Department of Neuroscience, Friedman Brain Institute, Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, 1470 Madison Avenue, New York, NY 10029, U.S.A.
Biochem Soc Trans. 2018 Dec 17;46(6):1697-1705. doi: 10.1042/BST20180468. Epub 2018 Dec 4.
mutation is the most common inherited, autosomal dominant cause of Parkinson's disease (PD) and has also been observed in sporadic cases. Most mutations result in increased LRRK2 kinase activity. LRRK2 is highly expressed in brain regions that receive dense, convergent innervation by dopaminergic and glutamatergic axons, and its levels rise developmentally coincident with glutamatergic synapse formation. The onset and timing of expression suggests strongly that LRRK2 regulates the development, maturation and function of synapses. Several lines of data in mice show that LRRK2-G2019S, the most common LRRK2 mutation, produces an abnormal gain of pathological function that affects synaptic activity, spine morphology, persistent forms of synapse plasticity and behavioral responses to social stress. Effects of the mutation can be detected as early as the second week of postnatal development and can last or have consequences that extend into adulthood and occur in the absence of dopamine loss. These data suggest that the generation of neural circuits that support complex behaviors is modified by LRRK2-G2019S. Whether such alterations impart vulnerability to neurons directly or indirectly, they bring to the forefront the idea that neural circuits within which dopamine neurons eventually degenerate are assembled and utilized in ways that are distinct from circuits that lack this mutation and may contribute to non-motor symptoms observed in humans with PD.
突变是最常见的遗传性常染色体显性帕金森病 (PD) 的病因,也在散发性病例中观察到。大多数突变导致 LRRK2 激酶活性增加。LRRK2 在接受多巴胺能和谷氨酸能轴突密集、会聚神经支配的脑区高度表达,其水平与谷氨酸能突触形成一致地发育上升。发病和表达时间提示 LRRK2 强烈调节突触的发育、成熟和功能。几项在小鼠中的数据表明,LRRK2-G2019S 是最常见的 LRRK2 突变,产生异常的病理性功能增益,影响突触活动、棘突形态、持久形式的突触可塑性和对社交应激的行为反应。该突变的影响早在出生后发育的第二周就可以检测到,并且可以持续存在或产生后果,一直延续到成年期,而且在没有多巴胺丢失的情况下发生。这些数据表明,支持复杂行为的神经回路的生成被 LRRK2-G2019S 所改变。这种改变是否直接或间接地使神经元易受影响,它将突出这样一个想法,即最终导致多巴胺能神经元退化的神经网络是以与缺乏这种突变的神经网络不同的方式组装和利用的,并且可能导致帕金森病患者中观察到的非运动症状。