帕金森病大脑黑质中的神经发生?

Oscar Arias-Carrión, Elizabeth Yamada, Nils Freundlieb, Miriam Djufri, Lukas Maurer, Guido Hermanns, Bastian Ipach, Wei-Hua Chiu, Corinna Steiner, Wolfgang H Oertel, Günter U Höglinger
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引用次数: 28

摘要

帕金森病的临床运动功能障碍主要是黑质纹状体通路中多巴胺能神经元进行性变性的结果。这条通道的退化引起纹状体中多巴胺的消耗,而纹状体中多巴胺是正常运动功能所必需的容许因子。尽管进行了大量的研究,但没有有效的治疗方法可以预防发病或阻止神经元细胞损失的进展。因此,近年来人们对成人大脑,特别是黑质内源性修复过程的机制进行了研究。在生理条件下,成人大脑中的神经发生在两个区域内:海马的齿状回和侧脑室的室下区。与这两个所谓的神经源性区域相反,大脑的其余部分被认为本质上主要是非神经源性的,这意味着在正常情况下,那里不会产生新的神经元。然而,在帕金森病的病理条件下,黑质的成体神经发生的发生仍然存在争议。在这里,我们回顾了已发表的证据,证明在帕金森病中多巴胺能神经元丢失的黑质中是否存在成体神经发生。
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Neurogenesis in substantia nigra of parkinsonian brains?

The clinical motor dysfunction in Parkinson's disease is primarily the consequence of a progressive degeneration of dopaminergic neurons in the substantia nigra of the nigrostriatal pathway. The degeneration of this tract provokes a depletion of dopamine in the striatum, where it is required as a permissive factor for normal motor function. Despite intense investigations, no effective therapy is available to prevent the onset or to halt the progression of the neuronal cell loss. Therefore, recent years have seen research into the mechanisms of endogenous repair processes occurring in the adult brain, particularly in the substantia nigra. Neurogenesis occurs in the adult brain in a constitutive manner under physiological circumstances within two regions: the dentate gyrus of the hippocampus and the subventricular zone of the lateral ventricles. In contrast to these two so-called neurogenic areas, the remainder of the brain is considered to be primarily nonneurogenic in nature, implying that no new neurons are produced there under normal conditions. The occurrence of adult neurogenesis in the substantia nigra under the pathological conditions of Parkinson's disease, however, remains controversial. Here, we review the published evidence of whether adult neurogenesis exists or not within the substantia nigra, where dopaminergic neurons are lost in Parkinson's disease.

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