Yadav Amol P, Fuentes Romulo, Zhang Hao, Vinholo Thais, Wang Chi-Han, Freire Marco Aurelio M, Nicolelis Miguel A L
Department of Biomedical Engineering, Duke University, Durham, NC, 27780.
Edmond and Lily Safra Institute of Neuroscience of Natal, Natal, Brazil, 59066-060.
Sci Rep. 2014 Jan 23;4:3839. doi: 10.1038/srep03839.
Although L-dopa continues to be the gold standard for treating motor symptoms of Parkinson's disease (PD), it presents long-term complications. Deep brain stimulation is effective, but only a small percentage of idiopathic PD patients are eligible. Based on results in animal models and a handful of patients, dorsal column stimulation (DCS) has been proposed as a potential therapy for PD. To date, the long-term effects of DCS in animal models have not been quantified. Here, we report that DCS applied twice a week in rats treated with bilateral 6-OHDA striatal infusions led to a significant improvement in symptoms. DCS-treated rats exhibited a higher density of dopaminergic innervation in the striatum and higher neuronal cell count in the substantia nigra pars compacta compared to a control group. These results suggest that DCS has a chronic therapeutical and neuroprotective effect, increasing its potential as a new clinical option for treating PD patients.
尽管左旋多巴仍然是治疗帕金森病(PD)运动症状的金标准,但它存在长期并发症。深部脑刺激是有效的,但只有一小部分特发性PD患者符合条件。基于动物模型和少数患者的结果,背柱刺激(DCS)已被提议作为PD的一种潜在治疗方法。迄今为止,DCS在动物模型中的长期影响尚未量化。在这里,我们报告,每周两次对接受双侧6-OHDA纹状体注射治疗的大鼠进行DCS,可导致症状显著改善。与对照组相比,接受DCS治疗的大鼠纹状体中多巴胺能神经支配密度更高,黑质致密部神经元细胞计数更高。这些结果表明,DCS具有慢性治疗和神经保护作用,增加了其作为治疗PD患者新临床选择的潜力。