Date I, Felten S Y, Felten D L
Department of Neurological Surgery, Okayama University Medical School, Japan.
Brain Res. 1991 Apr 5;545(1-2):191-8. doi: 10.1016/0006-8993(91)91286-a.
Following systemic injection of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), young (2-month-old) C57BL/6 mice show decreased dopaminergic (DA) nigrostriatal fibers and DA concentration in the striatum. We transplanted syngeneic, allogeneic and xenogeneic adrenal medullary grafts into the striatum of the MPTP-treated young mice and compared the survivability of grafted chromaffin cells and the recovery of intrinsic host DA fibers using computerized image analysis of tyrosine hydroxylase (TH)-immunoreactive (IR) fibers and high performance liquid chromatography with electrochemical detection (LCEC). The grafted syngeneic adrenal chromaffin cells survived better than allogeneic or xenogeneic chromaffin cells, and host DA nigrostriatal fiber recovery was more prominent in mice with a syngeneic graft than in mice with an allogeneic or xenogeneic graft. However, the degree of host fiber recovery in mice with allogeneic or xenogeneic mice was greater than in mice with a sham operation alone, even though the allografts and xenografts had no surviving chromaffin cells. Allografts and xenografts showed prominent rejection responses, with T lymphocyte infiltration in addition to macrophages. We conclude that a syngeneic adrenal graft survives better than an adrenal allograft or xenograft and promotes recovery of the intrinsic host nigrostriatal DA fibers. We also conclude that grafted chromaffin cell survivability influences the degree of host DA fiber recovery following MPTP depletion. Adrenal medullary grafts to Parkinsonian patients are currently under way in a large number of hospitals; we suggest that greater attention be paid to methods which lead to enhanced survival of the grafted chromaffin cells, since survivability might be closely related to the functional recovery of these patients.
给2个月大的C57BL/6幼鼠全身注射1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)后,其黑质纹状体多巴胺能(DA)纤维减少,纹状体内DA浓度降低。我们将同基因、异基因和异种肾上腺髓质移植物移植到经MPTP处理的幼鼠纹状体中,并使用酪氨酸羟化酶(TH)免疫反应性(IR)纤维的计算机图像分析和高效液相色谱电化学检测(LCEC),比较移植的嗜铬细胞的存活率和宿主固有DA纤维的恢复情况。移植的同基因肾上腺嗜铬细胞比异基因或异种嗜铬细胞存活得更好,同基因移植小鼠的宿主DA黑质纹状体纤维恢复比异基因或异种移植小鼠更明显。然而,尽管异基因和异种移植中没有存活的嗜铬细胞,但异基因或异种移植小鼠的宿主纤维恢复程度仍高于仅进行假手术的小鼠。异基因和异种移植显示出明显的排斥反应,除巨噬细胞外还有T淋巴细胞浸润。我们得出结论,同基因肾上腺移植物比肾上腺异基因或异种移植物存活得更好,并促进宿主固有黑质纹状体DA纤维的恢复。我们还得出结论,移植的嗜铬细胞存活率影响MPTP耗竭后宿主DA纤维的恢复程度。目前大量医院正在对帕金森病患者进行肾上腺髓质移植;我们建议更加关注提高移植嗜铬细胞存活率的方法,因为存活率可能与这些患者的功能恢复密切相关。