Laboratory of Neuroanatomy and Experimental Neurology, Department of Morphological Sciences, CIMUS, Faculty of Medicine, University of Santiago de Compostela, 15782, Santiago de Compostela, Spain.
Networking Research Center on Neurodegenerative Diseases (CIBERNED), Madrid, Spain.
Mol Neurobiol. 2018 Sep;55(9):7297-7316. doi: 10.1007/s12035-018-0937-8. Epub 2018 Feb 5.
The exact mechanism of gut dysfunction in Parkinson's disease and, conversely, the role of gut pathology in brain dopaminergic degeneration are controversial. We investigated the effects of nigral lesions on the colonic neurotransmission, the effect of gut inflammation on the nigrostriatal dopaminergic function, and the possible involvement of the vagus nerve and the local renin-angiotensin system (RAS). Nigrostriatal dopamine depletion was performed by bilateral injection 6-hydroxydopamine, and gut inflammation was induced by dextran sulfate sodium salt treatment in rats and mice, respectively, with or without vagal disruption. A decrease in central dopamine levels induced a decrease in colonic dopamine types 1 and 2 receptor expression together with an increase in the colonic levels of dopamine and a decrease in the levels of acetylcholine, which may explain a decrease in gut motility. Central dopaminergic depletion also induced an increase in the colonic levels of inflammatory and oxidative stress markers together with activation of the pro-inflammatory arm of the local RAS. Mice with acute (1 week) or subchronic (3 weeks) gut inflammation did not show a significant increase in colonic α-synuclein and phosphorylated α-synuclein expression during this relatively short survival period. Interestingly, we observed early changes in the nigrostriatal dopaminergic homeostasis, dopaminergic neuron death, and increased levels of nigral pro-inflammatory markers and RAS pro-inflammatory activity. The present results show that a dysregulation of the neural bidirectional gut-brain interaction may explain the early gut disturbances observed in parkinsonian patients, and also the increase in vulnerability of nigral dopaminergic neurons after gut inflammation.
确切的肠道功能障碍在帕金森病中的机制,相反,肠道病理学在大脑多巴胺能变性中的作用是有争议的。我们研究了黑质病变对结肠神经传递的影响,肠道炎症对黑质纹状体多巴胺能功能的影响,以及迷走神经和局部肾素-血管紧张素系统(RAS)的可能参与。通过双侧注射 6-羟多巴胺进行黑质纹状体多巴胺耗竭,分别用葡聚糖硫酸钠盐处理大鼠和小鼠诱导肠道炎症,同时或不进行迷走神经破坏。中枢多巴胺水平的降低导致结肠多巴胺 1 型和 2 型受体表达降低,同时结肠多巴胺水平升高,乙酰胆碱水平降低,这可能解释了肠道运动的减少。中枢多巴胺耗竭还导致结肠炎症和氧化应激标志物水平升高,以及局部 RAS 的促炎臂激活。在相对较短的存活期内,急性(1 周)或亚慢性(3 周)肠道炎症的小鼠在结肠 α-突触核蛋白和磷酸化 α-突触核蛋白表达方面没有明显增加。有趣的是,我们观察到黑质纹状体多巴胺能内稳态、多巴胺能神经元死亡以及黑质中促炎标志物和 RAS 促炎活性的早期变化。这些结果表明,神经双向肠道-大脑相互作用的失调可能解释了帕金森病患者中早期肠道紊乱的现象,以及肠道炎症后黑质多巴胺能神经元易感性的增加。