Liu Huan, Lin Yu-Han, Cheng Jiu-Hua, Cai Yue, Yu Jin-Wen, Ma Jin, Gao Dong-Ming
Key Laboratory of Aerospace Medicine, Ministry of Education, Xi'an 710032, China.
Sheng Li Xue Bao. 2011 Aug 25;63(4):311-8.
Parkinson's disease is a progressive neurodegenerative disorder characterized clinically by rigidity, akinesia, resting tremor and postural instability. It has recently been suggested that low frequency stimulation of the pedunculopontine nucleus (PPN) has a role in the therapy for Parkinsonism, particularly in gait disorder and postural instability. However, there is limited information about the mechanism of low frequency stimulation of the PPN on Parkinson's disease. The present study was to investigate the effect and mechanism of low frequency stimulation of the PPN on the firing rate of the ventrolateral thalamic nucleus (VL) in a rat model with unilateral 6-hydroxydopamine lesioning of the substantia nigra pars compacta. In vivo extracellular recording and microiontophoresis were adopted. The results showed that the firing rate of 60.71% VL neurons in normal rats and 59.57% VL neurons in 6-hydroxydopamine lesioned rats increased with low frequency stimulation of the PPN. Using microiontophoresis to VL neurons, we found the firing rate in VL neurons responded with either an increase or decrease in application of acetylcholine (ACh) in normal rats, whereas with a predominant decrease in M receptor antagonist atropine. Furthermore, the VL neurons were mainly inhibited by application of γ-aminobutyric acid (GABA) and excited by GABA(A) receptor antagonist bicuculline. Importantly, the VL neurons responding to ACh were also inhibited by application of GABA. We also found that the excitatory response of the VL neurons to the low frequency stimulation of the PPN was significantly reversed by microiontophoresis of atropine. These results demonstrate that cholinergic and GABAergic afferent nerve fibers may converge on the same VL neurons and they are involved in the effects of low frequency stimulation of the PPN, with ACh combining M(2) receptors on the presynaptic membrane of GABAergic afferents, which will inhibit the release of GABA in the VL and then improve the symptoms of Parkinson's disease.
帕金森病是一种进行性神经退行性疾病,临床上以僵硬、运动不能、静止性震颤和姿势不稳为特征。最近有人提出,低频刺激脚桥核(PPN)在帕金森病的治疗中发挥作用,尤其是在步态障碍和姿势不稳方面。然而,关于低频刺激PPN治疗帕金森病的机制,目前的信息有限。本研究旨在探讨在单侧黑质致密部6-羟基多巴胺损伤的大鼠模型中,低频刺激PPN对腹外侧丘脑核(VL)放电频率的影响及其机制。采用体内细胞外记录和微离子透入法。结果显示,正常大鼠中60.71%的VL神经元和6-羟基多巴胺损伤大鼠中59.57%的VL神经元在低频刺激PPN时放电频率增加。对VL神经元进行微离子透入时,我们发现正常大鼠中,VL神经元在应用乙酰胆碱(ACh)时放电频率会增加或降低,而在应用M受体拮抗剂阿托品时则主要降低。此外,VL神经元主要受到γ-氨基丁酸(GABA)的抑制,而受到GABA(A)受体拮抗剂荷包牡丹碱的兴奋。重要的是,对ACh有反应的VL神经元在应用GABA时也会受到抑制。我们还发现,阿托品微离子透入可显著逆转VL神经元对PPN低频刺激的兴奋反应。这些结果表明,胆碱能和GABA能传入神经纤维可能汇聚于同一VL神经元,它们参与了低频刺激PPN的效应,其中ACh与GABA能传入神经突触前膜上的M(2)受体结合,这将抑制VL中GABA的释放,进而改善帕金森病的症状。