Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy.
Department of Biology and Biotechnology "Lazzaro Spallanzani", University of Pavia, 27100 Pavia, Italy.
Int J Mol Sci. 2019 Dec 27;21(1):216. doi: 10.3390/ijms21010216.
Spinocerebellar ataxias (SCAs) constitute a heterogeneous group of more than 40 autosomal-dominant genetic and neurodegenerative diseases characterized by loss of balance and motor coordination due to dysfunction of the cerebellum and its efferent connections. Despite a well-described clinical and pathological phenotype, the molecular and cellular events that underlie neurodegeneration are still poorly undaerstood. Emerging research suggests that mutations in SCA genes cause disruptions in multiple cellular pathways but the characteristic SCA pathogenesis does not begin until calcium signaling pathways are disrupted in cerebellar Purkinje cells. Ca signaling in Purkinje cells is important for normal cellular function as these neurons express a variety of Ca channels, Ca2+-dependent kinases and phosphatases, and Ca-binding proteins to tightly maintain Ca homeostasis and regulate physiological Ca-dependent processes. Abnormal Ca levels can activate toxic cascades leading to characteristic death of Purkinje cells, cerebellar atrophy, and ataxia that occur in many SCAs. The output of the cerebellar cortex is conveyed to the deep cerebellar nuclei (DCN) by Purkinje cells via inhibitory signals; thus, Purkinje cell dysfunction or degeneration would partially or completely impair the cerebellar output in SCAs. In the absence of the inhibitory signal emanating from Purkinje cells, DCN will become more excitable, thereby affecting the motor areas receiving DCN input and resulting in uncoordinated movements. An outstanding advantage in studying the pathogenesis of SCAs is represented by the availability of a large number of animal models which mimic the phenotype observed in humans. By mainly focusing on mouse models displaying mutations or deletions in genes which encode for Ca signaling-related proteins, in this review we will discuss the several pathogenic mechanisms related to deranged Ca homeostasis that leads to significant Purkinje cell degeneration and dysfunction.
脊髓小脑共济失调(SCA)是一组超过 40 种常染色体显性遗传和神经退行性疾病,其特征是由于小脑及其传出连接的功能障碍而导致平衡和运动协调丧失。尽管具有明确描述的临床和病理表型,但导致神经退行性变的分子和细胞事件仍知之甚少。新兴研究表明,SCA 基因突变会导致多种细胞途径中断,但只有当小脑浦肯野细胞的钙信号通路中断时,才会开始出现特征性的 SCA 发病机制。浦肯野细胞中的 Ca 信号对于正常细胞功能很重要,因为这些神经元表达多种 Ca 通道、Ca2+依赖性激酶和磷酸酶以及 Ca 结合蛋白,以紧密维持 Ca 稳态并调节生理 Ca 依赖性过程。异常的 Ca 水平可激活毒性级联反应,导致浦肯野细胞的特征性死亡、小脑萎缩和许多 SCA 中发生的共济失调。小脑皮层的输出通过抑制信号由浦肯野细胞传送到深部小脑核(DCN);因此,浦肯野细胞功能障碍或退化将部分或完全损害 SCA 中的小脑输出。在没有源自浦肯野细胞的抑制信号的情况下,DCN 将变得更加兴奋,从而影响接收 DCN 输入的运动区域,并导致运动不协调。研究 SCA 发病机制的一个突出优势是存在大量模拟人类观察到的表型的动物模型。通过主要关注显示编码 Ca 信号相关蛋白的基因突变或缺失的小鼠模型,在本综述中,我们将讨论与紊乱的 Ca 稳态相关的几种发病机制,这些机制导致显著的浦肯野细胞退化和功能障碍。