Miller Benjamin Ray, Bezprozvanny Ilya
Department of Physiology, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390, USA.
Future Neurol. 2010 Sep;5(5):735-756. doi: 10.2217/fnl.10.41.
Huntington's disease (HD) is a noncurable and progressive autosomal-dominant neurodegenerative disorder that results from a polyglutamine expansion in the amino-terminal region of the huntingtin protein. The generation of rodent HD models has revealed that cellular dysfunction, rather than cell death alone, occurs early in the disease progression, appearing even before overt symptom onset. Much evidence has now established that dysfunction of the corticostriatal circuit is key to HD symptomology. In this article, we summarize the most current findings that implicate glutamate, dopamine and calcium signaling in this system and discuss how they work in concert to disrupt corticostriatal function. In addition, we highlight therapeutic strategies related to altered corticostriatal signaling in HD.
亨廷顿舞蹈症(HD)是一种无法治愈的进行性常染色体显性神经退行性疾病,由亨廷顿蛋白氨基末端区域的多聚谷氨酰胺扩增引起。啮齿动物HD模型的建立表明,细胞功能障碍而非单纯的细胞死亡在疾病进展早期就已出现,甚至在明显症状出现之前就已存在。现在有大量证据表明,皮质纹状体回路功能障碍是HD症状学的关键。在本文中,我们总结了目前最新的研究结果,这些结果表明谷氨酸、多巴胺和钙信号在该系统中起作用,并讨论它们如何协同作用破坏皮质纹状体功能。此外,我们重点介绍了与HD中皮质纹状体信号改变相关的治疗策略。