Broderick P A, Wenning L, Li Y-S
Department of Physiology, Pharmacology and Neuroscience, The City University of New York School of Medicine, The Sophie Davis School of Biomedical Education, The City College of New York, New York, NY, USA.
Department of Biology, CUNY Graduate Center, New York, NY, USA.
J Neural Transm (Vienna). 2017 Jan;124(1):57-78. doi: 10.1007/s00702-016-1633-3. Epub 2016 Oct 28.
Evaluating each patient and animal as its own control achieves personalized medicine, which honors the hippocratic philosophy, explaining that "it is far more important to know what person has the disease than what disease the person has." Similarly, individualizing molecular signaling directly from the patient's brain in real time is essential for providing prompt, patient-based treatment as dictated by the point of care. Fortunately, nanotechnology effectively treats many neurodegenerative diseases. In particular, the new medicinal frontier for the discovery of therapy for Parkinson's disease is nanotechnology and nanobiotechnology. Indeed, the unique nanotechnology of neuromolecular imaging combined with the series of nanobiosensors enables continuous videotracking of molecular neurotransmitters in both the normal physiologic and disease states with long-term electrochemical operational stability. This nanobiotechnology is able to track a signal in real time with excellent temporal and spatial resolution directly from each patient's brain to a computer as subjects are behaving during movement, normal and/or dysfunctional including prion-like Parkinson's behavioral biometrics. Moreover, the molecular signaling performed by these nanobiosensors live streams directly online and originates from precise neuroanatomic brain sites such as, in this case, the dorsal striatum in basal ganglia. Thus, the nanobiotechnology studies discussed herein imaged neuromolecules with and without L-3,4-dihydroxyphenylalanine (L-DOPA) in dorsal striatal basal ganglia neurons. Parkinsonian and non-Parkinsonian animals were video-tracked, and images were readily seen on a laptop via a potentiostat using a semiderivative electrical circuit. Administered L-DOPA doses were 50 and 100 mg/kg intraperitoneally (ip); the same experimental paradigm was used to image and then contrast data. Results showed that the baseline release of biogenic amine molecules was significantly above detection limits in non-Parkinsonian animals. After administration of L-DOPA, biogenic amines significantly increased in these non-Parkinson's animals. Nevertheless, it is intriguing to see that L-DOPA could not enable synaptic dopamine release in Parkinson's animals, thereby demonstrating that biogenic amines are biomarkers for Parkinson's disease. Biomarkers are biochemical, genetic, or molecular measures of biological reactions. Importantly, there were other significant biomarkers present in Parkinsonian animals and absent in non-Parkinsonian animals; these were peptide neurotransmitters that include dynorphin and somatostatin in the brain with detection limits of 40 nM for dynorphin and 37 nM for somatostatin (see Table 1). Furthermore, L-DOPA significantly increased these peptide biomarkers, dynorphin and somatostatin, in Parkinson's animals. Targeting biomarkers enables new diagnostic devices and treatments for Parkinson's disease through nanotechnology and nanobiotechnology.
将每位患者和动物视为自身对照可实现个性化医疗,这符合希波克拉底的理念,即“了解患有疾病的人比了解此人患何种疾病更为重要”。同样,实时直接从患者大脑中个性化分子信号对于提供即时的、基于患者的治疗至关重要,这是由医疗点所决定的。幸运的是,纳米技术能有效治疗多种神经退行性疾病。特别是,帕金森病治疗方法发现的新医学前沿领域是纳米技术和纳米生物技术。实际上,神经分子成像的独特纳米技术与一系列纳米生物传感器相结合,能够在正常生理和疾病状态下对分子神经递质进行连续视频跟踪,并具有长期的电化学操作稳定性。这种纳米生物技术能够在受试者运动(包括正常和/或功能失调,如帕金森样行为生物特征)时,以出色的时间和空间分辨率直接从每位患者的大脑实时跟踪信号到计算机。此外,这些纳米生物传感器进行的分子信号直接在线实时传输,且源自精确的神经解剖学脑区,如此处的基底神经节背侧纹状体。因此,本文讨论的纳米生物技术研究对基底神经节背侧纹状体神经元中有无L-3,4-二羟基苯丙氨酸(L-DOPA)的神经分子进行了成像。对帕金森病和非帕金森病动物进行了视频跟踪,并通过使用半导数电路的恒电位仪在笔记本电脑上轻松看到图像。腹腔注射L-DOPA的剂量为50和100mg/kg;采用相同的实验范式进行成像并对比数据。结果表明,非帕金森病动物中生物胺分子的基线释放显著高于检测限。给予L-DOPA后,这些非帕金森病动物中的生物胺显著增加。然而,有趣的是,L-DOPA无法使帕金森病动物的突触多巴胺释放,从而表明生物胺是帕金森病的生物标志物。生物标志物是生物反应的生化、遗传或分子测量指标。重要的是,帕金森病动物中存在而在非帕金森病动物中不存在其他重要的生物标志物;这些是肽神经递质,包括大脑中的强啡肽和生长抑素,强啡肽的检测限为40nM,生长抑素的检测限为37nM(见表1)。此外,L-DOPA显著增加了帕金森病动物中这些肽生物标志物强啡肽和生长抑素的含量。针对生物标志物可通过纳米技术和纳米生物技术实现帕金森病的新诊断设备和治疗方法。