Tanaka C, Nishino N, Hashimoto T, Kitamura N, Yoshihara C, Saito N
Department of Pharmacology, Kobe University School of Medicine, Japan.
Adv Neurol. 1993;60:175-80.
Alterations in protein kinase C (PKC) and myo-inositol 1,4,5-trisphosphate (IP3) receptors were studied in the autopsied human striata from 21 patients with Parkinson's disease (PD) (Yahr III, IV, and V), 8 patients with Huntington's disease (HD), and 23 age-matched and postmortem time-matched nonneurological controls. The concentrations of PKC and IP3 receptors were determined using [3H]4 beta-phorbol 12,13-dibutyrate (PDBu) and [3H]IP3 as respective ligands. Both the specific [3H]-PDBu and [3H]IP3 bindings were significantly reduced in the striata of Yahr V patients with dementia (PDD) and in that of HD patients, as compared to findings in the controls. These bindings were unchanged when all the PD patients without dementia, Yahr (III plus IV) patients, or Yahr V patients without dementia were compared with evidence from the controls. Immunoquantification of four PKC subspecies (alpha, beta I, beta II, and gamma) in the HD putamen revealed a selective reduction in the beta II-PKC immunoreactions. These results are supported by immunohistochemical findings in the rat brain that beta II-PKC is expressed in the striatal gabaergic efferent pathway, while the alpha-PKC is present in the nigrostriatal dopaminergic neurons. The neurochemical pathophysiology of PD differs between patients with and without dementia.
对21例帕金森病(PD)患者(Yahr分级III、IV和V级)、8例亨廷顿病(HD)患者以及23例年龄和尸检时间匹配的非神经疾病对照者的尸检人类纹状体中蛋白激酶C(PKC)和肌醇1,4,5-三磷酸(IP3)受体的变化进行了研究。分别使用[3H]4β-佛波醇12,13-二丁酸酯(PDBu)和[3H]IP3作为配体来测定PKC和IP3受体的浓度。与对照组相比,Yahr V级痴呆帕金森病(PDD)患者和HD患者纹状体中特异性[3H]-PDBu和[3H]IP3结合均显著降低。当将所有无痴呆的PD患者、Yahr(III加IV)级患者或无痴呆的Yahr V级患者与对照组结果进行比较时,这些结合没有变化。HD壳核中四种PKC亚型(α、βI、βII和γ)的免疫定量分析显示βII-PKC免疫反应有选择性降低。大鼠脑内的免疫组化结果支持了这些发现,即βII-PKC在纹状体γ-氨基丁酸能传出通路中表达,而α-PKC存在于黑质纹状体多巴胺能神经元中。有痴呆和无痴呆的PD患者的神经化学病理生理学有所不同。