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抑制外侧缰核对改善左旋多巴诱导的异动症有效。

Inhibiting Lateral Habenula Improves L-DOPA-Induced Dyskinesia.

机构信息

Université de Bordeaux, Institut des Maladies Neurodégénératives, Bordeaux, France; National Centre for Scientific Research, Institut des Maladies Neurodégénératives, Bordeaux, France.

Université de Bordeaux, Institut des Maladies Neurodégénératives, Bordeaux, France; National Centre for Scientific Research, Institut des Maladies Neurodégénératives, Bordeaux, France; Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France.

出版信息

Biol Psychiatry. 2016 Mar 1;79(5):345-353. doi: 10.1016/j.biopsych.2014.08.022. Epub 2014 Sep 9.

DOI:10.1016/j.biopsych.2014.08.022
PMID:25442003
Abstract

BACKGROUND

A systematic search of brain nuclei putatively involved in L-3,4-dihydroxyphenylalanine (L-DOPA)-induced dyskinesia (LID) in Parkinson's disease shed light, notably, upon the lateral habenula (LHb), which displayed an overexpression of the ∆FosB, ARC, and Zif268 immediate-early genes only in rats experiencing abnormal involuntary movements (AIMs). We thus hypothesized that LHb might play a role in LID.

METHODS

∆FosB immunoreactivity, 2-deoxyglucose uptake, and firing activity of LHb were studied in experimental models of Parkinson's disease and LID. ΔFosB-expressing LHb neurons were then targeted using the Daun02-inactivation method. A total of 18 monkeys and 55 rats were used.

RESULTS

LHb was found to be metabolically modified in dyskinetic monkeys and its neuronal firing frequency significantly increased in ON L-DOPA dyskinetic 6-hydroxydopamine-lesioned rats, suggesting that increased LHb neuronal activity in response to L-DOPA is related to AIM manifestation. Therefore, to mechanistically test if LHb neuronal activity might affect AIM severity, following induction of AIMs, 6-hydroxydopamine rats were injected with Daun02 in the LHb previously transfected with ß-galactosidase under control of the FosB promoter. Three days after Daun02 administration, animals were tested daily with L-DOPA to assess LID and L-DOPA-induced rotations. Inactivation of ∆FosB-expressing neurons significantly reduced AIM severity and also increased rotations. Interestingly, the dopaminergic D1 receptor was overexpressed only on the lesioned side of dyskinetic rats in LHb and co-localized with ΔFosB, suggesting a D1 receptor-mediated mechanism supporting the LHb involvement in AIMs.

CONCLUSIONS

This study highlights the role of LHb in LID, offering a new target to innovative treatments of LID.

摘要

背景

系统搜索大脑核团,这些核团被认为与帕金森病中 L-3,4-二羟基苯丙氨酸(L-DOPA)诱导的运动障碍(LID)有关,特别是外侧缰核(LHb),在经历异常不自主运动(AIMs)的大鼠中,该核团显示出 ∆FosB、ARC 和 Zif268 即刻早期基因的过度表达。因此,我们假设 LHb 可能在 LID 中发挥作用。

方法

在帕金森病和 LID 的实验模型中研究了 ∆FosB 免疫反应性、2-脱氧葡萄糖摄取和 LHb 的放电活动。然后使用 Daun02 失活方法靶向表达 ∆FosB 的 LHb 神经元。总共使用了 18 只猴子和 55 只大鼠。

结果

在运动障碍的猴子中发现 LHb 代谢发生改变,在 ON L-DOPA 运动障碍的 6-羟多巴胺损伤大鼠中其神经元放电频率显著增加,这表明 LHb 神经元对 L-DOPA 的活性增加与 AIM 表现有关。因此,为了从机制上测试 LHb 神经元活动是否可能影响 AIM 的严重程度,在诱导 AIMs 后,将 Daun02 注入先前在 FosB 启动子控制下用 β-半乳糖苷酶转染的 LHb 中的 6-羟多巴胺大鼠中。在 Daun02 给药后 3 天,每天用 L-DOPA 对动物进行测试,以评估 LID 和 L-DOPA 诱导的旋转。失活表达 ∆FosB 的神经元显著降低了 AIM 的严重程度,同时也增加了旋转。有趣的是,在 LHb 中,多巴胺 D1 受体仅在运动障碍大鼠的损伤侧过度表达,并且与 ∆FosB 共定位,表明 D1 受体介导的机制支持 LHb 参与 AIMs。

结论

这项研究强调了 LHb 在 LID 中的作用,为 LID 的创新治疗提供了新的靶点。

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