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M2 皮质-背外侧纹状体刺激可逆转亨廷顿病的运动症状和突触缺陷。

M2 cortex-dorsolateral striatum stimulation reverses motor symptoms and synaptic deficits in Huntington's disease.

机构信息

Departament de Biomedicina, Institut de Neurociències, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain.

Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.

出版信息

Elife. 2020 Oct 5;9:e57017. doi: 10.7554/eLife.57017.

DOI:10.7554/eLife.57017
PMID:33016873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7535932/
Abstract

Huntington's disease (HD) is a neurological disorder characterized by motor disturbances. HD pathology is most prominent in the striatum, the central hub of the basal ganglia. The cerebral cortex is the main striatal afferent, and progressive cortico-striatal disconnection characterizes HD. We mapped striatal network dysfunction in HD mice to ultimately modulate the activity of a specific cortico-striatal circuit to ameliorate motor symptoms and recover synaptic plasticity. Multimodal MRI in vivo indicates cortico-striatal and thalamo-striatal functional network deficits and reduced glutamate/glutamine ratio in the striatum of HD mice. Moreover, optogenetically-induced glutamate release from M2 cortex terminals in the dorsolateral striatum (DLS) was undetectable in HD mice and striatal neurons show blunted electrophysiological responses. Remarkably, repeated M2-DLS optogenetic stimulation normalized motor behavior in HD mice and evoked a sustained increase of synaptic plasticity. Overall, these results reveal that selective stimulation of the M2-DLS pathway can become an effective therapeutic strategy in HD.

摘要

亨廷顿病(HD)是一种以运动障碍为特征的神经退行性疾病。HD 病理学在纹状体中最为明显,纹状体是基底神经节的中枢枢纽。大脑皮层是纹状体的主要传入,进行性皮质纹状体分离是 HD 的特征。我们将 HD 小鼠的纹状体网络功能障碍进行映射,最终调节特定的皮质纹状体回路的活动,以改善运动症状并恢复突触可塑性。体内多模态 MRI 表明 HD 小鼠存在皮质纹状体和丘脑纹状体功能网络缺陷,以及纹状体中谷氨酸/谷氨酰胺比值降低。此外,在 HD 小鼠中,背外侧纹状体(DLS)中 M2 皮层末梢的光遗传学诱导谷氨酸释放无法检测到,并且纹状体神经元表现出电生理反应迟钝。值得注意的是,重复 M2-DLS 光遗传学刺激可使 HD 小鼠的运动行为正常化,并引起突触可塑性的持续增加。总的来说,这些结果表明,选择性刺激 M2-DLS 通路可能成为 HD 的一种有效治疗策略。

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