帕金森病中的突触功能障碍。
Synaptic dysfunction in Parkinson's disease.
机构信息
Laboratorio di Neurofisiologia, Fondazione Santa Lucia, I.R.C.C.S., 00143 Rome, Italy.
出版信息
Biochem Soc Trans. 2010 Apr;38(2):493-7. doi: 10.1042/BST0380493.
In neuronal circuits, memory storage depends on activity-dependent modifications in synaptic efficacy, such as LTD (long-term depression) and LTP (long-term potentiation), the two main forms of synaptic plasticity in the brain. In the nucleus striatum, LTD and LTP represent key cellular substrates for adaptive motor control and procedural memory. It has been suggested that their impairment could account for the onset and progression of motor symptoms of PD (Parkinson's disease), a neurodegenerative disorder characterized by the massive degeneration of dopaminergic neurons projecting to the striatum. In fact, a peculiar aspect of striatal plasticity is the modulation exerted by DA (dopamine) on LTP and LTD. Our understanding of these maladaptive forms of plasticity has mostly come from the electrophysiological, molecular and behavioural analyses of experimental animal models of PD. In PD, a host of cellular and synaptic changes occur in the striatum in response to the massive loss of DA innervation. Chronic L-dopa therapy restores physiological synaptic plasticity and behaviour in treated PD animals, but most of them, similarly to patients, exhibit a reduction in the efficacy of the drug and disabling AIMs (abnormal involuntary movements) defined, as a whole, as L-dopa-induced dyskinesia. In those animals experiencing AIMs, synaptic plasticity is altered and is paralleled by modifications in the postsynaptic compartment. In particular, dysfunctions in trafficking and subunit composition of NMDARs [NMDA (N-methyl-D-aspartate) receptors] on striatal efferent neurons result from chronic non-physiological dopaminergic stimulation and contribute to the pathogenesis of dyskinesias. According to these pathophysiological concepts, therapeutic strategies targeting signalling proteins coupled to NMDARs within striatal spiny neurons could represent new pharmaceutical interventions for PD and L-dopa-induced dyskinesia.
在神经元回路中,记忆存储依赖于突触效能的活性依赖性改变,如 LTD(长时程抑制)和 LTP(长时程增强),这是大脑中两种主要的突触可塑性形式。在纹状体核中,LTD 和 LTP 是适应运动控制和程序性记忆的关键细胞基础。有人认为,它们的损伤可能导致 PD(帕金森病)运动症状的发作和进展,PD 是一种神经退行性疾病,其特征是投射到纹状体的多巴胺能神经元大量退化。事实上,纹状体可塑性的一个特殊方面是 DA(多巴胺)对 LTP 和 LTD 的调节。我们对这些适应性不良形式的可塑性的理解主要来自于 PD 实验动物模型的电生理学、分子和行为分析。在 PD 中,纹状体中发生了大量的细胞和突触变化,以应对 DA 支配的大量丧失。慢性 L-多巴治疗恢复了治疗 PD 动物的生理突触可塑性和行为,但它们中的大多数,与患者相似,表现出药物疗效降低和致残性 AIMs(异常不自主运动),总体上定义为 L-多巴诱导的运动障碍。在经历 AIMs 的动物中,突触可塑性发生改变,并且伴随着突触后隔室的改变。特别是,纹状体传出神经元上 NMDA 受体(N-甲基-D-天冬氨酸受体)的运输和亚基组成的功能障碍是由慢性非生理性多巴胺刺激引起的,并有助于运动障碍的发病机制。根据这些病理生理概念,针对纹状体棘神经元中与 NMDA 受体偶联的信号蛋白的治疗策略可能代表 PD 和 L-多巴诱导的运动障碍的新药物干预措施。