Nobrega J N, Richter A, Tozman N, Jiwa D, Löscher W
Clarke Institute of Psychiatry, Toronto, Ontario, Canada.
Neuroscience. 1996 Apr;71(4):927-37. doi: 10.1016/0306-4522(95)00511-0.
Dystonia has been proposed to be caused by abnormal input from thalamus to premotor cortex due to altered activity of the striatum projecting by way of the globus pallidus and substantia nigra pars reticulata to the thalamus. However, in the case of idiopathic dystonia, i.e. the most common form of dystonia in humans, there is only limited evidence to support such a neuroanatomic concept. In view of the problems of studying the pathophysiology of idiopathic dystonia in patients, genetically determined animal models of idiopathic dystonia may be used as a practical means of studying brain dysfunctions involved in this movement disorder. The genetically dystonic hamster is an animal model of idiopathic dystonia that displays sustained abnormal movements and postures either spontaneously or in response to mild environmental stimuli. Autoradiographic analysis of dopamine D1 receptor density, using the ligand [3H]SCH 23390, revealed significant decreases of D1 binding in several parts of the striatum and substantia nigra pars reticulata of dystonic hamsters. Binding of the D2 ligand [3H]YM-09151-2 was decreased in the dorsomedial caudate-putamen, but increased in nucleus accumbens. In most other sites studied, no significant changes were found in either [3H]SCH 23390 or [3H]YM-09151-2 binding. By studying groups of dystonic hamsters in the absence and presence of dystonic attacks, it was shown that most changes in D1 and D2 binding were not secondary to abnormal movement but rather due to the dystonic condition of the animals. The study provides evidence of altered dopamine receptor binding in dystonia and confirms the concept that basal ganglia dysfunction may be a primary component of dystonia.
肌张力障碍被认为是由于纹状体通过苍白球和黑质网状部向丘脑投射的活动改变,导致丘脑向运动前皮质的输入异常所致。然而,在特发性肌张力障碍(即人类最常见的肌张力障碍形式)的情况下,仅有有限的证据支持这一神经解剖学概念。鉴于研究患者特发性肌张力障碍病理生理学存在的问题,基因决定的特发性肌张力障碍动物模型可作为研究这种运动障碍所涉及脑功能障碍的一种实用手段。遗传性肌张力障碍仓鼠是一种特发性肌张力障碍动物模型,它会自发地或在受到轻度环境刺激时表现出持续的异常运动和姿势。使用配体[3H]SCH 23390对多巴胺D1受体密度进行放射自显影分析,结果显示肌张力障碍仓鼠的纹状体和黑质网状部的几个部位D1结合显著减少。D2配体[3H]YM-09151-2在背内侧尾状核 - 壳核中的结合减少,但在伏隔核中增加。在大多数其他研究部位,[3H]SCH 23390或[3H]YM-09151-2的结合均未发现显著变化。通过研究有无肌张力障碍发作时的肌张力障碍仓鼠组,结果表明D1和D2结合的大多数变化并非继发于异常运动,而是由于动物的肌张力障碍状态。该研究提供了肌张力障碍中多巴胺受体结合改变的证据,并证实了基底神经节功能障碍可能是肌张力障碍主要组成部分的概念。