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阿尔茨海默病性痴呆中脑铝水平升高是否会导致胆碱能神经元缺陷?

Do raised brain aluminium levels in Alzheimer's dementia contribute to cholinergic neuronal deficits?

作者信息

King R G

出版信息

Med Hypotheses. 1984 Jul;14(3):301-6. doi: 10.1016/0306-9877(87)90133-2.

DOI:10.1016/0306-9877(87)90133-2
PMID:6472159
Abstract

Raised aluminium levels have been found in brains of patients with Alzheimer's dementia (1,2), a disease in which reductions have been reported in various parameters of presynaptic cholinergic nerve function, including choline uptake, acetylcholine synthesis and choline acetyltransferase activity (3). Aluminium has been found to inhibit choline transport by isolated rat brain nerve endings (4) and human erythrocytes (5), and also to cause an encephalopathy in rabbits with neurofibrillary tangles and reduced neuronal choline acetyltransferase activity (6). It is therefore hypothesised that raised brain aluminium levels in Alzheimer's dementia may contribute to the cholinergic neuronal deficits in this disease. If this is the case, then aluminium chelating agents may be of value in its treatment.

摘要

在阿尔茨海默病性痴呆患者的大脑中发现铝含量升高(1,2),据报道,在这种疾病中,包括胆碱摄取、乙酰胆碱合成和胆碱乙酰转移酶活性在内的突触前胆碱能神经功能的各种参数均有所降低(3)。已发现铝可抑制离体大鼠脑神经根(4)和人红细胞(5)的胆碱转运,还可导致兔出现神经原纤维缠结和神经元胆碱乙酰转移酶活性降低的脑病(6)。因此,有人推测,阿尔茨海默病性痴呆患者大脑铝含量升高可能导致该疾病中的胆碱能神经元缺陷。如果是这样,那么铝螯合剂可能对其治疗有价值。

相似文献

1
Do raised brain aluminium levels in Alzheimer's dementia contribute to cholinergic neuronal deficits?阿尔茨海默病性痴呆中脑铝水平升高是否会导致胆碱能神经元缺陷?
Med Hypotheses. 1984 Jul;14(3):301-6. doi: 10.1016/0306-9877(87)90133-2.
2
Overexpression of the high affinity choline transporter in cortical regions affected by Alzheimer's disease. Evidence from rapid autopsy studies.阿尔茨海默病受累皮质区域中高亲和力胆碱转运体的过表达。来自快速尸检研究的证据。
J Clin Invest. 1994 Aug;94(2):696-702. doi: 10.1172/JCI117387.
3
Presynaptic cholinergic dysfunction in patients with dementia.痴呆患者的突触前胆碱能功能障碍。
J Neurochem. 1983 Feb;40(2):503-9. doi: 10.1111/j.1471-4159.1983.tb11311.x.
4
Aluminium, choline transportation and Alzheimer's disease.
Med J Aust. 1983;2(12):606-7. doi: 10.5694/j.1326-5377.1983.tb122711.x.
5
Biochemistry of Alzheimer's dementia.
J Neurochem. 1982 Jul;39(1):9-15. doi: 10.1111/j.1471-4159.1982.tb04695.x.
6
The cholinergic system in Alzheimer's disease.阿尔茨海默病中的胆碱能系统。
Prog Neurobiol. 1997 Aug;52(6):511-35. doi: 10.1016/s0301-0082(97)00028-2.
7
Biochemical pathology and treatment strategies in Alzheimer's disease: emphasis on the cholinergic system.阿尔茨海默病的生化病理学及治疗策略:着重于胆碱能系统
Acta Neurol Scand Suppl. 1993;149:4-6. doi: 10.1111/j.1600-0404.1993.tb04244.x.
8
[Aluminum and Alzheimer's disease].[铝与阿尔茨海默病]
Srp Arh Celok Lek. 1998 Jul-Aug;126(7-8):283-9.
9
Presynaptic cholinergic mechanisms in brain of aged rats with memory impairments.
Neurobiol Aging. 1981 Summer;2(2):99-104. doi: 10.1016/0197-4580(81)90006-3.
10
The 12th J. A. F. Stevenson memorial lecture. Aging, Alzheimer's disease, and the cholinergic system.第12届J.A.F. 史蒂文森纪念讲座。衰老、阿尔茨海默病与胆碱能系统。
Can J Physiol Pharmacol. 1984 Jul;62(7):741-54. doi: 10.1139/y84-123.

引用本文的文献

1
Effects of aluminum chloride on normal and uremic adult male rats. Tissue distribution, brain choline acetyltransferase activity, and some biological variables.
Biol Trace Elem Res. 1996 Jul;54(1):43-53. doi: 10.1007/BF02785319.
2
In vitro effect of aluminum chloride on choline acetyltransferase activity of the rat brain during postnatal growth.氯化铝对大鼠出生后生长期间脑胆碱乙酰转移酶活性的体外作用。
Bull Environ Contam Toxicol. 1994 Apr;52(4):487-91. doi: 10.1007/BF00194133.