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鼻腔内给予 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP):一种用于测试帕金森病姑息治疗和神经保护剂的新啮齿动物模型。

The intranasal administration of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP): a new rodent model to test palliative and neuroprotective agents for Parkinson's disease.

机构信息

Departamento de Farmacologia, Universidade Federal de Santa Catarina, Campus Trindade, 88049-900, Florianópolis, SC, Brazil.

出版信息

Curr Pharm Des. 2011;17(5):489-507. doi: 10.2174/138161211795164095.

Abstract

Parkinson's disease (PD) is the second most common neurodegenerative disorder affecting approximately 1% of the population older than 60 years. Classically, PD is considered to be a motor system disease and its diagnosis is based on the presence of a set of cardinal motor signs that are consequence of a pronounced death of dopaminergic neurons in the substantia nigra pars compacta (SNc). Nowadays there is considerable evidence showing that non-dopaminergic degeneration also occurs in other brain areas which seems to be responsible for the deficits in olfactory, emotional and memory functions that precede the classical motor symptoms in PD. Dopamine-replacement therapy has dominated the treatment of PD and although the currently approved antiparkinsonian agents offer effective relief of the motor deficits, they have not been found to alleviate the non-motor features as well as the underlying dopaminergic neuron degeneration and thus drug efficacy is gradually lost. Another major limitation of chronic dopaminergic therapy is the numerous adverse effects such as dyskinesias, psychosis and behavioral disturbance. The development of new therapies in PD depends on the existence of representative animal models to facilitate the evaluation of new pharmacological agents before they are applied in clinical trials. We have recently proposed a new experimental model of PD consisting of a single intranasal (i.n.) administration of the proneurotoxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP, 1 mg/nostril) in rodents. Our findings demonstrated that rats and mice treated intranasally with MPTP suffer impairments in olfactory, cognitive, emotional and motor functions conceivably analogous to those observed during different stages of PD. Such infusion causes time-dependent loss of tyrosine hydroxylase in the olfactory bulb and SNc, resulting in significant dopamine depletion in different brain areas. We have also identified some pathogenic mechanisms possibly involved in the neurodegeneration induced by i.n. administration of MPTP including mitochondrial dysfunction, oxidative stress, activation of apoptotic cell death mechanisms and glutamatergic excitotoxicity. Therefore, the present review attempts to provide a comprehensive picture of the i.n. MPTP model and to highlight recent findings from our group showing its potential as a valuable rodent model for testing novel drugs that may provide alternative or adjunctive treatment for both motor and non-motor symptoms relief with a reduced side-effect profile as well as the discovery of compounds to modify the course of PD.

摘要

帕金森病(PD)是第二大常见的神经退行性疾病,影响着大约 1%的 60 岁以上人群。经典上,PD 被认为是一种运动系统疾病,其诊断基于一组主要运动体征的存在,这些体征是由于黑质致密部(SNc)中多巴胺能神经元的明显死亡所致。如今,有大量证据表明,非多巴胺能变性也发生在其他脑区,这似乎是导致 PD 中嗅觉、情绪和记忆功能缺陷的原因,这些缺陷先于经典运动症状出现。多巴胺替代疗法一直主导着 PD 的治疗,尽管目前批准的抗帕金森药物有效地缓解了运动缺陷,但它们并没有被发现能缓解非运动特征以及潜在的多巴胺能神经元变性,因此药物疗效逐渐丧失。慢性多巴胺能治疗的另一个主要局限性是存在许多不良反应,如运动障碍、精神病和行为障碍。PD 中新疗法的发展取决于存在代表性的动物模型,以便在临床试验前评估新的药理学药物。我们最近提出了一种新的 PD 实验模型,包括单次鼻腔内(i.n.)给予神经原毒素 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP,1 mg/鼻孔)。我们的研究结果表明,经鼻腔内给予 MPTP 的大鼠和小鼠在嗅觉、认知、情绪和运动功能方面受到损害,这些损害与 PD 不同阶段观察到的损害类似。这种输注会导致嗅球和 SNc 中酪氨酸羟化酶的时间依赖性丧失,导致不同脑区的多巴胺明显耗竭。我们还确定了一些可能与 i.n. MPTP 给药引起的神经退行性变有关的发病机制,包括线粒体功能障碍、氧化应激、凋亡细胞死亡机制的激活和谷氨酸兴奋性毒性。因此,本综述试图提供 i.n. MPTP 模型的全面描述,并强调我们小组的最新发现,该模型显示其作为一种有价值的啮齿动物模型的潜力,用于测试可能为运动和非运动症状缓解提供替代或辅助治疗的新药,同时具有降低的副作用谱,以及发现可改变 PD 病程的化合物。

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