Rodríguez-Ithurralde D, Maruri A, Rodríguez X
Division of Neuromyology, Instituto de Investigaciones Biológicas Clemente Estable, Montevideo, Uruguay.
J Neurol Sci. 1998 Oct;160 Suppl 1:S80-6. doi: 10.1016/s0022-510x(98)00204-4.
We have proposed that neuronal overactivation by either stimulation of excitatory receptors or hypofunction of inhibitory circuits is a cause of excessive acetylcholinesterase (AChE) release, which, in turn, can contribute to ALS/MND pathogenesis. We investigated histochemical and histopathological changes in cell populations of the mouse spinal ventral horn upon in vivo stimulation of glutamate receptors with L-aspartate (ASP, 10-50 mg/kg, intraperitoneal: i.p.), or blockade of glycine receptors with strychnine (STRY, 2 mg/kg, i.p.). ASP in P4-P13 (postnatal age in days) but not in older mice, and STRY irrespective of age, provoked rapid, striking depletions of motor neurone AChE, and appearance of AChE activity in astrocytes. This was followed by recovery of the enzyme in most motor neurones, astrocyte activation and statistically significant changes in: brain macrophage infiltration, loss of interneurones and motor neurones and neuronophagic images including rosettes of glial cells surrounding a central 'ghost-like' motor neurone. Although AChE release preceded the neuropathology found, it is not known if its uptake is a cause of glial activation. However, it has been shown that the enzyme potentiates non-N-metyl-D-aspartate receptors identical to those that mediate astrocyte activation. AChE activity produces protons and choline, possible microglial activators. These are putative routes towards long-lasting neuropathology.
我们提出,通过刺激兴奋性受体或抑制性回路功能减退导致的神经元过度激活是乙酰胆碱酯酶(AChE)过度释放的一个原因,而这反过来又可能促成肌萎缩侧索硬化症/运动神经元病(ALS/MND)的发病机制。我们研究了用L-天冬氨酸(ASP,10 - 50mg/kg,腹腔注射:i.p.)体内刺激谷氨酸受体,或用士的宁(STRY,2mg/kg,i.p.)阻断甘氨酸受体后,小鼠脊髓腹角细胞群的组织化学和组织病理学变化。P4 - P13(出生后天数)的小鼠注射ASP后会出现运动神经元AChE迅速、显著减少以及星形胶质细胞中出现AChE活性,但年龄较大的小鼠不会出现这种情况;而注射STRY后,无论年龄大小,都会出现运动神经元AChE迅速、显著减少以及星形胶质细胞中出现AChE活性的情况。随后,大多数运动神经元中的酶会恢复,星形胶质细胞被激活,并且在以下方面出现具有统计学意义的变化:脑巨噬细胞浸润、中间神经元和运动神经元丢失以及神经元吞噬图像,包括围绕中央“幽灵样”运动神经元的胶质细胞玫瑰花结。尽管AChE释放先于所发现的神经病理学变化,但尚不清楚其摄取是否是胶质细胞激活的原因。然而,已经表明该酶会增强与介导星形胶质细胞激活的受体相同的非N-甲基-D-天冬氨酸受体。AChE活性会产生质子和胆碱,它们可能是小胶质细胞的激活剂。这些是导致持久神经病理学变化的可能途径。