Toti Luca, Travagli R Alberto
Department of Neural and Behavioral Sciences, Penn State, College of Medicine, Hershey, Pennsylvania.
Department of Neural and Behavioral Sciences, Penn State, College of Medicine, Hershey, Pennsylvania
Am J Physiol Gastrointest Liver Physiol. 2014 Nov 15;307(10):G1013-23. doi: 10.1152/ajpgi.00258.2014. Epub 2014 Oct 2.
Idiopathic Parkinson's disease (PD) is a late-onset, chronic, and progressive motor dysfunction attributable to loss of nigrostriatal dopamine neurons. Patients with PD experience significant gastrointestinal (GI) issues, including gastroparesis. We aimed to evaluate whether 6-hydroxy-dopamine (6-OHDA)-induced degeneration of dopaminergic neurons in the substantia nigra pars compacta (SNpc) induces gastric dysmotility via dysfunctions of the brain-gut axis. 6-OHDA microinjection into the SNpc induced a >90% decrease in tyrosine hydroxylase-immunoreactivity (IR) on the injection site. The [13C]-octanoic acid breath test showed a delayed gastric emptying 4 wk after the 6-OHDA treatment. In control rats, microinjection of the indirect sympathomimetic, tyramine, in the dorsal vagal complex (DVC) decreased gastric tone and motility; this inhibition was prevented by the fourth ventricular application of either a combination of α1- and α2- or a combination of D1 and D2 receptor antagonists. Conversely, in 6-OHDA-treated rats, whereas DVC microinjection of tyramine had reduced effects on gastric tone or motility, DVC microinjection of thyrotropin-releasing hormone induced a similar increase in motility as in control rats. In 6-OHDA-treated rats, there was a decreased expression of choline acetyl transferase (ChAT)-IR and neuronal nitric oxide synthase (NOS)-IR in DVC neurons but an increase in dopamine-β-hydroxylase-IR in the A2 area. Within the myenteric plexus of the esophagus, stomach, and duodenum, there were no changes in the total number of neurons; however, the percentage of NOS-IR neurons increased, whereas that of ChAT-IR decreased. Our data suggest that the delayed gastric emptying in a 6-OHDA rat model of PD may be caused by neurochemical and neurophysiological alterations in the brain-gut axis.
特发性帕金森病(PD)是一种迟发性、慢性进行性运动功能障碍,由黑质纹状体多巴胺神经元丧失所致。PD患者存在显著的胃肠道(GI)问题,包括胃轻瘫。我们旨在评估黑质致密部(SNpc)中6-羟基多巴胺(6-OHDA)诱导的多巴胺能神经元变性是否通过脑-肠轴功能障碍导致胃动力障碍。向SNpc微量注射6-OHDA导致注射部位酪氨酸羟化酶免疫反应性(IR)降低>90%。[13C] -辛酸呼气试验显示,6-OHDA治疗4周后胃排空延迟。在对照大鼠中,向迷走神经背核复合体(DVC)微量注射间接拟交感神经药酪胺可降低胃张力和动力;第四脑室应用α1和α2受体拮抗剂组合或D1和D2受体拮抗剂组合可阻止这种抑制作用。相反,在6-OHDA治疗的大鼠中,虽然向DVC微量注射酪胺对胃张力或动力的影响减弱,但向DVC微量注射促甲状腺激素释放激素可诱导与对照大鼠相似的动力增加。在6-OHDA治疗的大鼠中,DVC神经元中胆碱乙酰转移酶(ChAT)-IR和神经元型一氧化氮合酶(NOS)-IR的表达降低,但A2区域多巴胺-β-羟化酶-IR增加。在食管、胃和十二指肠的肌间神经丛内,神经元总数无变化;然而,NOS-IR神经元的百分比增加,而ChAT-IR神经元的百分比降低。我们的数据表明,PD的6-OHDA大鼠模型中胃排空延迟可能是由脑-肠轴的神经化学和神经生理学改变引起的。