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Therapeutic drug monitoring of antidepressants--clinical aspects. 抗抑郁药的治疗药物监测——临床方面。
Pub Date : 2007-01-01 DOI: 10.1007/978-3-211-73574-9_32
G. Laux, P. Baumann, C. Hiemke
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引用次数: 15
CYP 2E1 mutant mice are resistant to DDC-induced enhancement of MPTP toxicity. CYP 2E1突变小鼠对ddc诱导的MPTP毒性增强具有抗性。
Pub Date : 2007-01-01 DOI: 10.1007/978-3-211-73574-9_20
C Viaggi, F Vaglini, C Pardini, P Sgadò, A Caramelli, G U Corsini

In order to reach a deeper insight into the mechanism of diethyldithiocarbamate (DDC)-induced enhancement of MPTP toxicity in mice, we showed that CYP450 (2E1) inhibitors, such as diallyl sulfide (DAS) or phenylethylisothiocyanate (PIC), also potentiate the selective DA neuron degeneration in C57/bl mice. Furthermore we showed that CYP 2E1 is present in the brain and in the basal ganglia of mice (Vaglini et al., 2004). However, because DAS and PIC are not selective CYP 2E1 inhibitors and in order to provide direct evidence for CYP 2E1 involvement in the enhancement of MPTP toxicity, CYP 2E1 knockout mice (GONZ) and wild type animals (SVI) of the same genetic background were treated with MPTP or the combined DDC + MPTP treatment. In CYP 2E1 knockout mice, DDC pretreatment completely fails to enhance MPTP toxicity, although enhancement of MPTP toxicity was regularly present in the SVI control animals. The immunohistochemical study confirms our results and suggests that CYP 2E1 may have a detoxifying role.

为了更深入地了解二乙基二硫代氨基甲酸酯(DDC)诱导小鼠MPTP毒性增强的机制,我们发现CYP450 (2E1)抑制剂,如二烯丙基硫化物(DAS)或苯乙基异硫氰酸酯(PIC),也会增强C57/bl小鼠的选择性DA神经元变性。此外,我们发现CYP 2E1存在于小鼠的大脑和基底神经节中(Vaglini et al., 2004)。然而,由于DAS和PIC不是选择性的CYP 2E1抑制剂,并且为了提供CYP 2E1参与MPTP毒性增强的直接证据,我们用MPTP或DDC + MPTP联合治疗具有相同遗传背景的CYP 2E1敲除小鼠(GONZ)和野生型动物(SVI)。在CYP 2E1敲除小鼠中,DDC预处理完全不能增强MPTP毒性,尽管在SVI对照动物中MPTP毒性有规律地增强。免疫组化研究证实了我们的结果,并提示CYP 2E1可能具有解毒作用。
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引用次数: 5
Low dose methylphenidate improves freezing in advanced Parkinson's disease during off-state. 低剂量哌醋甲酯改善晚期帕金森病非状态期间的冷冻。
Pub Date : 2007-01-01 DOI: 10.1007/978-3-211-73574-9_17
L Pollak, Y Dobronevsky, T Prohorov, S Bahunker, J M Rabey

Five men with advanced idiopathic Parkinson's disease (PD) were examined to assess the effect of low dose methylphenidate (MPD) on gait. The patients were tested during "off" state before and two hours after the intake of 10 mg MPD while walking an "8 trajectory". The total walking time, total freezing time, number of freezing episodes and the non-freezing walking time were assessed. The obtained data were compared by the Wilcoxon Signed Rank test with a type I error rate of 0.05. The results showed a statistically significant improvement in all gait parameters after MPD intake. Moreover, a good correlation in the grade of improvement for each individual gait characteristic was found. The study demonstrates that low dose of MPD may improve gait, and especially freezing, in patients with severe PD, without the need for exogenous L-dopa. The mechanism of MPD action in patients with advanced PD is further discussed.

对5名晚期特发性帕金森病(PD)患者进行了检查,以评估低剂量哌甲酯(MPD)对步态的影响。患者在服用10 mg MPD前和服用后2小时处于“关闭”状态,并以“8轨迹”行走。评估总步行时间、总冻结时间、冻结次数和非冻结步行时间。所得数据采用Wilcoxon Signed Rank检验进行比较,I型错误率为0.05。结果显示,服用MPD后,所有步态参数都有统计学上的显著改善。此外,发现每个个体步态特征的改善程度具有良好的相关性。该研究表明,低剂量的MPD可以改善严重PD患者的步态,特别是冻结,而不需要外源性左旋多巴。进一步探讨了MPD在晚期PD患者中的作用机制。
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引用次数: 49
Genetic analysis of dopaminergic system development in zebrafish. 斑马鱼多巴胺能系统发育的遗传分析。
Pub Date : 2006-01-01 DOI: 10.1007/978-3-211-45295-0_11
S Ryu, J Holzschuh, J Mahler, W Driever

Zebrafish have become an important model organism to study the genetic control of vertebrate nervous system development. Here, we present an overview on the formation of dopaminergic neuronal groups in zebrafish and compare the positions of DA neurons in fish and mammals using the neuromere model of the vertebrate brain. Based on mutant analysis, we evaluate the role of several signaling pathways in catecholaminergic neuron specification. We further discuss the prospect of identifying novel genes involved in dopaminergic development through forward genetics mutagenesis screens.

斑马鱼已成为研究脊椎动物神经系统发育遗传调控的重要模式生物。本文对斑马鱼多巴胺能神经元群的形成进行了综述,并利用脊椎动物大脑的神经细胞模型比较了鱼类和哺乳动物多巴胺能神经元的位置。基于突变体分析,我们评估了几种信号通路在儿茶酚胺能神经元规范中的作用。我们进一步讨论了通过正向遗传诱变筛选鉴定参与多巴胺能发育的新基因的前景。
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引用次数: 36
Relationship between axonal collateralization and neuronal degeneration in basal ganglia. 基底神经节轴突侧支与神经元变性的关系。
Pub Date : 2006-01-01 DOI: 10.1007/978-3-211-45295-0_14
M Parent, A Parent

In this paper we evaluate the hypothesis of a possible link between the degree of axonal collateralization of neurons located within the different components of basal ganglia and the vulnerability of these neurons to neurodegenerative or neurotoxic events. Our results stemmed from single-cell labeling experiments in rodents and primates, immunohistochemical study of the dopaminergic nigrostriatal pathway in parkinsonian monkeys, and immunocytological analysis of the human striatum in normal individuals and in patients with Huntington's disease. Our results indicate that projection neurons within virtually all basal ganglia components are endowed with a widespread and highly collateralized axon that yields a fixed number of terminals. Such a high degree of axonal collateralization allows exquisitely precise interactions between the various basal ganglia nuclei. However, the maintenance of this unique morphological trait implies high-energy consumption and renders basal ganglia neurons highly vulnerable to neurodegenerative, metabolic or neurotoxic insults.

在这篇论文中,我们评估了一种假设,即位于基底神经节不同组成部分的神经元的轴突侧支程度与这些神经元对神经退行性或神经毒性事件的脆弱性之间可能存在联系。我们的研究结果来源于啮齿类动物和灵长类动物的单细胞标记实验,帕金森猴多巴胺能黑质纹状体通路的免疫组织化学研究,正常人和亨廷顿病患者纹状体的免疫细胞学分析。我们的研究结果表明,几乎所有基底神经节成分中的投射神经元都具有广泛且高度侧支的轴突,并产生固定数量的终端。如此高度的轴突侧支使得各种基底神经节核之间的相互作用非常精确。然而,这种独特形态特征的维持意味着高能量消耗,并使基底神经节神经元极易受到神经退行性、代谢性或神经毒性的损害。
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引用次数: 44
Parkin and defective ubiquitination in Parkinson's disease. 帕金森病与泛素化缺陷。
Pub Date : 2006-01-01 DOI: 10.1007/978-3-211-45295-0_32
T M Dawson

Parkinson's Disease (PD) is a common neurodegenerative disorder that is characterized by the progressive loss of dopamine (DA) neurons. Accompanying the loss the of DA neurons is the accumulation of Lewy bodies and neurites, intracytoplasmic proteinaceous inclusions that contain alpha-synuclein, synphilin-1, components of the ubiquitin proteasomal pathway and parkin. Recent advances indicate that PD is due in some individuals to genetic mutations in alpha-synuclein, DJ-1, PINK-1, LRRK2, and parkin. Understanding the molecular mechanisms by which mutations in familial-linked genes cause PD holds great promise for unraveling the mechanisms by which DA neurons degenerate in PD. Parkin is E3-ubiquitin-protein ligase that ubiquitinates itself and promotes its own degradation. Familial associated mutations of parkin have impaired ubiquitin ligase function suggesting that this may be the cause of familial autosomal recessive PD. Parkin might be required for formation of Lewy bodies as Lewy bodies are absent in patients with parkin mutations. Parkin interacts with and ubiquitinates the alpha-synuclein interacting protein, synphilin-1. Formation of Lewy-body-like ubiquitin-positive cytosolic inclusions occurs upon coexpression of alpha-synuclein, synphilin-1 and parkin. Nitric oxide inhibits Parkin's E-3 ligase activity and its protective function by nitric oxide through S-nitrosylation both in vitro and in vivo. Nitrosative and oxidative stress link parkin function with the more common sporadic form of Parkinson's disease and the related alpha-synucleinopathy, DLBD. Development of new therapies for PD and other disorders associated with nitrosative and oxidative stress may follow the elucidation of the pathways by which NO S-nitrosylates and inhibits parkin. Moreover, parkin and alpha-synuclein are linked in common pathogenic mechanism through their interaction with synphilin-1 and parkin may be important for the formation of Lewy bodies.

帕金森病(PD)是一种常见的神经退行性疾病,其特征是多巴胺(DA)神经元的进行性丧失。伴随DA神经元损失的是路易小体和神经突的积累,胞浆内蛋白包涵体含有α -突触核蛋白、突触蛋白-1、泛素蛋白酶体途径成分和帕金。最近的研究表明,PD在某些个体中是由α -突触核蛋白、DJ-1、PINK-1、LRRK2和parkin基因突变引起的。了解家族关联基因突变导致PD的分子机制,对揭示PD中DA神经元退化的机制有很大的希望。Parkin是e3 -泛素蛋白连接酶,泛素化自身并促进自身降解。帕金森氏病的家族性相关突变损害了泛素连接酶的功能,提示这可能是家族性常染色体隐性遗传病的原因。路易小体的形成可能需要帕金,因为在帕金突变的患者中没有路易小体。Parkin与突触核蛋白相互作用蛋白synphilin-1相互作用并泛素化。路易体样泛素阳性胞浆包涵体的形成发生在α -突触核蛋白、突触蛋白-1和帕金蛋白的共同表达上。在体内和体外,一氧化氮通过s -亚硝基化抑制Parkin的E-3连接酶活性及其保护功能。亚硝化和氧化应激将帕金森功能与更常见的散发性帕金森病和相关的α -突触核蛋白病(DLBD)联系起来。随着NO s -亚硝基化和抑制parkin的途径的阐明,PD和其他与亚硝基化和氧化应激相关的疾病的新疗法的发展可能会出现。此外,parkin和α -突触核蛋白通过与synphilin-1的相互作用在共同的致病机制中联系在一起,parkin可能在路易小体的形成中起重要作用。
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引用次数: 76
Alpha-synuclein overexpression model. α -突触核蛋白过表达模型。
H Mochizuki, M Yamada, Y Mizuno

Objectives: To elucidate the role of alpha-synuclein in the pathogenesis of Parkinson's disease (PD), both human alpha-synuclein transgenic mice and targeted overexpression of human alpha-synuclein in rat substantia nigra (SN) by viral vector-based methods have been studied, however little is known about the pathogenetic changes of dopaminergic neuron loss. Therefore, it is necessary to address whether the pathogenetic changes in the brains of patients with PD are recapitulated in these models.

Methods and results: We used the recombinant adeno-associated viral (rAAV) vector system for human alpha-synuclein gene transfer to rat SN and observed approximately 50% loss of dopaminergic neurons in SN at 13 weeks after infection. In the slower progression of neurodegeneration, we identified several important features in common with the pathogenesis of PD, such as phosphorylation of alpha-synuclein at Ser129 and activation of caspase-9. Both findings were also evident in cortical tissues overexpressing alpha-synuclein via rAAV.

Conclusions: Our results indicate that overexpression of alpha-synuclein via rAAV apparently recapitulates several important features of brains with PD and dementia with Lewy bodies (DLB), and thus alpha-synucleinopathy described here is likely to be an ideal model for the study of the pathogenesis of PD and DLB. This model is also useful for the gene therapy research.

目的:为了阐明α -突触核蛋白在帕金森病(PD)发病机制中的作用,我们研究了人α -突触核蛋白转基因小鼠和基于病毒载体的人α -突触核蛋白在大鼠黑质(SN)中的靶向过表达,但对多巴胺能神经元丢失的发病变化知之甚少。因此,有必要探讨PD患者大脑的病理变化是否在这些模型中得以重现。方法和结果:我们使用重组腺相关病毒(rAAV)载体系统将人α -突触核蛋白基因转移到大鼠SN,在感染后13周观察到SN中约50%的多巴胺能神经元丢失。在神经退行性变的缓慢进展中,我们发现了几个与PD发病机制共同的重要特征,如α -突触核蛋白Ser129的磷酸化和caspase-9的激活。这两种结果在通过rAAV过表达α -突触核蛋白的皮质组织中也很明显。结论:我们的研究结果表明,通过rAAV过度表达α -突触核蛋白明显概括了PD和路易体痴呆(DLB)患者大脑的几个重要特征,因此本文描述的α -突触核蛋白病可能是研究PD和DLB发病机制的理想模型。该模型对基因治疗研究也有一定的参考价值。
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引用次数: 0
Triggering endogenous neuroprotective mechanisms in Parkinson's disease: studies with a cellular model. 帕金森病触发内源性神经保护机制:细胞模型研究
Pub Date : 2006-01-01 DOI: 10.1007/978-3-211-45295-0_66
M J Zigmond

Glial cell line-derived neurotrophic factor (GDNF) has been implicated in the protection of dopamine (DA) neurons from oxidative stress in animal models of Parkinson's disease (PD). We have now shown that GDNF can also protect against the effects of 6-hydroxydopamine (6-OHDA) in a dopaminergic cell line and in cultures of primary DA neurons prepared from rat substantia nigra (SN). This appears to involve a rapid and transient increase in the phosphorylation of several isoforms of extracellular signal-regulated kinase (ERK). Our evidence indicates that ERK activation also can be modulated by reactive oxygen species (ROS), including those generated by endogenous DA. Identification of the ways by which these pathways can be triggered should provide insights into the pathophysiology of PD, and may offer useful avenues for retarding the progression of the disorder.

神经胶质细胞系来源的神经营养因子(GDNF)参与了帕金森病(PD)动物模型中多巴胺(DA)神经元免受氧化应激的保护。我们现在已经证明,在多巴胺能细胞系和大鼠黑质(SN)制备的原代DA神经元培养物中,GDNF也可以防止6-羟基多巴胺(6-OHDA)的影响。这似乎涉及细胞外信号调节激酶(ERK)的几种亚型磷酸化的快速和短暂增加。我们的证据表明,ERK的激活也可以被活性氧(ROS)调节,包括内源性DA产生的活性氧。识别这些途径的触发方式应该为PD的病理生理学提供见解,并可能为延缓疾病的进展提供有用的途径。
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引用次数: 16
Genetics of dystonia. 肌张力障碍的遗传学。
Pub Date : 2006-01-01 DOI: 10.1007/978-3-211-45295-0_73
S Bressman

Primary torsion dystonia (PTD) has a broad clinical spectrum, with earlier onset of symptoms associated with more generalized muscle involvement. The causes for most dystonia are unknown although several monogenic subtypes have been identified. One important genetic cause of PTD is DYT1; a three base pair deletion in this gene is a major cause for early-onset dystonia. Its identification has allowed the development of cellular and animal models; it has also permitted studies that identify both "manifesting" and "non-manifesting" DYT1 mutation carriers. These studies have expanded our understanding of clinical expression to include psychiatric symptoms and also have enabled imaging studies of endophenotypes. These advances provide a widened platform for future research.

原发性扭转肌张力障碍(PTD)具有广泛的临床症状,发病早,与更广泛的肌肉受累有关。尽管已经确定了几种单基因亚型,但大多数肌张力障碍的原因尚不清楚。PTD的一个重要遗传原因是DYT1;该基因的三个碱基对缺失是导致早发性肌张力障碍的主要原因。它的鉴定使细胞和动物模型的发展成为可能;它还允许研究识别“显性”和“非显性”DYT1突变携带者。这些研究扩大了我们对临床表现的理解,包括精神症状,也使内表型的影像学研究成为可能。这些进展为未来的研究提供了一个更广阔的平台。
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引用次数: 10
Critical appraisal of brain pathology staging related to presymptomatic and symptomatic cases of sporadic Parkinson's disease. 散发性帕金森病症状前和症状性病例脑病理分期的关键评价
Pub Date : 2006-01-01 DOI: 10.1007/978-3-211-45295-0_16
G M Halliday, K Del Tredici, H Braak

Clinical Parkinson's disease (PD) is a well-characterised syndrome that benefits significantly from dopamine replacement therapies. A staging procedure for sporadic PD pathology was developed by Braak et al. assuming that the abnormal deposition of alpha-synuclein indicates the intracellular process responsible for clinical PD. This paradigm has merit in corralling patients with similar cellular mechanisms together and determining the potential sequence of events that may herald the clinical syndrome. Progressive pathological stages were identified--1) preclinical (stages 1-2), 2) early (stages 3-4, 35% with clinical PD) and 3) late (stages 5-6, 86% with clinical PD). However, preclinical versus early versus late-stage cases should on average be progressively older at the time of sampling, a feature not observed in the cohort analysed. In this cohort preclinical cases would have developed extremely late-onset PD compared with the other types of cases analysed. While the staging scheme is a valuable concept, further development is required.

临床帕金森病(PD)是一种明显受益于多巴胺替代疗法的综合征。布拉克等人提出了散发性帕金森病的分期方法,假设α -突触核蛋白的异常沉积表明了导致临床帕金森病的细胞内过程。这种模式在将具有相似细胞机制的患者聚集在一起并确定可能预示临床综合征的潜在事件顺序方面具有优点。确定了进行性病理分期:1)临床前(1-2期),2)早期(3-4期,35%为临床PD)和3)晚期(5-6期,86%为临床PD)。然而,在抽样时,临床前、早期和晚期病例的平均年龄应该逐渐增大,这一特征在队列分析中没有观察到。在这个队列中,与其他类型的病例相比,临床前病例会发展为极晚发性PD。虽然分期方案是一个有价值的概念,但需要进一步发展。
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引用次数: 104
期刊
Journal of Neural Transmission-supplement
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