Department of Molecular Neurology, University Hospital Erlangen, Schwabachanlage 6, 91054, Erlangen, Germany.
Cell Mol Life Sci. 2013 Feb;70(3):459-73. doi: 10.1007/s00018-012-1062-x. Epub 2012 Jul 6.
Parkinson's disease (PD), the second most common neurodegenerative disorder, affects 1-2 % of humans aged 60 years and older. The diagnosis of PD is based on motor symptoms such as bradykinesia, rigidity, tremor, and postural instability associated with the striatal dopaminergic deficit that is linked to neurodegenerative processes in the substantia nigra (SN). In the past, cellular replacement strategies have been evaluated for their potential to alleviate these symptoms. Adult neurogenesis, the generation of new neurons within two proliferative niches in the adult brain, is being intensively studied as one potential mode for cell-based therapies. The subventricular zone provides new neurons for the olfactory bulb functionally contributing to olfaction. The subgranular zone of the hippocampus produces new granule neurons for the dentate gyrus, required for memory formation and proper processing of anxiety provoking stimuli. Recent years have revealed that PD is associated with non-motor symptoms such as hyposmia, anhedonia, lack of novelty seeking behavior, depression, and anxiety that are not directly associated with neurodegenerative processes in the SN. This broad spectrum of non-motor symptoms may partly rely on proper olfactorial processing and hippocampal function. Therefore, it is conceivable that some non-motor deficits in PD are related to defective adult neurogenesis. Accordingly, in animal models and postmortem studies of PD, adult neurogenesis is severely affected, although the exact mechanisms and effects of these changes are not yet fully understood or are under debate due to conflicting results. Here, we review the current concepts related to the dynamic interplay between endogenous cellular plasticity and PD-associated pathology.
帕金森病(PD)是第二常见的神经退行性疾病,影响 60 岁及以上人群的 1-2%。PD 的诊断基于运动症状,如运动迟缓、僵硬、震颤和姿势不稳,这些症状与纹状体多巴胺能缺陷有关,而纹状体多巴胺能缺陷与黑质(SN)中的神经退行性过程有关。过去,人们评估了细胞替代策略在缓解这些症状方面的潜力。成人神经发生是指在成人大脑的两个增殖龛内产生新神经元,作为细胞治疗的一种潜在模式,正在被深入研究。室下区为嗅球提供新的神经元,对嗅觉功能有贡献。海马的颗粒下层产生新的颗粒神经元,用于齿状回的形成,这对于记忆形成和适当处理引起焦虑的刺激是必要的。近年来的研究表明,PD 与非运动症状有关,如嗅觉减退、快感缺失、缺乏新奇寻求行为、抑郁和焦虑,这些症状与 SN 中的神经退行性过程并无直接关系。这种广泛的非运动症状可能部分依赖于适当的嗅觉处理和海马功能。因此,可以想象 PD 中的一些非运动缺陷与成人神经发生缺陷有关。因此,在 PD 的动物模型和尸检研究中,成人神经发生受到严重影响,尽管这些变化的确切机制和影响尚不完全清楚,或者由于结果相互矛盾而存在争议。在这里,我们综述了与内源性细胞可塑性和与 PD 相关的病理学之间的动态相互作用相关的当前概念。