Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Canada.
Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
Antioxid Redox Signal. 2020 Jun 10;32(17):1259-1272. doi: 10.1089/ars.2019.7937. Epub 2020 Jan 23.
In this original research communication, we assess the impact of shifting the window of glial overexpression in mice from early-to-midlife to mid-to-late life, resulting in two disparate conditions modeling schizophrenia (SCZ) and Parkinson's disease (PD). Mesolimbic hyperdopaminergia is a widely accepted feature of SCZ, while nigrostriatal hypodopaminergia is the of idiopathic PD. Although the advent of parkinsonian features in SCZ patients after treatment with antidopaminergic agents is intuitive, subtle features of parkinsonism commonly observed in young, drug-naïve schizophrenics are not. Similarly, emergent psychosis in PD subjects receiving levodopa replacement is not unusual, whereas spontaneous hallucinosis in nonmedicated persons with idiopathic PD is enigmatic. Investigations using GFAP.HMOX1 mice may shed light on these clinical paradoxes. Astroglial heme oxygenase-1 (HO-1) overexpression in mice throughout embryogenesis until 6 or 12 months of age resulted in hyperdopaminergia, hyperkinesia/stereotypy ameliorated with clozapine, deficient prepulse inhibition of the acoustic startle response, reduced preference for social novelty, impaired nest building, and cognitive dysfunction reminiscent of SCZ. On the contrary, astroglial HO-1 overexpression between 8.5 and 19 months of age yielded a PD-like behavioral phenotype with hypodopaminergia, altered gait, locomotor incoordination, and reduced olfaction. We conjecture that region-specific disparities in the susceptibility of dopaminergic and other circuitry to the trophic and degenerative influences of glial induction may permit the concomitant expression of mixed SCZ and PD traits within affected individuals. Elucidation of these converging mechanisms may (i) help better understand disease pathogenesis and (ii) identify HO-1 as a potential therapeutic target in neurodevelopmental and neurodegenerative disorders.
在这项原始研究通讯中,我们评估了将小鼠胶质细胞过度表达的窗口从早到中年转变为中年到晚年的影响,从而导致两种截然不同的条件,模拟精神分裂症 (SCZ) 和帕金森病 (PD)。中边缘多巴胺能亢进是 SCZ 的一个广泛接受的特征,而黑质纹状体多巴胺能减退是特发性 PD 的特征。虽然抗多巴胺能药物治疗后 SCZ 患者出现帕金森特征是直观的,但在未经药物治疗的年轻精神分裂症患者中观察到的帕金森样特征并不明显。同样,接受左旋多巴替代治疗的 PD 患者出现新发精神病并不罕见,而未经药物治疗的特发性 PD 患者出现自发性幻觉则是神秘的。使用 GFAP.HMOX1 小鼠的研究可能会揭示这些临床悖论。在小鼠胚胎发生过程中直至 6 或 12 个月大时,过度表达胶质细胞血红素加氧酶-1 (HO-1) 导致多巴胺能亢进,氯氮平可改善多动/刻板行为,听觉惊跳反应的前脉冲抑制缺陷,对社会新奇感的偏好降低,筑巢能力受损,认知功能障碍类似于 SCZ。相反,在 8.5 至 19 个月龄时过度表达星形胶质细胞 HO-1 会导致类似 PD 的行为表型,表现为多巴胺能减退、步态改变、运动协调障碍和嗅觉减退。我们推测,多巴胺能和其他回路对胶质细胞诱导的营养和退化影响的易感性在特定区域的差异可能允许在受影响的个体中同时表达混合的 SCZ 和 PD 特征。阐明这些趋同机制可能有助于更好地理解疾病发病机制,并将 HO-1 确定为神经发育和神经退行性疾病的潜在治疗靶点。