Hirai S, Tanaka M, Sotomatsu A
Department of Neurology, Gunma University School of Medicine.
Nihon Ronen Igakkai Zasshi. 1990 Mar;27(2):171-6.
Degenerative diseases of the nervous system which are considered to be related to free radicals are Parkinson's disease and Alzheimer-type dementia (ATD). Parkinson's disease is characterized by appearance of Leyw's body and degeneration of nigrostriatal dopaminergic system. But the most fundamental cause of this disease remains still unknown. The fact that H2O2 is formed in the process of oxidative deamination of catecholamines and some substances which can cause Parkinsonism in animal experiments also produce active oxygen in the metabolic processes suggest the important role of free radicals in the pathogenesis of Parkinson's disease. We recently observed that addition of DOPA and Fe3(+)-ADP complex to the microsomal phospholipid system produced lipid peroxides without participation of active oxygen. Neurons cultured in vitro also decreased significantly with addition of DOPA and Fe3(+)-ADP complex and this harmful effect was prevented by desferoxamine (potent Fe chelating agent) or alpha-tocopherol (antioxidant). These results may suggest that lipid peroxidation can occur by interaction of naturally existing substances in the dopaminergic system and induce cell damage. As regards ATD, there is still no definite evidence to support the implication of free radicals in its pathogenesis. However, there are reports that lipid peroxides increase significantly in the brains of patients with ATD. Moreover, recent advances in the study of amyloid in the senile plaque revealed close relationship of ATD to chromosome 21.(ABSTRACT TRUNCATED AT 250 WORDS)
被认为与自由基相关的神经系统退行性疾病是帕金森病和阿尔茨海默型痴呆(ATD)。帕金森病的特征是出现路易小体和黑质纹状体多巴胺能系统的退化。但这种疾病最根本的病因仍然不明。儿茶酚胺氧化脱氨过程中会形成过氧化氢,并且一些在动物实验中可导致帕金森症的物质在代谢过程中也会产生活性氧,这一事实表明自由基在帕金森病发病机制中具有重要作用。我们最近观察到,向微粒体磷脂系统中添加多巴和Fe3(+)-ADP复合物可在无活性氧参与的情况下产生脂质过氧化物。体外培养的神经元在添加多巴和Fe3(+)-ADP复合物后也显著减少,而这种有害作用可被去铁胺(强效铁螯合剂)或α-生育酚(抗氧化剂)阻止。这些结果可能表明,多巴胺能系统中天然存在的物质相互作用可导致脂质过氧化并诱导细胞损伤。至于ATD,仍然没有确凿证据支持自由基在其发病机制中的作用。然而,有报道称ATD患者大脑中的脂质过氧化物显著增加。此外,近期关于老年斑中淀粉样蛋白的研究进展揭示了ATD与21号染色体的密切关系。(摘要截选至250词)