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甲基苯丙胺自我给药会导致持续性多巴胺能病理改变:对帕金森病风险及奖赏寻求行为的影响

Methamphetamine self-administration results in persistent dopaminergic pathology: implications for Parkinson's disease risk and reward-seeking.

作者信息

Kousik Sharanya M, Carvey Paul M, Napier T Celeste

机构信息

Center for Compulsive Behavior and Addiction, Rush University Medical Center, Chicago, IL, USA; Department of Pharmacology, Rush University Medical Center, Chicago, IL, USA.

出版信息

Eur J Neurosci. 2014 Aug;40(4):2707-14. doi: 10.1111/ejn.12628. Epub 2014 May 30.

Abstract

Methamphetamine (Meth) abuse may be a risk factor for Parkinson's disease (PD); a problematic event as approximately 33 million people abuse Meth worldwide. The current study determined if a mild form of PD-like nigrostriatal pathology occurred following forced abstinence in Meth self-administering rats. The average daily intake of self-administered Meth was 3.6 ± 0.2 mg/kg/3 h over 14 sessions. Subsequently, animals were killed and the brains harvested at 1, 7, 28 or 56 days of abstinence. Post mortem, tyrosine hydroxylase (TH) immunostaining in the dorsal striatum progressively decreased throughout abstinence, reaching a 50% loss at 56 days. In the substantia nigra, there was marked reduction of TH+ cells, and Fluorogold (retrograde tracer) transport from the striatum to the nigra, at 28 and 56 days after Meth. Thus, Meth-induced progressive nigrostriatal damage occurred retrogradely, similar to PD pathology. The mesolimbic dopamine pathway [i.e. ventral tegmental area (VTA) and nucleus accumbens (NAc)], critical for Meth-induced reward, was also evaluated. TH immunostaining was decreased in the NAc-core at 28 and 56 days of forced abstinence, while staining in the dorsomedial NAc-shell was preserved. Accordingly, TH+ cell loss was evident in the lateral VTA, the origin of projections to the NAc-core, but not the medial VTA where NAc-shell projections originate. Thus, after Meth-taking ceased, a time-dependent, progressive degeneration occurred within nigrostriatal projections that eventually engulfed lateral mesolimbic projections. This pathological pattern is consistent with a trajectory for developing PD; therefore, these findings provide preclinical support for Meth abuse to increase vulnerability to developing PD.

摘要

甲基苯丙胺(冰毒)滥用可能是帕金森病(PD)的一个风险因素;这是一个有问题的情况,因为全球约有3300万人滥用冰毒。当前的研究确定了在自行注射冰毒的大鼠强制戒断后,是否会出现轻度的帕金森病样黑质纹状体病理变化。在14个疗程中,自行注射冰毒的平均每日摄入量为3.6±0.2毫克/千克/3小时。随后,在戒断1、7、28或56天时处死动物并取出大脑。死后,背侧纹状体中的酪氨酸羟化酶(TH)免疫染色在整个戒断过程中逐渐减少,在56天时减少了50%。在黑质中,TH+细胞明显减少,并且在冰毒处理后28天和56天时,从纹状体到黑质的荧光金(逆行示踪剂)运输减少。因此,冰毒诱导的进行性黑质纹状体损伤呈逆行性发生,类似于帕金森病的病理变化。对冰毒诱导的奖赏至关重要的中脑边缘多巴胺通路[即腹侧被盖区(VTA)和伏隔核(NAc)]也进行了评估。在强制戒断28天和56天时,NAc核心区的TH免疫染色减少,而背内侧NAc壳区的染色得以保留。相应地,在投射到NAc核心区的外侧VTA中,TH+细胞明显减少,但投射到NAc壳区的内侧VTA中则没有。因此,在停止吸食冰毒后,黑质纹状体投射中出现了时间依赖性的进行性退化,最终波及外侧中脑边缘投射。这种病理模式与帕金森病的发展轨迹一致;因此,这些发现为冰毒滥用增加患帕金森病的易感性提供了临床前支持。

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