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神经毒素诱导的帕金森病啮齿动物模型:优缺点。

Neurotoxin-Induced Rodent Models of Parkinson's Disease: Benefits and Drawbacks.

机构信息

Toxicology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Medical Experimental Research Center (MERC), Faculty of Medicine, Mansoura University, Mansoura, Egypt.

出版信息

Neurotox Res. 2021 Jun;39(3):897-923. doi: 10.1007/s12640-021-00356-8. Epub 2021 Mar 25.

Abstract

Parkinson's disease (PD), the second most common neurodegenerative disorder, is characterized by cardinal motor impairments, including akinesia and tremor, as well as by a host of non-motor symptoms, including both autonomic and cognitive dysfunction. PD is associated with a death of nigral dopaminergic neurons, as well as the pathological spread of Lewy bodies, consisting predominantly of the misfolded protein alpha-synuclein. To date, only symptomatic treatments, such as levodopa, are available, and trials aiming to cure the disease, or at least halt its progression, have not been successful. Wong et al. (2019) suggested that the lack of effective therapy against neurodegeneration in PD might be attributed to the fact that the molecular mechanisms standing behind the dopaminergic neuronal vulnerability are still a major scientific challenge. Understanding these molecular mechanisms is critical for developing effective therapy. Thirty-five years ago, Calne and William Langston (1983) raised the question of whether biological or environmental factors precipitate the development of PD. In spite of great advances in technology and medicine, this question still lacks a clear answer. Only 5-15% of PD cases are attributed to a genetic mutation, with the majority of cases classified as idiopathic, which could be linked to exposure to environmental contaminants. Rodent models play a crucial role in understanding the risk factors and pathogenesis of PD. Additionally, well-validated rodent models are critical for driving the preclinical development of clinically translatable treatment options. In this review, we discuss the mechanisms, similarities and differences, as well as advantages and limitations of different neurotoxin-induced rat models of PD. In the second part of this review, we will discuss the potential future of neurotoxin-induced models of PD. Finally, we will briefly demonstrate the crucial role of gene-environment interactions in PD and discuss fusion or dual PD models. We argue that these models have the potential to significantly further our understanding of PD.

摘要

帕金森病(PD)是第二常见的神经退行性疾病,其特征是主要运动障碍,包括运动迟缓和震颤,以及一系列非运动症状,包括自主和认知功能障碍。PD 与黑质多巴胺能神经元的死亡以及Lewy 体的病理性扩散有关,Lewy 体主要由错误折叠的蛋白α-突触核蛋白组成。迄今为止,只有对症治疗(如左旋多巴)可用,旨在治愈该疾病或至少阻止其进展的试验尚未成功。Wong 等人(2019)认为,PD 中针对神经退行性变的有效治疗方法缺乏,可能是因为导致多巴胺能神经元易损性的分子机制仍然是一个重大科学挑战。理解这些分子机制对于开发有效的治疗方法至关重要。35 年前,Calne 和 William Langston(1983)提出了生物或环境因素是否会引发 PD 发展的问题。尽管技术和医学取得了巨大进步,但这个问题仍然没有明确的答案。只有 5-15%的 PD 病例归因于基因突变,大多数病例被归类为特发性,这可能与接触环境污染物有关。啮齿动物模型在理解 PD 的危险因素和发病机制方面发挥着关键作用。此外,经过充分验证的啮齿动物模型对于推动具有临床转化潜力的治疗选择的临床前开发至关重要。在这篇综述中,我们讨论了不同神经毒素诱导的 PD 大鼠模型的机制、相似性和差异,以及优点和局限性。在这篇综述的第二部分,我们将讨论神经毒素诱导的 PD 模型的潜在未来。最后,我们将简要展示基因-环境相互作用在 PD 中的关键作用,并讨论融合或双重 PD 模型。我们认为这些模型有可能大大提高我们对 PD 的理解。

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