Wang Tsui-Chin, Ngampramuan Sukonthar, Kotchabhakdi Naiphinich
Research Center for Neuroscience, Institute of Molecular Biosciences, Mahidol University, Salaya campus, Nakhon Pathom 73170, Thailand.
EXCLI J. 2016 Nov 17;15:716-729. doi: 10.17179/excli2016-482. eCollection 2016.
Dystonia is a neurological disorder characterized by excessive involuntary muscle contractions that lead to twisting movements. The exaggerated movements have been studied and have implicated basal ganglia as the point of origin. In more recent studies, the cerebellum has also been identified as the possible target of dystonia, in the search for alternative treatments. Tiagabine is a selective GABA transporter inhibitor, which blocks the reuptake and recycling of GABA. The study of GABAergic drugs as an alternative treatment for cerebellar induced dystonia has not been reported. In our study, tiagabine was i.p. injected into kainic acid induced, cerebellar dystonic adult rats, and the effects were compared with non-tiagabine injected and sham-operated groups. Beam walking apparatus, telemetric electromyography (EMG) recording, and histological verification were performed to confirm dystonic symptoms in the rats on post-surgery treatment. Involuntary dystonic spasm was observed with repetitive rigidity, and twisting movements in the rats were also confirmed by a high score on the dystonic scoring and a high amplitude on the EMG data. The rats with tiagabine treatment were scored based on motor amelioration assessed via beam walking. The result of this study suggests and confirms that low dose of kainic acid microinjection is sufficient to induce dystonia from the cerebellar vermis. In addition, from the results of the EMG recording and the behavioral assessment through beam walking, tiagabine is demonstrated as being effective in reducing dystonic spasm and may be a possible alternative therapeutic drug in the treatment of dystonia.
肌张力障碍是一种神经疾病,其特征为过度的不自主肌肉收缩,导致身体扭曲运动。针对这些夸张动作的研究表明,基底神经节是其起源点。在最近的研究中,小脑也被确定为肌张力障碍可能的靶点,以寻找替代治疗方法。替加宾是一种选择性γ-氨基丁酸(GABA)转运体抑制剂,可阻断GABA的再摄取和循环利用。尚未有关于将GABA能药物作为小脑性肌张力障碍替代治疗方法的研究报道。在我们的研究中,将替加宾腹腔注射到成年大鼠体内,这些大鼠由海藻酸诱导产生小脑性肌张力障碍,然后将其效果与未注射替加宾的组和假手术组进行比较。使用梁式行走装置、遥测肌电图(EMG)记录以及组织学验证来确认大鼠在术后治疗中的肌张力障碍症状。观察到大鼠出现不自主的肌张力障碍性痉挛,伴有重复性僵硬,并且通过肌张力障碍评分高分和EMG数据高振幅也证实了大鼠的扭曲运动。根据通过梁式行走评估的运动改善情况对接受替加宾治疗的大鼠进行评分。本研究结果表明并证实,低剂量海藻酸微量注射足以从小脑蚓部诱发肌张力障碍。此外,从EMG记录结果以及通过梁式行走进行的行为评估来看,替加宾被证明在减轻肌张力障碍性痉挛方面有效,可能是治疗肌张力障碍的一种潜在替代治疗药物。