Vairetti Mariapia, Ferrigno Andrea, Rizzo Vittoria, Ambrosi Giulia, Bianchi Alberto, Richelmi Plinio, Blandini Fabio, Armentero Marie-Therese
Department of Internal Medicine and Therapeutics, University of Pavia, Italy.
Biochim Biophys Acta. 2012 Feb;1822(2):176-84. doi: 10.1016/j.bbadis.2011.11.008. Epub 2011 Nov 15.
In Parkinson's disease (PD), aside from the central lesion, involvement of visceral organs has been proposed as part of the complex clinical picture of the disease. The issue is still poorly understood and relatively unexplored. In this study we used a classic rodent model of nigrostriatal degeneration, induced by the intrastriatal injection of 6-hydroxydopamine (6-OHDA), to investigate whether and how a PD-like central dopaminergic denervation may influence hepatic functions. Rats received an intrastriatal injection of 6-OHDA or saline (sham), and blood, cerebrospinal fluid, liver and brain samples were obtained for up to 8 weeks after surgery. Specimens were analyzed for changes in cytokine and thyroid hormone levels, as well as liver mitochondrial alterations. Hepatic mitochondria isolated from animals bearing extended nigrostriatal lesion displayed increased ROS production, while membrane potential (ΔΨ) and ATP production were significantly decreased. Reduced ATP production correlated with nigral neuronal loss. Thyroid hormone levels were significantly increased in serum of PD rats compared to sham animals while steady expression of selected cytokines was detected in all groups. Hepatic enzyme functions were comparable in all animals. Our study indicates for the first time that in a rodent model of PD, hepatic mitochondria dysfunctions arise as a consequence of nigrostriatal degeneration, and that thyroid hormone represents a key interface in this CNS-liver interaction. Liver plays a fundamental detoxifying function and a better understanding of PD-related hepatic mitochondrial alterations, which might further promote neurodegeneration, may represent an important step for the development of novel therapeutic strategies.
在帕金森病(PD)中,除了中枢性病变外,内脏器官受累也被认为是该疾病复杂临床表现的一部分。这个问题目前仍了解甚少且相对未被深入研究。在本研究中,我们使用经典的黑质纹状体变性啮齿动物模型,通过纹状体内注射6-羟基多巴胺(6-OHDA)诱导,来研究类似PD的中枢多巴胺能去神经支配是否以及如何影响肝功能。大鼠接受纹状体内注射6-OHDA或生理盐水(假手术组),并在术后长达8周获取血液、脑脊液、肝脏和脑样本。对样本进行细胞因子和甲状腺激素水平变化以及肝线粒体改变的分析。从患有广泛黑质纹状体损伤的动物分离出的肝线粒体显示活性氧生成增加,而膜电位(ΔΨ)和ATP生成显著降低。ATP生成减少与黑质神经元丢失相关。与假手术动物相比,PD大鼠血清中的甲状腺激素水平显著升高,而所有组中选定细胞因子的表达稳定。所有动物的肝酶功能相当。我们的研究首次表明,在PD啮齿动物模型中,肝线粒体功能障碍是黑质纹状体变性的结果,并且甲状腺激素是这种中枢神经系统-肝脏相互作用中的关键环节。肝脏发挥着基本的解毒功能,更好地理解与PD相关的肝线粒体改变(这可能会进一步促进神经退行性变),可能是开发新治疗策略的重要一步。