Department of Neurological Surgery, Okayama University Medical School, Okayama 700-8558, Japan.
Restor Neurol Neurosci. 2000 Jan 1;17(1):31-8.
Neurotrophic factor delivery into the brain is a promising approach in the treatment of Parkinson's disease. Glial cell line-derived neurotrophic factor (GDNF) is one of the most potent neurotrophic factors for dopaminergic neurons. Although multiple injections of GDNF into the brain are commonly performed in experimental studies, the present study investigates the efficacy of using a single injection of GDNF, which may be useful in elinically applying this treatment.
Unilateral 6-hydroxydoparnine (6-OHDA) administration into the striatum was perforrned in Sprague-Dawley rats to create a partial lesion of the nigrostriatal DA system. These parkinsonian model rats received a single injection of human recombinant GDNF into the same portion of the striatum either 24 h before or 4 weeks after 6-OHDA treatrnent.
GDNF injected into the striatum before 6-OHDA administration potently protected the dopaminergic system, as shown by the numbers of mesencephalic dopaminergie neuron cell bodies and dopaminergic nerve terminal densities in the striatum. Dopaminergic neuron cell bodies and fiber densities were also significantly restored when GDNF was given after 6-OHDA administration, although the degree of restoration was lower than in the protective experiment. ODNF administration ameliorated apomorphine-induced rotational behavior in animals receiving it either before or after 6-OHDA treatment. However, the degree of improvement was less prominent when GDNF was iniected after 6-OHDA.
Intracerebral GDNF adininistration exerts both protective and regenerative effects on the nigrostriatal dopaminergic system, a finding which may have implications for the development of new treatment strategies for Parkinson's disease.
神经营养因子脑内递呈是治疗帕金森病的有前途的方法。胶质细胞源性神经营养因子(GDNF)是最强的多巴胺能神经元神经营养因子之一。虽然在实验研究中通常进行脑内 GDNF 的多次注射,但本研究调查单次 GDNF 注射的疗效,这在临床上应用该治疗可能是有用的。
在 Sprague-Dawley 大鼠中进行单侧 6-羟多巴胺(6-OHDA)注射到纹状体以建立黑质纹状体多巴胺能系统的部分损伤。这些帕金森病模型大鼠在 6-OHDA 处理前 24 小时或 4 周后将人重组 GDNF 单次注射到纹状体的相同部位。
GDNF 在 6-OHDA 给药前注入纹状体强烈保护多巴胺能系统,如中脑多巴胺能神经元细胞体和纹状体多巴胺能神经末梢密度的数量所示。当 GDNF 在 6-OHDA 给药后给予时,多巴胺能神经元细胞体和纤维密度也显著恢复,尽管恢复程度低于保护实验。ONDF 给药改善了接受它的动物在 6-OHDA 处理前后的阿朴吗啡诱导的旋转行为。然而,当 GDNF 在 6-OHDA 后注入时,改善程度不那么明显。
脑内 GDNF 给药对黑质纹状体多巴胺能系统具有保护和再生作用,这可能对开发帕金森病的新治疗策略具有重要意义。