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Aberrant Tonic Inhibition of Dopaminergic Neuronal Activity Causes Motor Symptoms in Animal Models of Parkinson's Disease.
Current Biology ( IF 8.1 ) Pub Date : 2020-01-09 , DOI: 10.1016/j.cub.2019.11.079
Jun Young Heo 1 , Min-Ho Nam 2 , Hyung Ho Yoon 3 , Jeongyeon Kim 4 , Yu Jin Hwang 5 , Woojin Won 6 , Dong Ho Woo 7 , Ji Ae Lee 8 , Hyun-Jung Park 9 , Seonmi Jo 10 , Min Joung Lee 11 , Sunpil Kim 6 , Jeong-Eun Shim 12 , Dong-Pyo Jang 12 , Kyoung I Kim 13 , Sue H Huh 13 , Jae Y Jeong 13 , Neil W Kowall 14 , Junghee Lee 14 , Hyeonjoo Im 15 , Jong Hyun Park 16 , Bo Ko Jang 16 , Ki Duk Park 16 , Hyunjoo J Lee 17 , Hyogeun Shin 17 , Il-Joo Cho 17 , Eun Mi Hwang 18 , YoungSoo Kim 19 , Hye Yun Kim 20 , Soo-Jin Oh 21 , Seung Eun Lee 22 , Sun Ha Paek 23 , Jong Hyuk Yoon 24 , Byung K Jin 13 , Gi Ryang Kweon 11 , Insop Shim 9 , Onyou Hwang 8 , Hoon Ryu 25 , Sang Ryong Jeon 3 , C Justin Lee 26
Affiliation  

Current pharmacological treatments for Parkinson's disease (PD) are focused on symptomatic relief, but not on disease modification, based on the strong belief that PD is caused by irreversible dopaminergic neuronal death. Thus, the concept of the presence of dormant dopaminergic neurons and its possibility as the disease-modifying therapeutic target against PD have not been explored. Here we show that optogenetic activation of substantia nigra pars compacta (SNpc) neurons alleviates parkinsonism in acute PD animal models by recovering tyrosine hydroxylase (TH) from the TH-negative dormant dopaminergic neurons, some of which still express DOPA decarboxylase (DDC). The TH loss depends on reduced dopaminergic neuronal firing under aberrant tonic inhibition, which is attributed to excessive astrocytic GABA. Blocking the astrocytic GABA synthesis recapitulates the therapeutic effect of optogenetic activation. Consistently, SNpc of postmortem PD patients shows a significant population of TH-negative/DDC-positive dormant neurons surrounded by numerous GABA-positive astrocytes. We propose that disinhibiting dormant dopaminergic neurons by blocking excessive astrocytic GABA could be an effective therapeutic strategy against PD.

中文翻译:

多巴胺能神经元活动的异常补品抑制导致帕金森氏病动物模型中的运动症状。

基于帕金森氏病(PD)是由不可逆的多巴胺能神经元死亡引起的坚信,目前针对帕金森氏病(PD)的药物治疗主要集中在症状缓解上,而不是疾病改变上。因此,尚未探索休眠的多巴胺能神经元的存在的概念及其作为针对PD的疾病改良治疗靶标的可能性。在这里我们显示,黑质致密部(SNpc)神经元的光遗传激活可通过从TH阴性的多巴胺能神经元中恢复酪氨酸羟化酶(TH)来缓解急性PD动物模型中的帕金森氏病,其中一些仍表达DOPA脱羧酶(DDC)。TH的丧失取决于在异常的补药抑制下多巴胺能神经元放电的减少,这归因于过多的星形细胞GABA。阻断星形细胞GABA的合成概括了光遗传激活的治疗作用。一致地,死后PD患者的SNpc显示大量被许多GABA阳性星形胶质细胞包围的TH阴性/ DDC阳性休眠神经元。我们建议通过阻止过量的星形细胞GABA抑制休眠的多巴胺能神经元可能是针对PD的有效治疗策略。
更新日期:2020-01-09
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