Levivier M, Pearlman S H, Gash D M, Brotchi J
Service de Neurochirurgie, Hôpital Erasme, Université Libre de Bruxelles, Belgique.
Neurochirurgie. 1991;37(3):148-59.
The intrastriatal injection of the excitotoxin quinolinic acid (Q.A.) in rats produces neuroanatomical and neurochemical changes mimicking those appearing in the striatum in Huntington's disease (H.D.). Although its cause is unknown, it has been hypothesized that the neurodegenerative changes seen in H.D. may result from the action of an endogenous toxin. Therefore, the development of new strategies for limiting or preventing Q.A.-or other neurotoxic-induced degeneration may be of therapeutic interest for neurodegenerative disorders. Accordingly, we tested the ability of various tissue transplants to protect the rat striatum against a subsequent Q.A. insult. Using a "unilateral model", i.e. unilateral intrastriatal grafts followed by an ipsilateral intrastriatal injection of Q.A., we were able to quantify a behavioral protective effect of the grafts in recording the apomorphine-induced rotational behavior that normally appears after the striatal Q.A.-induced lesion. Our results show that one of the tested tissue, fetal striatum, protects the recipients against the lesioned-induced rotational behavior that appeared in non-grafted lesioned animals. The other grafted tissues (adrenal medulla, peripheral nerve, adipose tissue) seemed to provide a less dramatic protection than fetal striatum; however, this difference did not reach significance. Quantification of the striatal neuronal loss showed that the behavioral protection is significantly correlated with a better neuronal survival in the grafted animals. These results suggest that intracerebral grafts can protect the host brain against a toxin-induced damage, like the one resulting from Q.A. intrastriatal injection. Though fetal striatal grafts seem to exert an optimal protection, this protective effect may at least partially result from a host-mediated response to the transplantation procedure. The mechanism underlying this protective effect is unclear, but the present data suggest that it might be related to a transplantation-induced astroglial reaction resulting in an increased neuronotrophic activity that could protect against the toxic effect of Q.A. The results of this study also support the concept that the effect of transplantations could occur through processes other than a direct restoration of deficient transmitters or a reconstruction of damaged pathways. Further characterization of the factors implicated in the present paradigm might conceivably open avenues for possible therapeutic preventive interventions in neurodegenerative disorders.
向大鼠脑内纹状体注射兴奋性毒素喹啉酸(QA)会产生神经解剖学和神经化学变化,这些变化与亨廷顿舞蹈病(HD)患者纹状体中出现的变化相似。尽管其病因不明,但有假说认为,HD中出现的神经退行性变化可能是内源性毒素作用的结果。因此,开发限制或预防QA或其他神经毒素诱导的变性的新策略,可能对神经退行性疾病的治疗具有重要意义。据此,我们测试了各种组织移植保护大鼠纹状体免受后续QA损伤的能力。使用“单侧模型”,即单侧纹状体内移植,随后同侧纹状体内注射QA,我们能够通过记录阿扑吗啡诱导的旋转行为来量化移植对行为的保护作用,这种旋转行为通常在纹状体QA损伤后出现。我们的结果表明,所测试的组织之一,胎儿纹状体,可保护受体免受非移植损伤动物中出现的损伤诱导的旋转行为影响。其他移植组织(肾上腺髓质、外周神经、脂肪组织)似乎提供的保护作用不如胎儿纹状体显著;然而,这种差异并不显著。纹状体神经元损失的量化结果表明,行为保护与移植动物中更好的神经元存活显著相关。这些结果表明,脑内移植可以保护宿主脑免受毒素诱导的损伤,如纹状体内注射QA所导致的损伤。虽然胎儿纹状体移植似乎能发挥最佳保护作用,但这种保护作用可能至少部分是由宿主对移植过程的反应介导的。这种保护作用的潜在机制尚不清楚,但目前的数据表明,它可能与移植诱导的星形胶质细胞反应有关,这种反应导致神经营养活性增加,从而可以保护免受QA的毒性作用。本研究结果还支持这样一种观点,即移植的效果可能通过直接恢复缺乏的神经递质或重建受损通路以外的过程发生。对本模型中涉及的因素进行进一步表征,可能为神经退行性疾病的治疗性预防干预开辟道路。