Departamento de Farmacologia, Centro de Ciências Biológicas, Universidade Federal de Santa Catarina, UFSC, Campus Trindade, Florianópolis, SC, 88049-900, Brazil.
Neurotox Res. 2012 Jan;21(1):90-116. doi: 10.1007/s12640-011-9281-8. Epub 2011 Oct 15.
The causes of Parkinson's disease (PD) are unknown, but there is evidence that exposure to environmental agents, including a number of viruses, toxins, agricultural chemicals, dietary nutrients, and metals, is associated with its development in some cases. The presence of smell loss and the pathological involvement of the olfactory pathways in the early stages of PD are in accord with the tenants of the olfactory vector hypothesis. This hypothesis postulates that some forms of PD may be caused or catalyzed by environmental agents that enter the brain via the olfactory mucosa. In this article, we provide an overview of evidence implicating xenobiotics agents in the etiology of PD and review animal, mostly rodent, studies in which toxicants have been introduced into the nose in an attempt to induce behavioral or neurochemical changes similar to those seen in PD. The available data suggest that this route of exposure results in highly variable outcomes, depending upon the involved xenobiotic, exposure history, and the age and species of the animals tested. Some compounds, such as rotenone, paraquat, and 6-hydroxydopamine, have limited capacity to reach and damage the nigrostriatal dopaminergic system via the intranasal route. Others, such as 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), readily enter the brain via this route in some species and influence the function of the nigrostriatal pathway. Intranasal infusion of MPTP in some rodents elicits a developmental sequence of behavioral and neurochemical changes that closely mimics that seen in PD. For this reason, such an MPTP rodent model appears to be an ecologically valid means for assessing novel palliative treatments for both the motor and non-motor symptoms of PD. More research is needed, however, on this and other ecologically valid models.
帕金森病(PD)的病因不明,但有证据表明,接触环境因素,包括许多病毒、毒素、农业化学品、膳食营养素和金属,与某些情况下的发病有关。嗅觉丧失的存在和嗅觉通路在 PD 早期的病理性参与与嗅觉载体假说的原则是一致的。该假说假设,某些形式的 PD 可能是由通过嗅黏膜进入大脑的环境因素引起或催化的。本文综述了外源性化合物在 PD 病因学中的作用的证据,并回顾了动物(主要是啮齿动物)研究,其中将毒物引入鼻腔,试图诱导类似于 PD 所见的行为或神经化学变化。可用数据表明,这种暴露途径的结果高度可变,取决于所涉及的外源性化合物、暴露史以及所测试动物的年龄和物种。一些化合物,如鱼藤酮、百草枯和 6-羟多巴胺,通过鼻内途径到达并损伤黑质纹状体多巴胺能系统的能力有限。其他化合物,如 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP),在某些物种中通过该途径很容易进入大脑,并影响黑质纹状体通路的功能。在一些啮齿动物中,MPTP 的鼻内输注会引发行为和神经化学变化的发育序列,与 PD 中所见的非常相似。出于这个原因,这种 MPTP 啮齿动物模型似乎是评估 PD 的运动和非运动症状的新型姑息治疗方法的生态有效手段。然而,还需要对这种模型和其他生态有效模型进行更多的研究。