Mitchell I J, Lawson S, Moser B, Laidlaw S M, Cooper A J, Walkinshaw G, Waters C M
Neuroscience. 1994 Nov;63(1):1-5. doi: 10.1016/0306-4522(94)90002-7.
The motor symptoms of Parkinson's disease are caused by an increase in activity of striatal neurons which project to the globus pallidus. The discharge activity of these striatal cells is normally regulated by a balance between an inhibitory nigral dopamine input and an excitatory cortical glutamate input. The loss of nigrostriatal dopamine in Parkinson's disease allows the cortical glutamatergic input to dominate (see Fig. 1). Pharmacological or surgical manipulations which redress this imbalance in activity in the striatum, or prevent its propagation throughout the basal ganglia, alleviate the motor symptoms of Parkinsonism. We present evidence to suggest the existence of an endogenous mechanism which compensates for the striatal imbalance during the early stages of Parkinsonism. In the rat rendered parkinsonian by systemic administration of reserpine, selective deletion of striatal neurons was observed. The dying striatal neurons exhibited all of the morphological and biochemical hallmarks of apoptosis. This apoptotic cell death was blocked by either administration of glutamate antagonists or decortication. Our data demonstrate that unchecked endogenous glutamate can induce apoptosis of striatal projection neurons in vivo. This observation may have relevance to the neurophysiological mechanisms which maintain the balance of neural activity within the CNS and to the pathology of neurological diseases.
帕金森病的运动症状是由投射到苍白球的纹状体神经元活动增加所致。这些纹状体细胞的放电活动通常受黑质多巴胺抑制性输入和皮质谷氨酸兴奋性输入之间平衡的调节。帕金森病中黑质纹状体多巴胺的丧失使得皮质谷氨酸能输入占主导(见图1)。纠正纹状体活动失衡或阻止其在整个基底神经节扩散的药理学或手术操作可减轻帕金森病的运动症状。我们提供的证据表明,在帕金森病早期存在一种内源性机制可补偿纹状体失衡。在通过全身给予利血平诱导帕金森病的大鼠中,观察到纹状体神经元的选择性缺失。濒死的纹状体神经元表现出凋亡的所有形态学和生化特征。这种凋亡性细胞死亡可通过给予谷氨酸拮抗剂或去皮质术来阻断。我们的数据表明,未受抑制的内源性谷氨酸可在体内诱导纹状体投射神经元凋亡。这一观察结果可能与维持中枢神经系统内神经活动平衡的神经生理机制以及神经疾病的病理学有关。