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帕金森病和左旋多巴诱发的运动障碍的动物模型:我们离临床应用还有多远?

Animal models of Parkinson's disease and L-dopa induced dyskinesia: how close are we to the clinic?

作者信息

Lane Emma, Dunnett Stephen

机构信息

School of Bioscience, Cardiff University, Cardiff, UK.

出版信息

Psychopharmacology (Berl). 2008 Aug;199(3):303-12. doi: 10.1007/s00213-007-0931-8. Epub 2007 Sep 25.

Abstract

BACKGROUND

Several different animal models are currently used to research the neurodegenerative movement disorder Parkinson's disease (PD).

RESULTS

Models based on the genetic deficits associated with a small percentage of sufferers demonstrate the pathological accumulation of alpha-synuclein characteristic of the disease but have few motor deficits and little neurodegeneration. Conversely, toxin-based models recreate the selective nigrostriatal cell death and show extensive motor dysfunction. However, these toxin models do not reproduce the extra-nigral degeneration that also occurs as part of the disease and lack the pathological hallmark of Lewy body inclusions.

DISCUSSION

Recently, several therapies that appeared promising in the MPTP-treated non-human primate and 6-OHDA-lesioned rat models have entered clinical trials, with disappointing results. We review the animal models in question and highlight the features that are discordant with PD, discussing if our search for pharmacological treatments beyond the dopamine system has surpassed the capacity of these models to adequately represent the disease.

摘要

背景

目前有几种不同的动物模型用于研究神经退行性运动障碍帕金森病(PD)。

结果

基于一小部分患者相关基因缺陷的模型显示出该疾病特有的α-突触核蛋白病理性积累,但运动缺陷较少且神经退行性变轻微。相反,基于毒素的模型重现了选择性黑质纹状体细胞死亡,并表现出广泛的运动功能障碍。然而,这些毒素模型无法再现作为该疾病一部分出现的黑质外神经退行性变,并且缺乏路易小体包涵体的病理特征。

讨论

最近,几种在MPTP处理的非人类灵长类动物和6-OHDA损伤大鼠模型中显示出前景的疗法已进入临床试验,但结果令人失望。我们回顾了相关动物模型,并强调了与PD不一致的特征,讨论我们在多巴胺系统之外寻找药物治疗的探索是否超出了这些模型充分代表该疾病情况的能力。

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