CURE: Digestive Diseases Research Center and Center for Neurobiology of Stress, Department of Medicine, Division of Digestive Diseases, David Geffen School of Medicine, University of California Los Angeles and Veteran Affairs Greater Los Angeles Healthcare System, Los Angeles, USA.
Neurogastroenterol Motil. 2012 Sep;24(9):e425-36. doi: 10.1111/j.1365-2982.2012.01974.x. Epub 2012 Jul 11.
Prevalent non-motor symptoms of Parkinson's disease (PD) include gastrointestinal motor impairments and advanced stage PD displays pathological aggregates of α-synuclein in colonic enteric neurons. We previously showed that 12 months old mice overexpressing human wild type (WT) α-synuclein under the Thy1 promoter (Thy1-aSyn) displayed colonic motor dysfunction. We investigated functional gut alterations at earlier ages and histological correlates.
Defecation, gastric emptying (GE), and immunostaining for α-synuclein, peripheral choline acetyltransferase (pChAT), tyrosine hydroxylase (TH), neuronal nitric oxide synthase (nNOS), and vasoactive intestinal peptide (VIP) in distal colon myenteric plexuses were assessed in male Thy1-aSyn compared to littermate WT mice.
Thy1-aSyn mice aged 2.5-3 or 7-8 months old had 81% and 55% reduction in fecal pellet output, respectively, in the first 15 min of exposure to a novel environment. The reduction remained significant in the older group for 2-h, and subsequent refeeding resulted also in a 60% and 69% reduction of defecation in the first hour, respectively. Thy1-aSyn mice (8-10 months) displayed increased α-synuclein in the myenteric plexuses with abundant varicose terminals surrounding pChAT-immunoreactive (ir) neurons, and only a few, nNOS-ir neurons. There were no conspicuous changes in pChAT- and nNOS-ir neurons, or TH- and VIP-ir nerve fibers. Thy1-aSyn mice aged 4-18 months had normal GE.
CONCLUSIONS & INFERENCES: The occurrence of over-production of pre-synaptic α-synuclein in colonic myenteric ganglia several months before the loss of striatal dopamine may provide an anatomical basis for interference with cholinergic neuronal activation, causing an early impairment in defecation to stimuli.
帕金森病(PD)的常见非运动症状包括胃肠道运动障碍,而晚期 PD 显示出α-突触核蛋白在结肠肠神经元中的病理性聚集。我们之前的研究表明,在 Thy1 启动子(Thy1-aSyn)下过表达人野生型(WT)α-突触核蛋白的 12 个月大的小鼠表现出结肠运动功能障碍。我们研究了更早时期的功能性肠道改变和组织学相关性。
雄性 Thy1-aSyn 与同窝 WT 小鼠相比,评估了粪便排出、胃排空(GE)、以及在远端结肠肌间神经丛中α-突触核蛋白、周围胆碱乙酰转移酶(pChAT)、酪氨酸羟化酶(TH)、神经元型一氧化氮合酶(nNOS)和血管活性肠肽(VIP)的免疫染色。
2.5-3 个月或 7-8 个月大的 Thy1-aSyn 小鼠在暴露于新环境的前 15 分钟内粪便颗粒排出量减少了 81%和 55%,在较年长的组中,这种减少仍然显著,随后再喂食也分别导致前 1 小时的粪便排出量减少了 60%和 69%。Thy1-aSyn 小鼠(8-10 个月)在肌间神经丛中显示出大量曲张末梢围绕 pChAT-免疫反应性(ir)神经元的α-突触核蛋白增加,只有少数 nNOS-ir 神经元。pChAT-和 nNOS-ir 神经元或 TH-和 VIP-ir 神经纤维没有明显变化。4-18 个月大的 Thy1-aSyn 小鼠的 GE 正常。
在纹状体多巴胺丢失前数月,结肠肌间神经节中突触前α-突触核蛋白的过度产生可能为干扰胆碱能神经元激活提供解剖学基础,导致对刺激的早期排便功能障碍。