Schliebs R, Rossner S, Bigl V
Paul Flechsig Institute for Brain Research, Medical Faculty, University of Leipzig, Germany.
Prog Brain Res. 1996;109:253-64. doi: 10.1016/s0079-6123(08)62109-3.
Cholinergic lesion paradigms have been used to study the role of the cholinergic system in cortical arousal and cognitive function, and its implication in cognitive deficits that occur in Alzheimer's disease. In the last few years an increasing number of studies have applied neurotoxins including excitotoxins or cholinotoxins (e.g. AF64A) by stereotaxic injection into the Nbm to produce reductions in cortical cholinergic activity. One of the most serious limitations of these lesion paradigms is the fact that basal forebrain cholinergic neurons are always intermingled with populations of noncholinergic cells and that the cytotoxins used are far from being selective to cholinergic cells. Excitoxins when infused directly into the Nbm destroy non-specifically cell bodies but spare axons passing the injection site, whereas the specificity of AF64A to destroy cholinergic neurons depends on both the dosage applied and the site of injection. Recently, a monoclonal antibody to the low-affinity nerve growth factor (NGF) receptor, 192IgG, coupled to a cytotoxin, saporin, has been described as an efficient and selective immunotoxin for the NGF-receptor bearing cholinergic neurons in rat basal forebrain. Intraventricular administration of the 192IgG-saporin conjugate appears to induce a nearly complete and specific lesion of neocortical and hippocampal cholinergic afferents. Other neuronal systems in the basal forebrain are spared by the immunotoxin. Electrolytic, ibotenic acid, and cholinergic immunotoxic lesions of cholinergic basal forebrain nuclei resulted in slightly different effects on cortical cholinergic markers: Electrolytic lesion of the Nbm did not change M1-mAChR but resulted in reduced M2-mAChR in frontal and parietal cortices 1 week after lesion. Ibotenic acid lesion of the nucleus basalis did not alter M1-mAChR in any cortical region but led to enhanced M2-mAChR binding in the parietal cortex only. When applying the cholinergic immunotoxin 192IgG-saporin, both M1- and M2-mAChR binding sites were increased in a number of cortical areas 1 week after lesion. This comparison suggests that possibly the destruction of non-cholinergic basal forebrain cells by ibotenic acid and electrolytic lesion, might partly contribute to these different cortical effects. NMDA receptor binding was markedly reduced and AMPA, kainate, and GABAA receptor binding has been significantly increased in cortical regions displaying a reduced activity of AChE and decreased levels of high-affinity choline uptake sites due to immunolesion of the basal forebrain cholinergic system. Equivalent changes in cortical glutamate and GABA receptor subtype levels have been observed 7 days after electrolytic or ibotenic acid lesion of the Nbm. The data suggest that cholinergic immunolesion by 192IgG-saporin exhibits a valuable tool to produce specific cholinergic deficits in rats, which can be used as a model to study the effect of treatment with various drugs for compensating the impaired cortical cholinergic input.
胆碱能损伤模型已被用于研究胆碱能系统在皮层觉醒和认知功能中的作用,以及其在阿尔茨海默病中出现的认知缺陷中的意义。在过去几年中,越来越多的研究通过立体定位注射神经毒素(包括兴奋性毒素或胆碱毒素,如AF64A)到基底核大细胞核(Nbm)中,以降低皮层胆碱能活性。这些损伤模型最严重的局限性之一是,基底前脑胆碱能神经元总是与非胆碱能细胞群混合在一起,而且所使用的细胞毒素远非对胆碱能细胞具有选择性。当直接注入Nbm时,兴奋性毒素会非特异性地破坏细胞体,但不会损伤通过注射部位的轴突,而AF64A破坏胆碱能神经元的特异性取决于所应用的剂量和注射部位。最近,一种针对低亲和力神经生长因子(NGF)受体的单克隆抗体192IgG,与一种细胞毒素皂草素偶联,已被描述为一种对大鼠基底前脑中有NGF受体的胆碱能神经元有效的选择性免疫毒素。脑室内注射192IgG-皂草素偶联物似乎会诱导新皮层和海马胆碱能传入纤维几乎完全且特异性的损伤。基底前脑中的其他神经元系统则不受该免疫毒素的影响。胆碱能基底前脑核的电解损伤、鹅膏蕈氨酸损伤和胆碱能免疫毒性损伤对皮层胆碱能标记物产生了略有不同的影响:Nbm的电解损伤在损伤后1周并没有改变M1-毒蕈碱型乙酰胆碱受体(M1-mAChR),但导致额叶和顶叶皮层的M2-mAChR减少。基底核的鹅膏蕈氨酸损伤在任何皮层区域都没有改变M1-mAChR,但仅导致顶叶皮层的M2-mAChR结合增强。当应用胆碱能免疫毒素192IgG-皂草素时,损伤后1周在多个皮层区域M1-和M2-mAChR结合位点均增加。这种比较表明,鹅膏蕈氨酸和电解损伤可能会破坏非胆碱能基底前脑细胞,这可能部分导致了这些不同的皮层效应。在由于基底前脑胆碱能系统免疫损伤而显示乙酰胆碱酯酶(AChE)活性降低和高亲和力胆碱摄取位点水平下降的皮层区域,N-甲基-D-天冬氨酸(NMDA)受体结合明显减少,而α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)、海人藻酸和γ-氨基丁酸A型(GABAA)受体结合显著增加。在Nbm进行电解或鹅膏蕈氨酸损伤7天后,观察到皮层谷氨酸和GABA受体亚型水平有类似变化。数据表明,192IgG-皂草素引起的胆碱能免疫损伤是在大鼠中产生特异性胆碱能缺陷的一种有价值的工具,可作为研究各种药物治疗对补偿受损皮层胆碱能输入影响的模型。