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帕金森病的动物模型:与人类疾病现象学的实证比较。

Animal models of Parkinson's disease: an empirical comparison with the phenomenology of the disease in man.

作者信息

Gerlach M, Riederer P

机构信息

Department of Clinical Neurochemistry, University Neurological Clinic, University of Würzburg, Federal Republic of Germany.

出版信息

J Neural Transm (Vienna). 1996;103(8-9):987-1041. doi: 10.1007/BF01291788.

Abstract

Animal models are an important aid in experimental medical science because they enable one to study the pathogenetic mechanisms and the therapeutic principles of treating the functional disturbances (symptoms) of human diseases. Once the causative mechanism is understood, animal models are also helpful in the development of therapeutic approaches exploiting this understanding. On the basis of experimental and clinical findings. Parkinson's disease (PD) became the first neurological disease to be treated palliatively by neurotransmitter replacement therapy. The pathological hallmark of PD is a specific degeneration of nigral and other pigmented brainstem nuclei, with a characteristic inclusion, the Lewy body, in remaining nerve cells. There is now a lot of evidence that degeneration of the dopaminergic nigral neurones and the resulting striatal dopamine-deficiency syndrome are responsible for its classic motor symptoms akinesia and bradykinesia. PD is one of many human diseases which do not appear to have spontaneously arisen in animals. The characteristic features of the disease can however be more or less faithfully imitated in animals through the administration of various neurotoxic agents and drugs disturbing the dopaminergic neurotransmission. The cause of chronic nigral cell death in PD and the underlying mechanisms remain elusive. The partial elucidation of the processes underlie the selective action of neurotoxic substances such as 6-hydroxydopamine (6-OHDA) or 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), has however revealed possible molecular mechanisms that give rise to neuronal death. Accordingly, hypotheses concerning the mechanisms of these neurotoxines have been related to the pathogenesis of nigral cell death in PD. The present contribution starts out by describing some of the clinical, pathological and neurochemical phenomena of PD. The currently most important animal models (e.g. the reserpine model, neuroleptic-induced catalepsy, tremor models, experimentally-induced degeneration of nigrostriatal dopaminergic neurons with 6-OHDA, methamphetamine, MPTP, MPP+, tetrahydroisoquinolines, beta-carbolines, and iron) critically reviewed next, and are compared with the characteristic features of the disease in man.

摘要

动物模型在实验医学科学中是一项重要的辅助手段,因为它们能使人们研究人类疾病功能障碍(症状)的发病机制和治疗原则。一旦了解了致病机制,动物模型对于利用这一认识开发治疗方法也很有帮助。基于实验和临床研究结果,帕金森病(PD)成为首个通过神经递质替代疗法进行姑息治疗的神经疾病。PD的病理标志是黑质及其他色素性脑干核的特异性退化,在剩余神经细胞中存在特征性包涵体——路易小体。现在有大量证据表明,多巴胺能黑质神经元的退化以及由此产生的纹状体多巴胺缺乏综合征是其典型运动症状运动不能和运动迟缓的原因。PD是众多似乎未在动物中自发出现的人类疾病之一。然而,通过给予各种干扰多巴胺能神经传递的神经毒性剂和药物,该疾病的特征可以在动物中或多或少地得到忠实模拟。PD中慢性黑质细胞死亡的原因及其潜在机制仍然不明。然而,对诸如6 - 羟基多巴胺(6 - OHDA)或1 - 甲基 - 4 - 苯基 - 1,2,3,6 - 四氢吡啶(MPTP)等神经毒性物质选择性作用背后过程的部分阐明,揭示了可能导致神经元死亡的分子机制。因此,关于这些神经毒素机制的假说已与PD中黑质细胞死亡的发病机制相关。本文首先描述了PD的一些临床、病理和神经化学现象。接下来对当前最重要的动物模型(如利血平模型、抗精神病药物诱导的僵住症、震颤模型、用6 - OHDA、甲基苯丙胺、MPTP、MPP +、四氢异喹啉、β - 咔啉和铁实验诱导的黑质纹状体多巴胺能神经元退化)进行了批判性综述,并与人类疾病的特征进行了比较。

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