Department of Neurology, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, P.R. China.
Central Laboratory, Putuo Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200062, P.R. China.
Mol Med Rep. 2019 Jun;19(6):4989-4997. doi: 10.3892/mmr.2019.10152. Epub 2019 Apr 11.
The pathological process of Parkinson's disease (PD) is closely associated with the death of nigral neurons, for which an effective treatment has yet to be found. Lithium, one of the most widely certified anticonvulsant and mood‑stabilizing agents, exhibits evident neuroprotective effects in the treatment of epilepsy and bipolar disorder. In the present study, the neuroprotective mechanisms by which lithium acts on a chronic 1‑methyl‑4‑phenyl‑1,2,3,6‑tetrahydropyridine (MPTP) mouse model of PD were investigated by employing animal behavioral tests, immunohistochemistry, RT‑PCR, and western blotting. The results revealed that, in open field tests, lithium treatment counteracted the reduction in movement distance as well as activity time induced by MPTP administration. The compound could also prolong the drop time of MPTP‑treated mice in rotarod tests. Moreover, lithium treatment corrected the loss of nigral neurons, the increase of α‑synuclein (SNCA) in substantia nigra as well as in the striatum of MPTP‑treated mice, and decreased the methylation of SNCA intron 1 in DNA from the same regions. Furthermore, marked changes were observed in the expression of miRNAs including miR‑148a, a potential inhibitor of DNMT1, in the MPTP‑treated mice. These results suggested that the early application of lithium was important for alleviating the behavioral deficits experienced in the PD model, and that the neuroprotective action of lithium was achieved through a lithium‑triggered miRNA regulation mechanism. Essentially, our findings indicated that lithium may be beneficial in the prevention and treatment of PD through the regulation of α‑synuclein methylation.
帕金森病(PD)的病理过程与黑质神经元的死亡密切相关,目前尚未找到有效的治疗方法。锂是最广泛认可的抗惊厥和情绪稳定剂之一,在治疗癫痫和双相情感障碍方面表现出明显的神经保护作用。在本研究中,通过动物行为测试、免疫组织化学、RT-PCR 和 Western blot 研究了锂对慢性 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的 PD 小鼠模型的神经保护机制。结果表明,在旷场测试中,锂处理可拮抗 MPTP 给药引起的运动距离和活动时间减少。该化合物还可以延长 MPTP 处理小鼠在旋转棒测试中的下降时间。此外,锂处理纠正了黑质神经元的丢失、MPTP 处理小鼠黑质和纹状体中α-突触核蛋白(SNCA)的增加,以及同一区域 DNA 中 SNCA 内含子 1 的甲基化减少。此外,在 MPTP 处理的小鼠中,包括 miR-148a 在内的 miRNAs 的表达发生了明显变化,miR-148a 是一种潜在的 DNMT1 抑制剂。这些结果表明,锂的早期应用对于缓解 PD 模型中的行为缺陷很重要,并且锂的神经保护作用是通过锂触发的 miRNA 调节机制实现的。本质上,我们的研究结果表明,通过调节α-突触核蛋白甲基化,锂可能有益于预防和治疗 PD。