models of PD. This review discusses the validity, benefits, and limitations of these new models.
帕金森病(PD)是一种进行性神经退行性疾病。帕金森病患者表现出多种运动症状,包括静止性震颤、僵硬、运动迟缓以及姿势不稳,这些症状会随着时间的推移而恶化。这些运动症状与黑质致密部多巴胺能神经元的逐渐丧失有关。帕金森病患者还会出现非运动症状,这些症状可能先于主要运动症状出现,并且可能与其他脑区的病理变化有关。传统的帕金森病毒素模型主要关注黑质纹状体通路以及该区域多巴胺能神经元的丧失,这些模型对于我们理解帕金森病以及开发该病的对症治疗方法具有重要意义。然而,它们存在局限性,因为它们无法重现帕金森病中所见的全部病理变化和病程进展,因此需要更好的模型。最近发现了导致家族性帕金森病的特定基因,这推动了新型帕金森病基因小鼠模型的开发。本综述讨论了这些新模型的有效性、优点和局限性。