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左旋多巴和6-羟基多巴胺的兴奋毒性:对帕金森病和亨廷顿病的影响。

Excitotoxicity of L-dopa and 6-OH-dopa: implications for Parkinson's and Huntington's diseases.

作者信息

Olney J W, Zorumski C F, Stewart G R, Price M T, Wang G J, Labruyere J

机构信息

Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63110.

出版信息

Exp Neurol. 1990 Jun;108(3):269-72. doi: 10.1016/0014-4886(90)90134-e.

Abstract

Despite several decades of research aimed at elucidating the mechanisms underlying neuronal degeneration in Parkinson's and Huntington's diseases, these mysteries remain unfathomed. The brain contains high concentrations of the putative transmitters, glutamate and aspartate, which have neurotoxic (excitotoxic) potential and are thought to cause neuronal degeneration in certain acute neurological disorders. However, no mechanism has been identified by which these diffusely distributed agents might cause the regionally selective patterns of neuronal degeneration characterizing Parkinson's and Huntington's diseases. Here we report that L-DOPA, the natural precursor to dopamine, is a weak excitotoxin and its ortho-hydroxylated derivative, 6-OH-DOPA, is a powerful excitotoxin. We propose that an excitotoxic process mediated by L-DOPA or an acidic derivative such as 6-OH-DOPA might be responsible for degeneration of nigral neurons in Parkinson's disease or striatal neurons in Huntington's disease.

摘要

尽管经过了几十年旨在阐明帕金森病和亨廷顿病中神经元变性潜在机制的研究,但这些谜团仍未解开。大脑中含有高浓度的假定递质谷氨酸和天冬氨酸,它们具有神经毒性(兴奋毒性)潜力,并且被认为在某些急性神经疾病中会导致神经元变性。然而,尚未确定这些广泛分布的物质可能导致帕金森病和亨廷顿病所特有的区域选择性神经元变性模式的机制。在此我们报告,多巴胺的天然前体左旋多巴是一种弱兴奋毒素,其邻位羟基化衍生物6-羟基多巴胺是一种强力兴奋毒素。我们提出,由左旋多巴或酸性衍生物如6-羟基多巴胺介导的兴奋毒性过程可能是帕金森病中黑质神经元或亨廷顿病中纹状体神经元变性的原因。

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