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GABA 通路在帕金森病运动和非运动症状中的作用:一个双向回路。

Role of GABA pathway in motor and non-motor symptoms in Parkinson's disease: a bidirectional circuit.

机构信息

Department of Pharmacy Services, Prince Sultan Medical City (PSMMC), Riyadh, Saudi Arabia.

Department of Clinical Pharmacology and Medicine, College of Medicine, Mustansiriyah University, Baghdad, Iraq.

出版信息

Eur J Med Res. 2024 Mar 27;29(1):205. doi: 10.1186/s40001-024-01779-7.


DOI:10.1186/s40001-024-01779-7
PMID:38539252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10967046/
Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disease as a result of the degeneration of dopaminergic neurons in the substantia nigra pars compacta (SNpc). The fundamental features of PD are motor and non-motor symptoms. PD symptoms develop due to the disruption of dopaminergic neurotransmitters and other neurotransmitters such as γ-aminobutyric acid (GABA). The potential role of GABA in PD neuropathology concerning the motor and non-motor symptoms of PD was not precisely discussed. Therefore, this review intended to illustrate the possible role of GABA in PD neuropathology regarding motor and non-motor symptoms. The GABA pathway is essential in regulating the inhibitory tone to prevent excessive stimulation of the cerebral cortex. Degeneration of dopaminergic neurons in PD is linked with reducing GABAergic neurotransmission. Decreasing GABA activity promotes mitochondrial dysfunction and oxidative stress, which are highly related to PD neuropathology. Hence, restoring GABA activity by GABA agonists may attenuate the progression of PD motor symptoms. Therefore, dysregulation of GABAergic neurons in the SNpc contributes to developing PD motor symptoms. Besides, PD non-motor symptoms are also related to the dysfunction of the GABAergic pathway, and amelioration of this pathway may reduce PD non-motor symptoms. In conclusion, the deregulation of the GABAergic pathway in PD might be intricate in developing motor and non-motor symptoms. Improving this pathway might be a novel, beneficial approach to control PD symptoms.

摘要

帕金森病(PD)是一种进行性神经退行性疾病,其原因是黑质致密部(SNpc)中的多巴胺能神经元退化。PD 的基本特征是运动和非运动症状。由于多巴胺能神经递质和其他神经递质(如γ-氨基丁酸(GABA))的破坏,PD 症状会发展。GABA 在 PD 神经病理学中对 PD 运动和非运动症状的潜在作用尚未得到准确讨论。因此,本综述旨在说明 GABA 在 PD 神经病理学中对运动和非运动症状的可能作用。GABA 途径对于调节抑制性音调以防止大脑皮层过度刺激至关重要。PD 中多巴胺能神经元的退化与 GABA 能神经传递的减少有关。减少 GABA 活性会促进线粒体功能障碍和氧化应激,这与 PD 神经病理学高度相关。因此,通过 GABA 激动剂恢复 GABA 活性可能会减轻 PD 运动症状的进展。因此,SNpc 中 GABA 能神经元的失调导致 PD 运动症状的发展。此外,PD 的非运动症状也与 GABA 能途径的功能障碍有关,改善该途径可能会减轻 PD 的非运动症状。总之,PD 中 GABA 能途径的失调可能在运动和非运动症状的发展中起着复杂的作用。改善该途径可能是控制 PD 症状的一种新的、有益的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd33/10967046/fdcdefac7d46/40001_2024_1779_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd33/10967046/d2f87f25ecd7/40001_2024_1779_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd33/10967046/fdcdefac7d46/40001_2024_1779_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd33/10967046/d2f87f25ecd7/40001_2024_1779_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd33/10967046/fdcdefac7d46/40001_2024_1779_Fig2_HTML.jpg

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本文引用的文献

[1]
GABA Receptor Benzodiazepine Binding Sites and Motor Impairments in Parkinson's Disease.

Brain Sci. 2023-12-12

[2]
The complexed crystal structure of dihydropyrimidinase reveals a potential interactive link with the neurotransmitter γ-aminobutyric acid (GABA).

Biochem Biophys Res Commun. 2024-1-15

[3]
Levetiracetam for the treatment of mild cognitive impairment in Parkinson's disease: a double-blind controlled proof-of-concept trial protocol.

Pilot Feasibility Stud. 2023-11-22

[4]
Factors affecting the GABAergic synapse function in Alzheimer's disease: Focus on microRNAs.

Ageing Res Rev. 2023-12

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α-Synuclein aggregates amplified from patient-derived Lewy bodies recapitulate Lewy body diseases in mice.

Nat Commun. 2023-10-28

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Irisin/PGC-1α/FNDC5 pathway in Parkinson's disease: truth under the throes.

Naunyn Schmiedebergs Arch Pharmacol. 2024-4

[7]
α-Synuclein Aggregation Is Triggered by Oligomeric Amyloid-β 42 via Heterogeneous Primary Nucleation.

J Am Chem Soc. 2023-8-23

[8]
The potential application of probiotics for the prevention and treatment of COVID-19.

Egypt J Med Hum Genet. 2022

[9]
Dipyridamole and adenosinergic pathway in Covid-19: a juice or holy grail.

Egypt J Med Hum Genet. 2022

[10]
GABA tone regulation and its cognitive functions in the brain.

Nat Rev Neurosci. 2023-9

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