Wu R M, Murphy D L, Chiueh C C
Unit on Neurotoxicology and Neuroprotection, National Institute of Mental Health, NIH Clinical Center 10/3D-41, Bethesda, Maryland, USA.
J Neural Transm Gen Sect. 1995;100(1):53-61. doi: 10.1007/BF01276865.
Intranigral infusion of 1-Methyl-4-phenylpyridinium ion (MPP+, 2.1-16.8 nmol) dose-dependently injured nigral neurons as reflected by reduced dopamine levels in the ipsilateral striatum four days after the infusion of this toxic metabolite of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). Coadministration of deprenyl (4.2 nmol) with MPP+ into the substantia nigra protected against MPP(+)-induced moderate (20-50%) but not severe (over 70%) nigral injury as reflected in striatal dopamine reductions. However, supplementary treatment with deprenyl (0.25 mg/kg, s.c., twice daily for 4 days) after intranigral infusion of MPP+ significantly rescued nigral neurons from more severe damage caused by a higher MPP+ does (8.4 nmol) manifested by a lesser striatal dopamine decrease (-31%) compared to the non-deprenyl treated group (-70%). Thus, in addition to the blockade of bioactivation of MPTP, deprenyl can protect and/or rescue nigral neurons from MPP(+)-induced dopaminergic neurotoxicity. These in vivo data add further evidence to suggest that deprenyl, a putative and clinically unproven neuroprotective agent, may be of value in slowing the progressive nigral degeneration in "early" Parkinson's disease, but may prove to be less so in its terminal stages.
向黑质内注射1-甲基-4-苯基吡啶离子(MPP+,2.1 - 16.8纳摩尔),剂量依赖性地损伤黑质神经元,这可通过在注射1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)的这种毒性代谢产物四天后同侧纹状体中多巴胺水平降低来反映。将司来吉兰(4.2纳摩尔)与MPP+共同注射到黑质中,可防止MPP+诱导的中度(20 - 50%)但不能防止严重(超过70%)的黑质损伤,这可通过纹状体多巴胺减少来反映。然而,在向黑质内注射MPP+后,用司来吉兰(0.25毫克/千克,皮下注射,每日两次,共4天)进行补充治疗,可显著挽救黑质神经元免受更高剂量MPP+(8.4纳摩尔)造成的更严重损伤,与未用司来吉兰治疗的组(-70%)相比,纹状体多巴胺减少程度较小(-31%)。因此,除了阻断MPTP的生物活化作用外,司来吉兰还可保护和/或挽救黑质神经元免受MPP+诱导的多巴胺能神经毒性。这些体内数据进一步证明,司来吉兰这种假定的但临床尚未证实的神经保护剂,可能在减缓“早期”帕金森病中黑质的进行性退化方面有价值,但在疾病晚期可能效果较差。