Chen Xiqun, Chen Hongxiang, Cai Waijiao, Maguire Michael, Ya Bailiu, Zuo Fuxing, Logan Robert, Li Hui, Robinson Katey, Vanderburg Charles R, Yu Yang, Wang Yinsheng, Fisher David E, Schwarzschild Michael A
MassGeneral Institute for Neurodegenerative Disease, Department of Neurology, Massachusetts General Hospital, Charlestown, MA.
Shanghai 10th Hospital, Tongji University School of Medicine, Shanghai, China.
Ann Neurol. 2017 Mar;81(3):395-406. doi: 10.1002/ana.24852. Epub 2017 Jan 23.
Individuals with Parkinson disease are more likely to develop melanoma, and melanoma patients are reciprocally at higher risk of developing Parkinson disease. Melanoma is strongly tied to red hair/fair skin, a phenotype of loss-of-function polymorphisms in the MC1R (melanocortin 1 receptor) gene. Loss-of-function variants of MC1R have also been linked to increased risk of Parkinson disease. The present study is to investigate the role of MC1R in dopaminergic neurons in vivo.
Genetic and pharmacological approaches were employed to manipulate MC1R, and nigrostriatal dopaminergic integrity was determined by comprehensive behavioral, neurochemical, and neuropathological measures.
MC1R mice, which carry an inactivating mutation of MC1R and mimic the human redhead phenotype, have compromised nigrostriatal dopaminergic neuronal integrity, and they are more susceptible to dopaminergic neuron toxins 6-hydroxydopamine and 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). Furthermore, a selective MC1R agonist protects against MPTP-induced dopaminergic neurotoxicity.
Our findings reveal a protective role of MC1R in the nigrostriatal dopaminergic system, and they provide a rationale for MC1R as a potential therapeutic target for Parkinson disease. Together with its established role in melanoma, MC1R may represent a common pathogenic pathway for melanoma and Parkinson disease. Ann Neurol 2017;81:395-406.
帕金森病患者更易患黑色素瘤,而黑色素瘤患者患帕金森病的风险也更高。黑色素瘤与红发/白皙皮肤密切相关,这是一种黑素皮质素1受体(MC1R)基因功能丧失多态性的表型。MC1R的功能丧失变异也与帕金森病风险增加有关。本研究旨在探讨MC1R在体内多巴胺能神经元中的作用。
采用遗传和药理学方法操控MC1R,并通过综合行为、神经化学和神经病理学测量来确定黑质纹状体多巴胺能的完整性。
携带MC1R失活突变并模拟人类红发表型的MC1R小鼠,其黑质纹状体多巴胺能神经元完整性受损,且对多巴胺能神经元毒素6-羟基多巴胺和1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)更敏感。此外,一种选择性MC1R激动剂可预防MPTP诱导的多巴胺能神经毒性。
我们的研究结果揭示了MC1R在黑质纹状体多巴胺能系统中的保护作用,并为将MC1R作为帕金森病的潜在治疗靶点提供了理论依据。连同其在黑色素瘤中已确定的作用,MC1R可能代表黑色素瘤和帕金森病的共同致病途径。《神经病学纪事》2017年;81:395 - 406。