Onofrj M, Ferracci F, Fulgente T, Malatesta G, Ghilardi M F
Department of Neurology, Institute of Neurological and Behavioural Sciences, State University of Chieti, Italy.
Drugs Exp Clin Res. 1994;20(1):29-36.
Somatosensory Evoked Potentials (SEPs) to median nerve stimuli were recorded in seven Cynomolgus monkeys before and after the induction of the MPTP-parkinsonian syndrome. SEPs recorded after the onset of parkinsonism showed a significant amplitude reduction of an anterior negative component peaking at about 15 ms (N15), independent of the severity of symptoms. The amplitude decrease was not reversed by the administration of I-dopa, despite clinical improvement, or cholinergic, noradrenergic and gabaergic agents. Amplitudes of N15 and of parietal P15 components were increased by the administration of the N-MDA antagonists ketamine and MK 801, and markedly increased when monkeys were given the anaesthetic agent etomidate. The present study shows that the reduced N15 SEP component of parkinsonian monkeys is similar to the reduced frontal N30 SEP component evidenced by other authors in patients affected by Parkinson's disease. The attenuation of N15 is not related to deficitary dopaminergic, noradrenergic, cholinergic and gabaergic systems. The implications of this finding and the role of glutamate toxicity are discussed.
在诱发MPTP帕金森综合征前后,对7只食蟹猴记录了正中神经刺激的体感诱发电位(SEP)。帕金森病发作后记录的SEP显示,一个在约15毫秒达到峰值的前部负波成分(N15)的幅度显著降低,与症状严重程度无关。尽管临床症状有所改善,但给予左旋多巴、胆碱能、去甲肾上腺素能和γ-氨基丁酸能药物后,幅度降低并未逆转。给予N-甲基-D-天冬氨酸(N-MDA)拮抗剂氯胺酮和MK-801后,N15和顶叶P15成分的幅度增加,当给猴子使用麻醉剂依托咪酯时,幅度显著增加。本研究表明,帕金森病猴中N15 SEP成分的降低与其他作者在帕金森病患者中所证实的额叶N30 SEP成分的降低相似。N15的衰减与多巴胺能、去甲肾上腺素能、胆碱能和γ-氨基丁酸能系统的缺陷无关。讨论了这一发现的意义以及谷氨酸毒性的作用。