General Review Article

原发性震颤神经化学的最新进展

卷 27, 期 10, 2020

页: [1690 - 1710] 页: 21

弟呕挨: 10.2174/0929867325666181112094330

价格: $65

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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。

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