衰老和帕金森病中黑质多巴胺神经元易损性增加的分子基础。

A molecular basis for the increased vulnerability of substantia nigra dopamine neurons in aging and Parkinson's disease.

机构信息

Department of Physiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA.

出版信息

Mov Disord. 2010;25 Suppl 1:S63-70. doi: 10.1002/mds.22801.

Abstract

Parkinson's disease (PD) is a common neurodegenerative disorder of unknown etiology. There is no cure or proven strategy for slowing the progression of the disease. Although there are signs of pathology in many brain regions, the core symptoms of PD are attributable to the selective degeneration of dopaminergic neurons in the substantia nigra pars compacta. A potential clue to the vulnerability of these neurons is an increasing reliance with age upon L-type Ca(2+) channels with a pore-forming Cav1.3 subunit to support autonomous activity. This reliance could pose a sustained stress on mitochondrial ATP generating oxidative phosphorylation, accelerating cellular aging and death. Systemic administration of isradipine, a dihydropyridine blocker of these channels, forces dopaminergic neurons in rodents to revert to a juvenile, L-type Ca(2+) channel independent mechanism to generate autonomous activity. This "rejuvenation" confers protection against toxins that produce experimental Parkinsonism, pointing to a potential neuroprotective strategy for PD. Their decades-long track record of safe use in the treatment of hypertension makes dihydropyridines particularly attractive as a therapeutic tool in PD.

摘要

帕金森病(PD)是一种常见的病因不明的神经退行性疾病。目前尚无治愈或证实有效的方法可以减缓疾病的进展。尽管在许多脑区都有病理学的迹象,但 PD 的核心症状归因于黑质致密部多巴胺能神经元的选择性退化。这些神经元易损性的一个潜在线索是,随着年龄的增长,它们越来越依赖于具有孔形成 Cav1.3 亚基的 L 型 Ca(2+)通道来支持自主活动。这种依赖可能会对产生细胞能量的线粒体 ATP 氧化磷酸化造成持续的压力,加速细胞衰老和死亡。在鼠类中全身给予异搏定(一种 L 型 Ca(2+)通道二氢吡啶阻断剂),会迫使多巴胺能神经元恢复到依赖 L 型 Ca(2+)通道的幼年机制来产生自主活动。这种“返老还童”赋予了对产生实验性帕金森病的毒素的保护作用,为 PD 提供了一种潜在的神经保护策略。异搏定在治疗高血压方面已有数十年的安全使用记录,这使其作为 PD 的治疗工具具有特别的吸引力。

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