摘要
背景:原发性震颤(ET)的病理生理和神经化学机制尚不完全清楚,因为仅报告了几项验尸研究,并且缺乏针对这种疾病的良好实验模型。 目的:本综述的主要目的是更新有关ET神经化学特征的数据。已经描述了某些儿茶酚胺系统,多巴胺能,5-羟色胺能,GABA能,去甲肾上腺素能和肾上腺素能系统的改变,并且是该修订的目的。 方法:为此,我们对ET患者(验尸或体内)的神经递质或神经调节系统(儿茶酚胺,γ-氨基丁酸或GABA,兴奋性氨基酸,腺苷,T型钙通道)的变化进行了文献综述。 )或类似ET的实验模型。 结果和结论:关于ET神经化学的最一致的数据与GABA能和谷氨酸能系统有关,腺苷和多巴胺能和肾上腺素能系统的贡献较小,而没有足够的证据表明其他神经递质系统在ET中有明确的作用。用T型钙通道拮抗剂,大麻素1受体,鞘氨醇1-磷酸受体激动剂和间隙连接阻滞剂实现的啮齿动物模型中由harmaline引起的震颤的改善表明这些结构在ET发病机理中的潜在作用。
关键词: 原发性震颤,神经化学,GABA,谷氨酸,多巴胺,去甲肾上腺素,肾上腺素,5-羟色胺,腺苷,T型钙通道。
[http://dx.doi.org/10.1002/mds.24004] [PMID: 22038525]
[http://dx.doi.org/10.1212/WNL.52.7.1422] [PMID: 10227629]
[http://dx.doi.org/10.1007/s00702-004-0208-x] [PMID: 15375677]
[http://dx.doi.org/10.1002/mds.22870] [PMID: 20437537]
[http://dx.doi.org/10.1002/1531-8257(200005)15:3<503:AID-MDS1013>3.0.CO;2-V]
[http://dx.doi.org/10.1111/j.1600-0404.2005.00517.x] [PMID: 16281920]
[http://dx.doi.org/10.1007/s100720170040] [PMID: 11487195]
[http://dx.doi.org/10.1007/s00702-005-0311-7] [PMID: 15959851]
[http://dx.doi.org/10.1212/WNL.55.10.1540] [PMID: 11094111]
[http://dx.doi.org/10.1007/s00259-012-2232-7] [PMID: 22976499]
[http://dx.doi.org/10.1007/s00702-015-1419-z] [PMID: 26133163]
[http://dx.doi.org/10.1016/j.parkreldis.2017.07.028] [PMID: 28774469]
[http://dx.doi.org/10.1212/WNL.42.8.1554] [PMID: 1641153]
[http://dx.doi.org/10.1007/s007020050124] [PMID: 9928890]
[http://dx.doi.org/10.1007/s12149-012-0577-4] [PMID: 22382608]
[http://dx.doi.org/10.1097/MNM.0b013e3282f4d307] [PMID: 18317299]
[http://dx.doi.org/10.1002/mds.22259] [PMID: 18759337]
[http://dx.doi.org/10.1016/j.parkreldis.2011.08.025] [PMID: 21917500]
[http://dx.doi.org/10.1002/mds.1265] [PMID: 11835438]
[http://dx.doi.org/10.1016/j.parkreldis.2004.03.004] [PMID: 15261882]
[http://dx.doi.org/10.1016/0022-510X(77)90237-4] [PMID: 874521]
[http://dx.doi.org/10.1007/s00702-006-0623-2] [PMID: 17260170]
[http://dx.doi.org/10.1002/1531-8257(199911)14:6<988:AID-MDS1012>3.0.CO;2-M] [PMID: 10584674]
[http://dx.doi.org/10.1111/j.1468-1331.2009.02784.x] [PMID: 19765055]
[http://dx.doi.org/10.1002/mds.26630] [PMID: 27091412]
[http://dx.doi.org/10.1111/j.1399-0004.2006.00600.x] [PMID: 16650084]
[http://dx.doi.org/10.1073/pnas.0508189103] [PMID: 16809426]
[http://dx.doi.org/10.1002/mds.22518] [PMID: 19645064]
[http://dx.doi.org/10.1111/ane.12148] [PMID: 23682623]
[http://dx.doi.org/10.1016/j.jocn.2013.03.023] [PMID: 24054403]
[http://dx.doi.org/10.1212/WNL.0000000000000211] [PMID: 24532269]
[http://dx.doi.org/10.1080/01616412.2016.1210355] [PMID: 27456607]
[http://dx.doi.org/10.1016/j.pharep.2014.11.008] [PMID: 25933950]
[http://dx.doi.org/10.1097/WNF.0b013e31824687bf] [PMID: 22318193]
[http://dx.doi.org/10.1111/cns.12467] [PMID: 26459182]
[PMID: 2163146]
[http://dx.doi.org/10.1136/jnnp.54.6.516] [PMID: 1880513]
[http://dx.doi.org/10.33588/rn.27160.98212] [PMID: 9951036]
[http://dx.doi.org/10.1002/mds.20908] [PMID: 16671077]
[PMID: 6059304]
[http://dx.doi.org/10.1136/jnnp.42.10.904] [PMID: 512665]
[http://dx.doi.org/10.1056/NEJM197511062931902] [PMID: 1178003]
[http://dx.doi.org/10.1016/S0140-6736(81)92276-5] [PMID: 6112475]
[http://dx.doi.org/10.1136/jnnp.47.11.1216] [PMID: 6094733]
[http://dx.doi.org/10.1097/00002826-198904000-00009] [PMID: 2655897]
[http://dx.doi.org/10.1016/j.parkreldis.2012.04.024] [PMID: 22595620]
[http://dx.doi.org/10.1080/01616412.2016.1275456] [PMID: 28095756]
[http://dx.doi.org/10.1177/0269881111398685] [PMID: 21335358]
[http://dx.doi.org/10.1007/s12017-008-8040-3] [PMID: 18543121]
[http://dx.doi.org/10.1016/j.parkreldis.2009.08.011] [PMID: 19773194]
[http://dx.doi.org/10.1002/1531-8249(199908)46:2<249:AID-ANA15>3.0.CO;2-C] [PMID: 10443891]
[http://dx.doi.org/10.1016/S0304-3940(01)02166-8] [PMID: 11595339]
[http://dx.doi.org/10.1177/0269881111415731] [PMID: 21890585]
[http://dx.doi.org/10.1016/0091-3057(91)90190-D] [PMID: 1946576]
[http://dx.doi.org/10.1007/BF01273153] [PMID: 8811501]
[http://dx.doi.org/10.1093/brain/awr301] [PMID: 22120148]
[http://dx.doi.org/10.1016/j.jocn.2011.11.001] [PMID: 22321358]
[http://dx.doi.org/10.2967/jnumed.109.074120] [PMID: 20554735]
[http://dx.doi.org/10.1007/s12311-017-0891-4] [PMID: 29039117]
[http://dx.doi.org/10.1172/JCI200523625] [PMID: 15765150]
[http://dx.doi.org/10.1016/j.neulet.2006.02.066] [PMID: 16530959]
[http://dx.doi.org/10.1007/s00415-010-5708-z] [PMID: 20820800]
[http://dx.doi.org/10.1097/FPC.0b013e328345bec0] [PMID: 21422964]
[http://dx.doi.org/10.1111/j.1468-1331.2010.03308.x] [PMID: 21749575]
[http://dx.doi.org/10.1038/ejhg.2015.228] [PMID: 26508575]
[http://dx.doi.org/10.1007/s00439-016-1709-z] [PMID: 27395408]
[http://dx.doi.org/10.1002/mds.25809] [PMID: 24449142]
[http://dx.doi.org/10.1186/s40478-014-0157-z] [PMID: 25391854]
[http://dx.doi.org/10.1016/j.parkreldis.2016.09.003] [PMID: 27624392]
[http://dx.doi.org/10.1093/brain/awu281] [PMID: 25273997]
[http://dx.doi.org/10.1016/S0304-3940(02)00966-7] [PMID: 12401550]
[http://dx.doi.org/10.1212/01.WNL.0000065885.15875.0D] [PMID: 12707440]
[http://dx.doi.org/10.1002/mds.20019] [PMID: 15197706]
[http://dx.doi.org/10.1016/j.parkreldis.2017.11.345] [PMID: 29203059]
[http://dx.doi.org/10.1111/j.1468-1331.2008.02150.x] [PMID: 18445025]
[http://dx.doi.org/10.1016/j.ejphar.2012.08.014] [PMID: 22975288]
[http://dx.doi.org/10.1016/j.neulet.2015.01.078] [PMID: 25643620]
[http://dx.doi.org/10.1016/j.neuropharm.2014.03.018] [PMID: 24726309]
[http://dx.doi.org/10.1212/WNL.0b013e31825fdeed] [PMID: 22764253]
[http://dx.doi.org/10.1097/FPC.0000000000000171] [PMID: 26313486]
[http://dx.doi.org/10.1016/j.neulet.2017.12.045] [PMID: 29275184]
[http://dx.doi.org/10.1038/nm1693] [PMID: 18157140]
[http://dx.doi.org/10.1016/j.mayocp.2012.05.006] [PMID: 22809886]
[http://dx.doi.org/10.1111/cns.12692] [PMID: 28371468]
[http://dx.doi.org/10.1073/pnas.1002995107] [PMID: 20498062]
[http://dx.doi.org/10.1016/j.neuropharm.2010.05.012] [PMID: 20547167]
[http://dx.doi.org/10.1016/j.bbrc.2011.05.082] [PMID: 21621520]
[http://dx.doi.org/10.1038/ng.299] [PMID: 19182806]
[http://dx.doi.org/10.1016/j.jns.2012.02.030] [PMID: 22425540]
[http://dx.doi.org/10.1007/s00401-013-1108-7] [PMID: 23543187]
[http://dx.doi.org/10.1002/mds.25819] [PMID: 24531928]
[http://dx.doi.org/10.1517/14728222.2015.1028360] [PMID: 25862159]
[http://dx.doi.org/10.1177/1756285616679123] [PMID: 28382111]
[http://dx.doi.org/10.1111/bph.13581] [PMID: 27545646]
[http://dx.doi.org/10.1016/j.physbeh.2016.06.013] [PMID: 27317835]
[http://dx.doi.org/10.1016/j.neulet.2017.06.015] [PMID: 28627375]
[http://dx.doi.org/10.1007/s11011-016-9834-x] [PMID: 27188291]
[http://dx.doi.org/10.1002/mds.20940] [PMID: 16773639]
[http://dx.doi.org/10.1007/s007020050036] [PMID: 9588759]
[http://dx.doi.org/10.2174/9781608057757113020007]