Department of Neurology, Emory University, Atlanta, GA 30322, USA.
Neurobiol Dis. 2013 Jun;54:362-71. doi: 10.1016/j.nbd.2013.01.008. Epub 2013 Jan 19.
The dystonias are comprised of a group of disorders that share common neurological abnormalities of involuntary twisting or repetitive movements and postures. The most common inherited primary dystonia is DYT1 dystonia, which is due to loss of a GAG codon in the TOR1A gene that encodes torsinA. Autopsy studies of brains from patients with DYT1 dystonia have revealed few abnormalities, although recent neuroimaging studies have implied the existence of microstructural defects that might not be detectable with traditional histopathological methods. The current studies took advantage of a knock-in mouse model for DYT1 dystonia to search for subtle anatomical abnormalities in the striatum, a region often implicated in studies of dystonia. Multiple abnormalities were identified using a combination of quantitative stereological measures of immunohistochemical stains for specific neuronal populations, morphometric studies of Golgi-stained neurons, and immuno-electron microscopy of synaptic connectivity. In keeping with other studies, there was no obvious loss of striatal neurons in the DYT1 mutant mice. However, interneurons immunoreactive for choline acetyltransferase or parvalbumin were larger in the mutants than in control mice. In contrast, interneurons immunoreactive for neuronal nitric oxide synthase were smaller in the mutants than in controls. Golgi histochemical studies of medium spiny projection neurons in the mutant mice revealed slightly fewer and thinner dendrites, and a corresponding loss of dendritic spines. Electron microscopic studies showed a reduction in the ratio of axo-spinous to axo-dendritic synaptic inputs from glutamatergic and dopaminergic sources in mutant mice compared with controls. These results suggest specific anatomical substrates for altered signaling in the striatum and potential correlates of the abnormalities implied by human imaging studies of DYT1 dystonia.
扭转痉挛是一组具有共同的非随意扭曲或重复运动和姿势的神经异常的疾病。最常见的遗传性原发性扭转痉挛是 DYT1 型扭转痉挛,其病因是编码 torsinA 的 TOR1A 基因中的 GAG 密码子缺失。对 DYT1 型扭转痉挛患者的大脑进行尸检研究发现,只有少数异常,尽管最近的神经影像学研究表明存在微观结构缺陷,但这些缺陷可能无法通过传统的组织病理学方法检测到。目前的研究利用 DYT1 型扭转痉挛的敲入小鼠模型,在纹状体中寻找细微的解剖异常,纹状体是扭转痉挛研究中经常涉及的区域。使用针对特定神经元群体的免疫组织化学染色的定量立体学测量、高尔基染色神经元的形态计量学研究以及突触连接的免疫电子显微镜,确定了多种异常。与其他研究一致,DYT1 突变小鼠的纹状体神经元没有明显丢失。然而,突变小鼠中胆碱乙酰转移酶或 parvalbumin 免疫反应性的中间神经元比对照小鼠更大。相比之下,神经元型一氧化氮合酶免疫反应性的中间神经元在突变小鼠中比对照小鼠小。对突变小鼠的中脑投射神经元的高尔基组织化学研究显示,其树突略少且更细,树突棘相应丢失。电镜研究显示,与对照组相比,突变小鼠来自谷氨酸能和多巴胺能来源的轴突-棘突和轴突-树突突触输入的比例降低。这些结果表明纹状体中信号转导的特定解剖基质,以及人类 DYT1 型扭转痉挛成像研究暗示的异常的潜在相关性。