Center of Excellence for Aging & Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Med Hypotheses. 2013 Oct;81(4):675-80. doi: 10.1016/j.mehy.2013.07.025. Epub 2013 Aug 6.
Parkinson's disease (PD) affects more than 1% of population over 65 and it is characterized by gradual loss of nigrostriatal dopaminergic neurons and wide spread accumulation of α-synuclein. Collectively 30% of familial and 3-5% of sporadic form of PD are associated with genetic mutation. Compelling evidence implicates that in addition to inherited factors, acquired co-morbidities contribute to PD pathology. Here, we hypothesize that traumatic brain injury (TBI) exacerbates nigrostriatal dopaminergic degeneration by modulating PD-associated genes including α-synuclein, DJ-1, LRRK2, among others. Thus this article will present speculative arguments of a genetic component contributing to this TBI and PD pathological overlap.
帕金森病(PD)影响超过 65 岁的人口的 1%,其特征是黑质纹状体多巴胺能神经元逐渐丧失和α-突触核蛋白广泛积累。家族性的 30%和散发性的 3-5%的 PD 与遗传突变有关。有强有力的证据表明,除了遗传因素外,获得性合并症也导致 PD 病理学。在这里,我们假设创伤性脑损伤(TBI)通过调节与 PD 相关的基因,包括α-突触核蛋白、DJ-1、LRRK2 等,加剧黑质纹状体多巴胺能变性。因此,本文将提出一个遗传因素对 TBI 和 PD 病理重叠的假设。