University of Tennessee Health Science Center, Department of Neurology, 855 Monroe Avenue, Link Building, Suite 415, Memphis, TN 38163, USA.
Neurobiol Dis. 2011 May;42(2):152-61. doi: 10.1016/j.nbd.2010.11.006. Epub 2010 Nov 21.
Dystonia is a motor sign characterized by involuntary muscle contractions which produce abnormal postures. Genetic factors contribute significantly to primary dystonia. In comparison, secondary dystonia can be caused by a wide variety of metabolic, structural, infectious, toxic and inflammatory insults to the nervous system. Although classically ascribed to dysfunction of the basal ganglia, studies of diverse animal models have pointed out that dystonia is a network disorder with important contributions from abnormal olivocerebellar signaling. In particular, work with the dystonic (dt) rat has engendered dramatic paradigm shifts in dystonia research. The dt rat manifests generalized dystonia caused by deficiency of the neuronally restricted protein caytaxin. Electrophysiological and biochemical studies have shown that defects at the climbing fiber-Purkinje cell synapse in the dt rat lead to abnormal bursting firing patterns in the cerebellar nuclei, which increases linearly with postnatal age. In a general sense, the dt rat has shown the scientific and clinical communities that dystonia can arise from dysfunctional cerebellar cortex. Furthermore, work with the dt rat has provided evidence that dystonia (1) is a neurodevelopmental network disorder and (2) can be driven by abnormal cerebellar output. In large part, work with other animal models has expanded upon studies in the dt rat and shown that primary dystonia is a multi-nodal network disorder associated with defective sensorimotor integration. In addition, experiments in genetically engineered models have been used to examine the underlying cellular pathologies that drive primary dystonia. This article is part of a Special Issue entitled "Advances in dystonia".
肌张力障碍是一种运动障碍,其特征是肌肉不自主收缩,导致异常姿势。遗传因素对原发性肌张力障碍有重要贡献。相比之下,继发性肌张力障碍可由多种代谢、结构、感染、毒性和炎症因素对神经系统的损害引起。尽管经典地归因于基底节功能障碍,但对各种动物模型的研究指出,肌张力障碍是一种网络障碍,异常橄榄小脑信号有重要贡献。特别是,对张力障碍(dt)大鼠的研究引发了肌张力障碍研究的重大范式转变。dt 大鼠表现出广泛的肌张力障碍,由神经元限制蛋白 caytaxin 的缺乏引起。电生理和生化研究表明,dt 大鼠的 climbing fiber-Purkinje 细胞突触缺陷导致小脑核中异常爆发式放电模式,该模式随出生后年龄线性增加。一般来说,dt 大鼠向科学界和临床界表明,肌张力障碍可以由小脑皮质功能障碍引起。此外,dt 大鼠的研究还提供了证据表明,肌张力障碍 (1) 是一种神经发育网络障碍,(2) 可以由异常小脑输出驱动。在很大程度上,其他动物模型的研究扩展了 dt 大鼠的研究,并表明原发性肌张力障碍是一种与感觉运动整合缺陷相关的多节点网络障碍。此外,在基因工程模型中的实验已被用于研究驱动原发性肌张力障碍的潜在细胞病理学。本文是专题“肌张力障碍进展”的一部分。