Center for Clinical Research on Neurological Diseases, The First Affiliated Hospital, Dalian Medical University, Dalian, 116021, China.
Institute of Neurology, Sichuan Academy of Sciences-Sichuan Provincial Hospital of UESTC Medical School, Chengdu, 610031, China.
Neurosci Bull. 2022 Oct;38(10):1170-1182. doi: 10.1007/s12264-022-00881-2. Epub 2022 May 25.
Parkinson's disease (PD) is a multifaceted disease in which environmental variables combined with genetic predisposition cause dopaminergic (DAergic) neuron loss in the substantia nigra pars compacta. The mutation of leucine-rich repeat kinase 2 (Lrrk2) is the most common autosomal dominant mutation in PD, and it has also been reported in sporadic cases. A growing body of research suggests that circadian rhythm disruption, particularly sleep-wake abnormality, is common during the early phase of PD. Our present study aimed to evaluate the impact of sleep deprivation (SD) on motor ability, sleep performance, and PD pathologies in Lrrk2 transgenic mice. After two months of SD, Lrrk2 mice at 12 months of age showed an exacerbated PD-like phenotype with motor deficits, a reduced striatal DA level, degenerated DAergic neurons, and altered sleep structure and biological rhythm accompanied by the decreased protein expression level of circadian locomotor output cycles kaput Lrrk2 gene in the brain. All these changes persisted and were even more evident in 18-month-old mice after 6 months of follow-up. Moreover, a significant increase in α-synuclein aggregation was found in SD-treated transgenic mice at 18 months of age. Taken together, our findings indicate that sleep abnormalities, as a risk factor, may contribute to the pathogenesis and progression of PD. Early detection of sleep disorders and improvement of sleep quality may help to delay disease progression and provide long-term clinical benefits.
帕金森病(PD)是一种多方面的疾病,环境变量与遗传易感性相结合导致黑质致密部多巴胺能(DAergic)神经元丧失。富含亮氨酸重复激酶 2(LRRK2)的突变是 PD 中最常见的常染色体显性突变,也有散发病例报道。越来越多的研究表明,昼夜节律紊乱,特别是睡眠-觉醒异常,在 PD 的早期阶段很常见。我们目前的研究旨在评估睡眠剥夺(SD)对 Lrrk2 转基因小鼠运动能力、睡眠表现和 PD 病理的影响。在两个月的 SD 后,12 个月大的 Lrrk2 小鼠表现出加剧的 PD 样表型,运动能力下降,纹状体 DA 水平降低,DAergic 神经元退化,以及睡眠结构和生物节律改变,同时大脑中 circadian locomotor output cycles kaput Lrrk2 基因的蛋白表达水平降低。在 6 个月的随访后,18 个月大的小鼠的这些变化持续存在,甚至更为明显。此外,在 18 个月大的 SD 处理的转基因小鼠中发现α-突触核蛋白聚集显著增加。综上所述,我们的研究结果表明,睡眠异常作为一个风险因素,可能导致 PD 的发病机制和进展。早期发现睡眠障碍和改善睡眠质量可能有助于延缓疾病进展并提供长期的临床益处。