Department of Neurology, The David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1769, USA.
Neurobiol Dis. 2012 Jun;46(3):597-606. doi: 10.1016/j.nbd.2011.12.040. Epub 2012 Jan 3.
The non-motor symptoms (NMS) of Parkinson's disease (PD) occur in roughly 90% of patients, have a profound negative impact on their quality of life, and often go undiagnosed. NMS typically involve many functional systems, and include sleep disturbances, neuropsychiatric and cognitive deficits, and autonomic and sensory dysfunction. The development and use of animal models have provided valuable insight into the classical motor symptoms of PD over the past few decades. Toxin-induced models provide a suitable approach to study aspects of the disease that derive from the loss of nigrostriatal dopaminergic neurons, a cardinal feature of PD. This also includes some NMS, primarily cognitive dysfunction. However, several NMS poorly respond to dopaminergic treatments, suggesting that they may be due to other pathologies. Recently developed genetic models of PD are providing new ways to model these NMS and identify their mechanisms. This review summarizes the current available literature on the ability of both toxin-induced and genetically-based animal models to reproduce the NMS of PD.
帕金森病(PD)的非运动症状(NMS)发生在大约 90%的患者中,对他们的生活质量产生了深远的负面影响,而且往往未被诊断出来。NMS 通常涉及多个功能系统,包括睡眠障碍、神经精神和认知缺陷以及自主和感觉功能障碍。在过去几十年中,动物模型的发展和使用为研究 PD 的经典运动症状提供了宝贵的见解。毒素诱导的模型为研究源自黑质纹状体多巴胺能神经元丧失的疾病方面提供了一种合适的方法,这是 PD 的一个主要特征。这也包括一些 NMS,主要是认知功能障碍。然而,一些 NMS 对多巴胺能治疗反应不佳,表明它们可能是由其他病理学引起的。最近开发的 PD 基因模型为模拟这些 NMS 并确定其机制提供了新的途径。这篇综述总结了目前关于毒素诱导和基于遗传的动物模型再现 PD 的 NMS 的能力的现有文献。