天麻对帕金森病大鼠神经元保护及机制的研究
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摘要
帕金森病(Parkinson’s disease,PD)是一种常见的中老年中枢神经系统退行性疾病,随着人口的老龄化,PD已成为威胁人类健康的主要疾病之一。PD主要病理变化是黑质致密部多巴胺神经元(dopaminergic neuron)脱失,导致了患者出现运动减少、僵直、震颤等临床症状。由于PD的发病原因至今不十分清楚,因此也无理想的防治措施。神经保护性治疗已成为当前PD研究的热点之一。现代药理证明天麻及其制剂具有调节免疫、抗炎、抗凋亡等功效,对神经细胞具有保护作用。本研究使用高效液相、免疫组织化学等技术研究探讨了天麻对PD大鼠行为学、形态学、与PD有关的神经递质、细胞凋亡等因素的影响,将有助于揭示PD的发病机理及天麻防治PD的作用机制,为临床用药提供理论依据,具有重要的理论意义和实用价值。
     实验选用SD大鼠60只,应用6-OHDA复制PD模型50只。动物随机分为六组:①正常对照组;②模型对照组;③西药对照组(美多巴组);④天麻大剂量组(简称大剂量组);⑤天麻中剂量组(简称中剂量组);⑥天麻小剂量组(简称小剂量组)。动物的存活期为14天。
     实验分为四个部分:①天麻对PD鼠行为学、病理学变化的影响;②天麻对PD大鼠纹状体DA及其代谢产物含量的影响;③应用免疫组化技术观察PD鼠黑质(substantia nigra,SN)与腹侧被盖区(the ventral tegmental area,VTA)肿瘤坏死因子-α(TNF-α)和胶质源神经营养因子(Glial cell line-derived neurotrophic growth factor,GDFN)的表达影响;④应用免疫组化技术观察PD鼠SN、VTA区酪氨羟化酶(Tyrosine hydroxylase,TH)和Caspase-3的表达。
     主要结果如下:
     1天麻对PD大鼠行为学和形体学的影响
     旋转实验:各组大鼠注射阿朴吗啡(apomorphine,APO)后10Min.都出现不同程度的兴奋状态:躁动,觅食等。大鼠旋转实验结果显示:天麻可改善PD大鼠的行为异常,其中天麻小剂量组和美多巴组与模型组比较有显著性差异(p<0.05),大、中剂量组与模型组比较无统计学意义。
     Morris水迷宫实验:定位航行试验的结果显示小剂量组与模型组比较有统计学意义(p<0.05)。
     HE染色结果:天麻各剂量组大鼠SN区神经元的形态基本相似,数量未见明显减少,仅见少数神经元变性。
     2天麻对PD大鼠纹状体DA及其代谢产物含量的影响
     高压液相色谱(法)检测结果统计显示:模型组DA、DOPAC和HVA均较正常组显著降低(p<0.01)。DOPAC/DA与HVADA/比值与正常组比较都不同程度地升高。其中小剂量组的DA、DOPAC和HVA的含量与模型组比较有显著升高(p<0.05),接近正常组和美多巴组;大、中剂量组的DA及其代谢产物提高不明显没有统计学意义。
     3天麻对PD鼠脑内胶质细胞TNF-α、GDNF表达的影响
     TNF-α图像分析及统计结果显示:①模型组VTA、SN区DA能神经元胞质TNF-α表达量较正常组显著升高(p<0.01);小剂量组、美多巴组VTA和SN与正常组比较差异均不显著(p>0.05),与模型组比较TNF-α表达明显降低且差异显著(p<0.05);小剂量组与美多巴组相比差异不显著(p>0.05)。各组右侧(未损伤侧)SN和VTA间比较差异均不显著(p>0.05)。
     GDNF图像分析及统计结果显示:①与模型组比较,中、小剂量组VTA、SN区DA能神经元胞质GDNF表达量显著升高(p<0.05);②与正常组相比小剂量组VTA、SN区GDNF表达升高差异显著(p<0.05);③与美多巴组比较小剂量组VTA的GDNF表达亦升高(p<0.05)。
     4天麻对PD鼠黑质Caspase-3表达及TH阳性神经元的影响
     实验研究表明:与正常组比较模型组PD大鼠中脑黑质致密部酪氨酸羟化酶(TH)阳性神经元的数目减少了约45%;各天麻治疗组可部分减少黑质致密部TH阳性神经元的丢失,其丢失程度较模型组明显减低,其中小剂量组和中剂量组,减少约16%和17%,效果较好;大剂量和美多巴组,减少约22%和20%。相应的小剂量和中级量组的Caspase-3阳性神经元表达较模型组明显减少。各组Caspase-3阳性神经元的表达与TH阳性神经元的表达呈相反趋势。
     结论:①免疫炎症和细胞凋亡可能是PD大鼠中脑多巴胺神经元丢失的主要方式。②天麻可通过调节上述因素减少细胞凋亡,其中天麻小剂量组有较好的作用。提示天麻可不同程度地保护多巴胺神经元,减缓PD病程的进展
Parkinson’s disease (PD) is a neurodegenerative disease.It is one of the frequent senile disease in central nervous system.With the increasing ageing of population,PD is one of the main disease to threaten the health of the human being.A major pathological hallmark of Parkinson’s disease is a progressive loss of dopaminergic neurons in the substantia nigra pars compacta (SNpc) and their axons,which project to the striatum.Thus,To lead to PD patient appear the clinical symptom of hypokinesia,rigidity and tremor et al.Up to now,as the disease remains poorly understood,there is still no effective treatment.It is one of the hot subject of studying to use the neuroprotective therapy to prevent and cure PD.The results of the modern pharmacological study showed that gastrodia rhizome or its products have the well efficacy as immunological regulation and anti-apoptosis,which can protect neurons.To elucidate the effect of gastrodin in the behavior,morphology,neurotransmitter , we use the technique of high pressure liquid chromatography(HPLC) and immunohistochemistry,which to help us to reveal the etiopathogenesis of PD and the mechanism of action of the gastrodin in order to prevent and cure PD.Furthermore, to provide theoretical support for clinical medication and have significant theoretical purpose.
     In experimental research,male SD rats were left-CPU injected with 6-OHDA(20ug)to establish PD model.The experimental animals is divided randomly into six groups:①The normal control group,②The model contral group,③Western medicine contral group,④gastrodin large dose group,⑤gastrodin middle dose group and⑥gastrodin small dose group.The animals were killed on the 14th day after injecting with 6-OHDA.
     This study is consisted of four parts:①To observe the changes of ethology and pathology in PD rats and the effect of gastrodin.②To study the contents of DA,DOPAC and HVA in striatum in PD rats and the effect of gastrodin by HPLC.③To investigate the expression of TNF-αand GDFN in SNpc and VTA in PD rats and the effect of gastrodin by immunohistochemistry technique.④To observe the expression of Caspase-3 and TH in SNpc and VTA in PD rats and the effect of gastrodin by immunohistochemistry technique.
     The main results are displayed as follows:
     1 Gastrodin can improve PD rats’ethologic and morphologic dysfunction. Each group rats that are injected APO after 10 minute appear different d egree motional state,restlessness and foraging,for about 30minuts then come down.The result show that the rotation number in the low dose and madopar group significantly decreased ,comparing with model group, however, large and middle does group no significant difference.
     Moirris water labyrinth result show that there was significant difference between low goes group and model group(p<0.05).
     The HE staining result show that the neuronal shape is no change,but the number is slightly decreased and a few neuron are degenerative in rats’SN among each dose gastrodin group。
     2 Gastrodia can increase the content of DA and its metabolic product in Striatum in PD rats.
     The content of DA,DOPAC and HVA in model group significantly decreased compared with normal group(p<0.01).The ratio of DA/DOPAC and DA/HVA in model group increased compared with normal group(p<0.05).The content of DA、DOPAC and HVA in low does group significantly increased compared with model group. In treatment groups,the contents of DA,DOPAC and HVA were recovered significantly and the ratio of HVA/DA decreased.
     3 The expression of TNF-αis decreased and the GDNF is increased in PD rats brain glial cell in each gastrodin-treated group.
     Image analysis and statistic result display that the expression of TNF-αis significantly increased in the cytoplasm of DA Neurons in VTA and SN in Models group compared with normal group(p<0.01).The low does and madopar group is similar to compared with normal group and declined significantly to compared with model group(p<0.05).
     Image analysis and statistic result show that the expression of GDNF significantly increased in the cytoplasm of DA Neurons in VTA and SN in middle, small dose group compared with model group(p<0.05).The low does group is significantly increased not only compared with normal group but also madopar group.There was no difference among the other group.
     4 Gastrodine may protect the loss and apoptosis of TH+ dopaminergic neurons by declining the express of Caspase-3 in SNpc in PD rats.
     In the experimental studying, immunohistochemistry technique is used.The TH+ dopaminergic neurons were counted in every group.The loss of TH+ neurons are partly inhibited in SNpc of each gastrodin treat group.The number of TH+ neurons in SNpc of small dose group and middle dose group is decreased by 16% and 17%;The number of TH+ neurons in SNpc of madopar group and large dose group is decreased by 22% and 20%.Correspondingly, the number of Caspase-3+ neurons in SNpc in small does and middle does group is obviously decrease
     d. The trend of decreasing of TH+ neurons is opposite to the change of number of Caspase-3+ neurons.
     Conclusion:①first,immuni-inflammation and apoptosis may be one of main way in loss of dopaminergic neurons in Parkinson’s disease.②Secondly,gastrodin may suppress the lose and apoptosis in SNpc,by adjusting the above factor.The effect of small dose group is best.It is indicated that gastrodin can moderately protect DA neuron and slow down the process of PD.
引文
1. 张旺明,徐如祥.帕金森病的病理生理研究进展.新医学,2002,23(5):265-267.
    2. 徐强,徐如祥.帕金森病中氧化应激和抗氧化物酶的研究进展.医学综述,2002,8(11):669-672.
    3. Ueda S,Sakakibara S,Nakadate K,et al.Degeneration of dopaminergineurons in the substantia nigra of zitter mutant rat and protection by chronic intake of vitamin E[J].Neurosci Lett,2005,380(3):252-256.
    4. 周厚广,鲍远程,陆建明.还原型谷胱甘肽合抗震止痉胶囊对帕金森病细胞保护作用的实验研究[J].中西医结合心脑血管病杂志,2003,1(11):652-656.
    5. 赵春玉,赵宝东,等.辅酶 Q10 在帕金森病治疗中的应用.中华神经科杂志,2003,36(4):314.
    6. 王健,彭国光.培高利特对帕金森病大鼠保护作用的实验研究.中国药理学通报,2004,20(11):1273-1276.
    7. 王健,彭国光.培高利特对帕金森病大鼠保护作用的初步研究.重庆医学,2003,32(6):729-730.
    8. 肖勤,陈生弟.左旋多巴和多巴胺对 PC12 细胞的毒性及其他抗帕金森病药物的神经保护作用.中华老年医学杂志,2004,23(7):496-499.
    9. 史洪润,孙斌.普拉克索的神经保护作用.中国临床神经科学,2001,9(3):317-319.
    10. 曹非,孙圣刚.银杏叶提取物治疗帕金森病大鼠的研究.临床神经病学杂志,2003,16(5):281-283.
    11. 景富春,陈虹.肉苁蓉的神经保护作用研究进展.时珍国医国药.2006,17(10):1878-1879.
    12. 徐霏霏,刘纯青,马涛,等.人参皂苷 Re 对 MPTP 致帕金森病模型小鼠多巴胺能神经元的保护作用.沈阳药科大学学报.2005,22(1):36-43.
    13. 朱蔚文,刘焯霖.灵芝孢子油对 MPTP 处理小鼠行为学及黑质区病理变化的影响.第一军医大学学报,2005,26(5):667-671.
    14. 罗俊,林志彬.灵芝三萜类化合物药理作用研究进展[J]药学学报(Acta Pharm),2002,37(7)574-578.
    15. 董晓先,刘金保,董燕湘,等.研究用天麻诱导骨髓间质干细胞分化为神经元样细胞的实验研究.中国中西医结合杂志,2004,24(1):51-53.
    16. 费娜.震颤宁治疗帕金森病的临床研究.山西中医学院学报,2005,5(2):22-23.
    17. 周宜灿,陈晓春,朱元贵,等.N-乙酰半胱氨酸防止帕金森病鼠黑质神经元凋亡.中国神经科学杂志,2003,19(6):384-388.
    18. 田有勇,孙圣刚.帕金森病神经保护的实验研究进展.国外医学神经病学神经外科学分册.2005,32(2):113-116.
    19. Shachar DB,Kahana N,Kampel V,et al.Neuroprotection by a novel brain permeable iron chelator,VK-28,against 6-hydroxydopamine lesion in rats.Neuropharmacology,2004,46(2):254-263.
    20. 袁红,许建阳.阿朴吗啡的神经保护途径:随机对照动物实验.中国临床康复.2005,9(41):46-47.
    21. 李宏建.绿茶提取物可能对帕金森病具有神经保护作用.国外医学中医中药分册.2002,24(4):252-253.
    22. 孙太欣,彭国光.帕金森病多巴胺激动剂的保护性治疗.国外医学内科学分册,2004,31(10):450-453.
    23. Gille G,Raush WD,Hung ST,et al.Pergolide protects dopaminergic neurons in primary culture under stress condition[J].J Neural Transm,2002,109(526):633-643.
    24. Calne D,Schulzer M,Mak E,et al.Treatment for the progression of Parkinson′s disease[J].Lancet Neurol,2005,4(4):206.
    25. Schapira AHV,Cooper JM,Dexter D,et al.Mitochondrial complex-I deficiency in Parkinson’s disease.Lancet,1989,1:1269.
    26. Parker WD,Boyson ST,Parks JK.Abnormalities of electron transport chainin idiopathic Parkinson’s disease.Ann Neurol,1989,26:719.
    27. 马琪林,蔡琰,林其谁,等.帕金森病患者血小板线粒体呼吸功能的研究.临床神经病学杂志,2004,17(1):5-7.
    28. Przedborski S,Tieu K,Perier C,etal.MPTP as a mitochondrial neurotoxic model of Parkinson’s disease[J].J Bioenergetics Biomembranes,2004,30(4):375-379.
    29. 樊文辉,陈彪.帕金森病内科治疗新策略.基础医学与临床,2005,25(8):703-705.
    30. 姚庆,高国栋.肌苷对帕金森病小鼠模型的神经保护作用.第四军医大学学报.2005,26(2):141-145.
    31. Shi M,You S W,Meng J H,et al.Direct protection of inosine on PC12 cells against zinc-induced injury[J].Neuroreport,2002,13(4):477-479.
    32. Scott GS,Spitsin SV,Kean RB,et al.Therapeutic intervention in experimental allergic encephalom yelitis by adm in is tration of uric acid precursors[J].Proc Natl Acad Sci USA,2002;99(25): 16303-16308.
    33. 王利军,白丽敏.神经营养因子在中枢神经系统的作用.解剖学杂志,2003,19(2):217-220.
    34. 司志超,袁绍纪.胶质细胞源性神经营养因子的生物学活性和临床应用前景.中国临床康复,2002,6(20):3102-3108.
    35. 张金海,范晓棠,阮怀珍.基底神经节退行性变的神经保护策略.创伤外科杂志,2003,5(6):469-471.
    36. 耿家贵,张新平.神经节甘脂治疗帕金森病的疗效观察.中风与神经径疾病杂志,2005,22(5):440-441.
    37. 宋鲁平,程焱.神经节苷脂对帕金森病小鼠黑质细胞凋亡及 bcl-2 基因表达的影响.中华神经科杂志,2002,35 (4):252-253.
    38. 张新萍,耿家贵.神经节苷脂治疗帕金森病的临床观察.社区医学杂志,2005,3(10):11-12.
    39. 高聪,蒲蜀湘,杨宁.神经节苷脂 GM1 在帕金森氏病症状波动治疗中的应.中国康复理论与实践,2005,11(7):580-581.
    40. 张金海,范晓棠,阮怀珍.基底神经节退行性变的神经保护策略.创伤外科杂志,2003,5(6):469-471.
    41. 刘卫国,陈生弟.左旋多巴对 C17.2 神经干细胞的毒性作用及司来吉兰的神经保护作用.中国神经科学杂志,2004,20(1):38-43.
    42. 边艳珠,刘怀军。司来吉兰队帕金森病小鼠黑质的神经保护作用及其评价.脑与神经疾病杂志,2004,12(6):432-450.
    43. 周宜灿,陈晓春.人参皂甙 Rg1 对帕金森病小鼠黑质 JNK 细胞凋亡通路的影响.解剖学报,2003,34(5):432-450.
    44. 徐霏霏,曹颖林.人参皂苷 Re 对帕金森病小鼠保护作用-人参皂甙 Re 抗黑质神经元凋亡的机制初探.中国天然药物,2004,2(3):171-173.
    45. 李雪莉,孙圣刚.葛根素对帕金森病保护作用的实验研究.脑与神经疾病杂志,2002,10(1):7-9.
    46. 程晓馨,李丰桥.雷公藤氯内酯醇对帕金森病大鼠多巴胺神经元的保护作用,2002,37(5):339–342.
    47. Marino MJ,Awad H,Poisik O,Wittmann M,Conn PJ.Localization and physi
    48. ological roles of metabotropic glutamate receptors in the direct and indirect pathways of the basal ganglia.Amino Acids 2002;23(1-3):49-50.
    49. 顾兵,张颖冬.亲代谢型谷氨酸受体配基对帕金森病大鼠的神经保护作用.中国临床康复,2003,7(16):2261-2263.
    50. 张金海,范晓棠,阮怀珍.基底神经节退行性变的神经保护策略.创伤外科杂志,2003,5(6):469-471.
    51. 肖勤,陈生弟.左旋多巴和多巴胺对 PC12 细胞的毒性及其他抗帕金森病药物的神经保护作用.中华老年医学杂志,2004,23(7):496-499.
    52. Qin L,Block ML,Liu Y,et al.Microglial NADPH oxidase is a novel target for femtomolar neuroprotection against oxidative stress.FASEB J,2005,9(6):550-557.
    53. 任士卿,王彦永,王铭维.免疫炎症反应与帕金森病的抗炎治疗.临床荟萃,2004,19(21):1212-1214.
    54. CASTANO A,HERRERAAJ,CANOJ,et al.The degenerative effect of a single intranigral injection of LPS on the dopaminergi c system is prevented bydexa methasone,and not mimicked by rh TNF-alpha,IL 1betaand IFN-gamma.[J].J Neurochem,2002 81(1):150-157.
    55. 任士卿,王彦永,王铭维.环氧化酶-2 和帕金森病.中华老年医学杂志,2005,24(7):552-555.
    56. LIU Y,QIN L,LI G,et al.Dextromethorphan protects dopaminergic neurons against inflammation-mediated degeneration through inhibition of microglial activation.J Pharmacol Exp Ther,2003,305(1):212-218.
    57. THOMAS M,LE W D,JANKOVIC J.Minocycline and other tetracycline derivatives:a neuroprotective strategy in Parkinson’s disease and Huntington’sdisease.Clin Neuropharmacol,2003,26(1):18-23.
    58. 沈伟,孙胜刚.美满霉素与帕金森病.国外医学神经病学神经外科学分册,2004,31(6):550-552.
    59. 蒋国会,李光勤.强力霉素的神经保护作用重.国际神经病学神经外科学杂志,2006,33(4):319-321.
    60. TEISMANN P,TIEU K,CHOI D K,et al.Cyclooxygenase-2 is instrumental in Parkinson’s disease neurodegeneration.Proc Natl Acad Sci USA,2003,100(9):5473-5478.
    61. TEISMANN P,FERGER B.Inhibition of the cyclooxygenase isoenzymes COX-1and COX-2 provide neuroprotection in the MPTP-mouse model of Parkinson’s disease.Synapse,2002, 39(2):167-174.
    62. Ebadi M,Sharma S,Shavali S,et al.Neuroprotective actions of selegiline.J Neurosci Res,2002,67(3):285-289.
    63. 边艳珠,刘怀军.司来吉兰队帕金森病小鼠黑质的神经保护作用及其评价.脑与神经疾病杂志,2004,12(6):432-450.
    64. 田有勇,孙圣刚.帕金森病神经保护的实验研究进展.国外医学神经病学神经外科学分册,2005,32(2):113-116.
    65. 李焕敏,邵明.腺苷 A2A 受体与帕金森病.广州医学院学报,2006,34(2):64-68.
    66. 袁崇刚,薛小琳等.腺苷受体拮抗剂对帕金森病小鼠神经递质的影响.生物化学与生物物理学报,2000,32(6):605-608.
    67. 蒋知新,张清华.咖啡因对帕金森病神经保护作用的研究进展.中华神经医学杂志.2004,3(5):391-393.
    68. 赵永波,王乔树.一氧化氮合酶抑制剂对帕金森病模型大鼠神经损伤的影响.中华老年医学杂志,2004,23(6):414-417.
    69. 孙玉发,衣志勇.帕金森病与吸烟关系的研究进展.国外医学内科学分册,2005,32(1):37-40.
    70. 朱晓临,管绯等.尼古丁对帕金森病大鼠纹状体 GDNF 和多巴胺含量的影响.临床神经病学杂志,2002,15(3):139-141.
    71. 朱晓临,童萼塘,孙圣刚.尼古丁对帕金森病大鼠纹状体多巴胺及黑质自由基含量的影响.脑与神经疾病杂志,2002,10(3):154-155.
    72. Romellspacher H,Meier Henco M,Smolka M,et al.[J].Eur J Pharmacol,2002,441(12):115-125.
    73. 陈涛,唐北沙.尼古丁对帕金森病小鼠脑组织一氧化氮合酶活性的影响.中华神经科杂志,2002,35(3):183-184.
    74. Currie LJ,Harrison MB,Trugman JM,et a1.Postmenopausal estrogen use affects risk for Parkinson disease. Arch Neurol,2004,61(6):886-888.
    75. 李雪莉,孙圣刚.雌激素抗帕金森病的保护作用.国外医学老年医学分册,2002,23(2):62-64.
    76. 田学文,章翔等.雌激素对帕金森病大鼠中脑黑质多巴胺能神经元保护作用的研究.滨州医学院学报,2004,27(3):165-167.
    77. 张春岩,杨慧.热休克蛋白对帕金森病患者的神经保护作用.中国临床康复,2006,10(10):129-131.
    78. 周昌奎,吴晓华.神经保护剂—胞磷胆碱的研究进展.中国生化药物杂志,2004,25(4):255-256.
    79. Zweifler RM.Menbrane stabilizer:citicoline.Curr Med Res Opin,2002,28(2):14 17.
    80. Rao AM,Hatcher JF,Dempsey RJ.Lipid alterations in transient forebrain ischemia:possible new mechanisms of CDP-choline neuroprotection.J Neurochem,2000,75(6):2528-2535.
    81. 姜晓燕,贾晓晶等.Citicoline 对大鼠中脑原代细胞培养的神经保护作用.吉林大学学报(医学版),2006,32(2):224-227.
    82. Rodnitzky RL.Can calcium antagonists provide a neuroprotective effect in Parkinson's disease.Drugs,1999,57:845-849.
    83. 费娜,许丽珍.钙离子拮抗剂对帕金森病的神经保护作用.中国误诊学杂志,2006,6(7):1244-1246.
    84. Genc S,Kuralay F,Genc K,etal.Erythropoietin exerts neuroprotection in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridinetreated C57/BL mice via increasing nitric oxide production.Neurosci Lett,2001,298:139 141.
    85. Wenzhen Duan,Bruce LADenhein,Roy G.Gutler,et al.Dietary folate deficiency and elevated homocysteine levels endanger dopaminergic neurons in midels of Parkinson’s disease.Journal of Neurocheinistry,2002,80(1):101.
    86. Miller W.Hcmocysterine, folate deficiency,and Parkinson’s disease.NutrRev,2002,60(12):410.
    87. DUAN W,LADENHEIM B,CUTLER R G,et al.Dietary folate deficiency and elevated homocysteine levels endanger dopaminergic neurons in models of Parkinson’s disease.J Neurochem,2002,80:101-110.
    88. 刘昌盛,肖冰,吕淑霞.帕金森病营养防治研究进展.安徽农业科学,2006,34(11):2621-2622.
    89. 薛柳华,唐一鹏,洪庆涛,等.天麻素对谷氨酸致培养皮层神经细胞损伤的保护作用.北京中医药大学学报,1999,22(1):39-42.
    90. 孙晓芳,王巍.天麻及其制剂神经保护机制的研究进展.中国中药杂志,2004,29(4):292-294.
    1. HUNOT S,HIRSCH E C.Neuroinflammatory processes in Parkinson’s disease.Ann Neuro,2003,53(3):49-60.
    2. Mena M A,de Bernardo S,Casarejos M J,et al.he role of a stroglia on the survival of dopamine neurons.Mol Neurobiol,2002,25(3):245-263.
    3. 裴正斌,彭国光.小神经胶质细胞在帕金森中的双重作用.中国临床康复,2004,8:130-132.
    4. Stolzing A,Wengner A,Grune T.egradation of oxidized extracellular proteins by microglia.rch Biochem Biophys,2002,400:743-760.
    5. 王加才,彭国光.神经保护性免疫和帕金森病.中华老年医学杂志,2006.25(2):151-153.
    6. 丁艳霞,刘洪梅等.胶质细胞系源性神经营养因子保护帕金森模型大鼠黑质多巴胺能神经元机制的研究.徐州医学院学报,006,26(1):8-13.
    7. Kato H,Araki T,Imai Y,er al.Protection of dopaminergic neurons with a novel astrocyte modulating agent(R)-2-propyloctanoic acid(ONO-2506)in an MPTP-mouse model of Parkinson’s disease.J Neurol Sci,2003,208:9-15.
    8. Bharath S,Hsu M,Kaur D,et al.Glutathione,iron and Parkinson s disease[J].Biochem Pharmacol,2002,64(5-6):1037-1048.
    9. Mytilineou C,Kramer BC,Yabut JA.Glutathione depletion and oxidative stress[J].Parkinsonism Relat Disord,2002,8(6):385-387.
    10.Duan D,Yang H,Zhang J,et al.ong-term restoration of nigrostriatal systemfunction by implanting GDNF genetically modified fibroblasts in a rat model of Parkinson’s disease. Exp Brain Res,2005,161:316-324.
    11.Shavali S,Ren J,Ebadi M.nsulin-like growth factor -1 protects human dopaminergic SH-SY5Y cells from salsolinol-induced toxicity . Neurosci Lett,2003,340:79-82.
    12.Ohmachi S Mikami T Konishi M,et al.referential neurotrophic activity of fibroblast growth factor receptor-1c.JNeurosci Res,2003,72:466-443.
    13.Wu DC,Jackson V,Vila M,et al.Blockade of microglia activation is neuroprotective in the MPTP mouse model of Parkinson’disease.J Neurosci,2002,22:1763-1771.
    14.Liu B,Hong JS. Role of microglia in inflammation-mediated neurodegenerative diseases:mechanisms and strategies for the rapeutic intervention[J].J Pharmacol ExpTher,2003,304(1):1-7.
    15.Liu B,Hong JS.Role of microglia in inflammation mediated neurodegenerative diseases: mechanisms and strategies for the rapeutic in tervention[J].J Pharmacol ExpTher,2003,304(1):1-7.
    16.Wang XJ,Chen SD,Ma GZ,et al.Geniste in protects dopamine rgicneurons by inhibiting microglial activation.Neuroreport,2005,16(3):267-270.
    17.汪锡金,陈生弟.帕金森病与胶质细胞.上海交通大学学报(医学版),2006,26(7):807-809.
    18.任士卿,王彦永等.免疫炎症反应与帕金森病的抗炎治疗.《临床荟萃》,2004,19(21):1212-1214.
    19.CASTANO A,HERRERA AJ,CANOJ,et al.The degenerative effect of asingle intranigral injection of LPS on the dopaminergic system is prevented by dexamethasone,and not mimicked by rhTNF-alpha,IL-1 beta and IFN-gamma.JNeurochem,2002,81(1):150-157.
    20.TEISMANN P,FERGER B.Inhibition of the cyclooxy genase isoenzymes COX-1 and COX-2 provide neuroprotection in the MPTP‰mouse model of Parkinson’sdisease.Synapse,2002,39(2):167-174.
    21.TEISMANN P,TIEU K,CHOI D K,et al.Cyclooxygenase-2 is instrumental in Parkinson’s disease neurodegeneration.Proc Natl Acad Sci U S A,2003,100(9):5473-5478.
    22.THOMAS M,LE W D,JANKOVIC J.Minocycline and other tetracycline derivatives:a neuroprotective strategy in Parkinson’s disease and Huntington’s disease[J].Clin Neuropharmacol,2003,26(1):18-23.
    23.LIU Y,QIN L,LI G,et al.Dextromethorphan protects dopaminergic neurons against inflammation-mediated degeneration through inhibition of microglial activation.J Pharmacol Exp Ther,2003,305(1):212-218.
    24.张林波,杨贵贞.三七皂甙 Rg1 纹状体内注射对帕金森病模型大鼠免疫炎症损伤的拮抗效应.中国免疫学杂志,2004,20(2):121-123.
    25.鲍远程,方向等.柔肝化瘀中药对帕金森病大鼠模型免疫反应得影响.中医药临床杂志,2005,17(4):360-362.
    26.Tim M,Andrew C,Linker RA, et al.Astrocytes are less efficient in the removal of apoptotic lymghocytes than microglia cells;implications for the role of glial cells in the inflamed central nervous system.J NeuropatholExp Neurol,2002,61(9)1223-1228.
    27.Mun-Bryce S, Lukes A, Wallace J,et al.Stromelysin-1 and gelatinase A areup-regulated before TNG-alpha in LPS-stimulated neuroinflammation.BrainRes,2002,933(1):42-9.
    28.Martin Kerschensteiner MD,Christine Stadelmann MD,Georg Dechant PhD,et al.Neurotrophic cross-talk between the nervous and immune systems:implications for neurological diseases.Ann Neurol,2003,53:292-304.
    29.Hirayama M,Kuriyama,M.MK-801 is cytotoxic to microglia in vitro and its cytotoxicity is attenuated by glutamate,other excitotoxic agents and atropine.Possiblle presence of glutamate receptor and muscarinic receptor on microglia.Brain Res,2005,897(1-2):204-206.
    1. 田有勇,孙圣刚.帕金森病神经保护的实验研究进展.国外医学神经病学神经外科学分册,2005,32(2):113-116.
    2. 王莉,肖红斌,梁鑫淼.天麻化学成分研究.中草药,2003,34(7):584-585.
    3. 张宏杰,周建军,李新生.天麻研究进展.氨基酸和生物资源,2003,25(1):17-20.
    4. 黄晓磊,王树礼.谷氨酸、NMDA 受体 1 与缺血性脑损伤关系研究进展.中国微循环,2006,10(1):69-72.
    5. 傅建华,杜贵友.天麻促智颗粒对反复脑缺血再灌小鼠脑组织递质性氨基酸含量的影响[J].中国中药杂志,2001,26(1):53-56.
    6. 曹春雨,杜贵友,左萍萍,等.天麻促智颗粒的脑保护机制研究[J].中国中药杂志,2001,26(4):269-271.
    7. 张艳琼,王晓丹.天麻对中枢神经系统影响的基础研究进展.时珍国医国药,2006,17(4):541-542.
    8. 陈文东,鲁晓莉,李林,等.天麻素对氯化钾诱导的培养神经细胞释放谷氨酸的影响.中国自然医学杂志,2000,2(1):8-10.
    9. 李运曼,陈芳萍,刘国卿.天麻素抗谷氨酸和氧自由基诱导的 PC12 细胞损伤的研究.中国药科大学报,2003,34(5):456-460.
    10.胡苗苗,李运曼.一氧化氮合酶抑制剂与脑缺血中国临床药理学与治疗学,2006,11(1):10-13.
    11.李茂进,胡俊峰,张春玲,等.天麻阿胶联合对染铅鼠脑一氧化氮及学习记忆的影响.中国公共卫生,2002,18(3):284-287.
    12.张霄峰,王慕一,王玉华等.川芎天麻液对大鼠脑缺血再灌注损伤保护作用的实验研究.中华中西医杂志,2003,4(5):663-667.
    13.付强,周永红.中药对星形胶质细胞活性的影响.光明中医,2005,20(2):43-46.
    14.张霄峰,王慕一,王玉华,等.川芎天麻液对大鼠脑缺血再灌注损伤保护作用的实验研究.中华中西医杂志,2003,4(5):663-666.
    15.刘中华,胡海涛等.天麻素对 Aβ25-35 诱导的 Alzheimer 病细胞模型的保护作用.四川大学学报(医学版),2005,36(4):537-540.
    16.张博爱,陈烈冉.中成药天智颗粒对血管性痴呆大鼠脑内神经细胞增殖的影响.中国现代神经疾病杂志,2006,6(5):393-397.
    17.薛柳华,唐一鹏,孙承琳,等.天麻素对缺血再灌注神经细胞膜的保护作用.北京中医药大学学报,1998,21(3):18-21.
    18.李运曼,陈芳萍,刘国卿.天麻素抗谷氨酸和氧自由基诱导的 PC12 细胞损伤的研究.中国药科大学报,2003,34(5):456-460.
    19.徐坚,陶陶,何燕,等.天麻及电针对大鼠脑缺血再灌注损伤及 p53 基因表达的影响[J].中国医药学报,2004,19(11):659-662.
    20.Kim HJ,Lee SR,Moon KD.Ether fraction of methanol extracts of Gastrodia elata, medicinal herb p rotects against neuronal cell damage after transient global ischemia in gerbils [J].Phytother Res,2003,17(8):909-913.
    21.杨菁,白秀珍.天麻水煎剂对醋氨酚引起肝损伤的保护作用及机制研究.数理医药学杂志,2003,16(5):453-455.
    22.刘凌钊,邓慧等.天麻对大鼠肾缺血再灌注损伤中 SOD、MDA 作用的研究.现代临床医学生物工程学杂志,2004,10(6):479-481.
    23.张霄峰,王慕一,王玉华等.川芎天麻液对大鼠脑缺血再灌注损伤保护作用的实验研究.中华中西医杂志,2003,4(5):663-667.
    24.廖全斌,刘小琴.天麻提取物的抗氧化活性与其天麻素含量相关性研究.三峡大学学报(自然科学版),2006,28(1):80-82.
    25.唐涌,肖成华.细胞凋亡在帕金森病发病中的作用.徐州医学院学报,2004,24(1):87-90.
    26.黄建梅,唐一鹏,洪庆涛.抗呆Ⅰ号对体外模拟脑缺血再灌注损伤海马神经元凋亡调控基因表达的影响.北京中医药大学学报,2002,25(1):38-41.
    27.杨万兴,吕金胜,封永勇,等.天麻醇提液对动物急性炎症的影响[J].药物研究,2002,11(12):26-27.
    28.杨世林,兰进,徐锦堂.天麻的研究进展.中草药,2000,31(1):66-69.
    29.张宏杰,周建军,李新生.天麻研究进展.氨基酸和生物资源,2003,25(1):17-20.
    30.徐玉娥.中药天麻的研究现状.中国野生植物资源,2003,22(4):12-14.
    31.范玉奇,李文兰.天麻化学成分及药理性质研究的进展.药品评价,2005,2(4):309-312.
    32.赵瑛,孙忠人,王薇.御风胶囊对缺血在灌注大鼠脑组织 ATPase 活性保护作用的研究.中成药,2002,24(8):609.
    33.孙晓芳,王巍,王丹巧等.天麻及其制剂神经保护机制的研究进展.中国中药杂志,2004,29(4):292-294.
    34.林青,田闯,李立纪,等.天麻不同提取部位对学习记忆的影响[J].中药药理与临床,2002,18(1):12.
    35.孙晓芳,王巍.天智颗粒对叠氮钠诱导脑损伤大鼠纹状体细胞外乙酰胆碱和儿茶酚胺含量的影响.中国中药杂志,2005,30(2):141-147.
    36.杨世林,兰进,徐锦堂.天麻的研究进展.中草药,2000,31(1):66-69.
    1. Hong Yuan,Sophie Sarre,Guy Ebinger,et al.Histological,behavioural and neurochemical evaluation of medial forebrain bundle and striatal 6-OHDA lesions as rat models of Parkinson’s disease.Journal of Neuroscience Methods,2005,144:35-45.
    2. 张元鹏,李新钢.实验用帕金森病动物模型的研究进展.中国临床神经外科杂志,2005,10(2):157-160.
    3. Yuan H. et al. Histological, behavioural and neurochemical evaluation of medial forebrain bundle and striatal 6-OHDA lesions as rat models of Parkinson′s disease.J Neurosci Method 2005,144(1):35-45.
    4. Paxinos G,Watson C.The Rat Brain in stereotaxic Coordinates M.Second Edition USA:San Diego,A cademic Press 1998,36.
    5. 李爱萍,赵慧,李超,等.不同鼠种在 Morris 水迷宫学习记忆行为中的种属差异.中国行为医学科学,2005,14(1):29-31.
    6. 侯秀娟,唐启盛,洪庆涛,等.脑卒中后抑郁状态模型大鼠学习和记忆水平的 Morris水迷宫测定.中国临床康复,2005,9(12):134-136.
    7. 邹志浩,张世忠.6-羟基多巴定向注射建立帕金森病大鼠模型的实验研究.中华神经医学杂志,2006,5(3):244-257.
    8. Jia RR,Gou Y L,Ho L S,et al.Anti-apoptotic activity of Bak Foong Pills and its ingredients on 6-hydroxydopamine-induced neurotoxicity in PC12 cells[J].Cell Biol Int,2005,29(10):835-842.
    9. Henze C,Earl C,Sautter J,et al.Reactive oxidative and nitrogen species inthe nigrostriatal system following striatal 6-hydroxydopamine lesion inrats[J].Brain Res,2005,1052(1):97-104.
    10.SunM,Kong L,Wang X,et al.comparison of the capability of GDNF,BDNF,or both,to protect nigrostriatal neurons in a rat model of Parkinson’s disease[J].Brain Res,2005,1052(2):119-129.
    11.Debeir T,Ginestet L,Francois C,et al.Effect of intrastriatal 6-OHDA Lesion on dopeminergic innervation of the rat cortex and globus pallidus [J].Exp Neurol,2005,193(2):444-454.
    12.Berretta N,Freestone PS,Guatteo E,et al.Acute effects of 6-hydroxydopcmine on dopcminergic neurons of the rat substantianigra pars compacta in vitro[J].Neurotoxicology,2005,26(5):869-881.
    13.Metz GA,Tse A,Balleiman M,et al.The unilateral 6-OHDA rat model of Parkinson’s disease revisited:an electrcmyographic and behaviouralanalysis[J].EurJNeurosci,2005,22(3):735-744.
    14.Iancu R,M ohapelP,Brundin P,et al.Behavioral characterization of a unilateral 6-OHDA-lesion model of Parkinson’s disease in mice.[J]Behav Brain Res,2005,162(1):1-10.
    15.Macinnes N,Duty S.Locemotor effects of imidazoline 12-site-specific ligands and monoamine oxidase inhibitors in rats with a unitateral 6-hydroxydopamine lesion of the nigrostriatal pathway[J].BrJPhamacol,2004,143(8):952-959.
    16.吕国平,王春芹.天麻素注射液的药理及临床研究.中草药,2002,33(5):附 3-附 5.
    17.杨艳艳,牛朝诗.帕金森病模型大鼠的学习记忆功能障碍.中国临床康复,2006,10(10):86-83.
    18.范凯,马坚妹.6-羟多巴胺脑内注射制备帕金森病大鼠模型的研究.中国实验动物学报,2005,3(1):20-22.
    1. 常义,杨纶先,马骏,等.帕金森病外科治疗的综合评价与相关基础研究.临床神经外科杂志,2006,3(1):19-21.
    2. 蒋雨平,王坚,丁正同,等.原发性帕金森病的诊断标准(2005 年).中国临床神经科学,2006,14,(1):40.
    3. 王倩,陈兴华.针刺对帕金森模型大鼠纹状体多巴胺及代谢产物含量影响的实验研究.新中医,2006,38(6):92-93.
    4. 杨万兴,吕金胜,封永勇,等.天麻醇提液对动物急性炎症的影响.药物研究,2002,11(12):26-27.
    5. 何建成,袁灿兴,卫洪昌.中西药合用对帕金森病大鼠神经细胞凋亡的影响.中国临床康复,2006,10(15)53-54.
    6. 任士卿,王彦永.免疫炎症反应与帕金森病的抗炎治疗.临床荟萃,2004,19(21):1212-1214.
    7. 陈怡敏,许景云,徐首林.天麻注射液对小鼠免疫功能的影响.上海免疫学杂志,1988,8(5):337-338.
    1. Liu B,Hong JS.Role of microglia in inflammation-mediated neurodegenerative diseases:mechanisms and strategies for therapeutic intervention[J].J Pharmacol Exp Ther,2003,304(1)1-7.
    2. 裴正斌,彭国光.小胶质细胞在帕金森病中的双重作用.中国临床康复,2004,8(1):130-132.
    3. Arai H, Furuya T, Mizuno Y, Mochizuki H. Inflammation and infection in Parkinson's disease. Histol Histopathol. 2006 Jun;21(6):673-8.
    4. 张思源,齐建国,章为等.纹状体内注射胶质细胞源神经营养因子对帕金森病模型大鼠多巴胺能神经元剂量依赖性的保护.中国临床康复第,2006,10(2):104-107.
    5. Castano A,Herrcra AJ,Cano J.et a1.The degenerative effect of asingle intranigral injection of LPS on the dopaminerglc system is prcvented by dexamethasone,and not mimicked by rh-TNF-alpha,IL-lbeta and IFN-gamma.J Neurechem,2002,81(1)150-157.
    6. 董丽华,胡国华,王育珊.帕金森病大鼠模型的炎性发病机制.实用老年医学,2005,19(6):300-314.
    7. Hunot S,Hartmann A,Hirsch EC,et al.The inflammatory response in the Parkinson brain. [J].Clinical Neurosci Res,2001,21(5)434.
    8. Le W,Rowe D,Xie W,et al.Microglial activation and dopaminergic cell injury:an in vitro model relevant to Parkinson’s disease.J Neurosci,2001,21(21)8447.
    9. Hunot S.Dugas N,Faucheux B,et al.Fcepsilon RⅡ/CD123 is expressed in Parkinson’s disease and induces,in vitro,production of nitric oxide and tumor necrosis factor alpha in glial cells. [J].JNeurosci,1999,19:3440-3447.
    10.Anselme L,Perrier,Viviane T,et al.Derivation of mid - brain dopamine neurons from human embryonic stem cells.PNAS,2004,101:12543-12548.
    11.潘静,陈生第.GDNF 对多巴胺能神经元作用机制的研究进展.生理科学进展.2006,37(3):247-250.
    12. Hunot S, Hirsch EC. Neuroinflammatory processes in Parkinson′s disease. Ann Neurol 2003; 53 (suppl 3): S49-S60. Reivew.
    13.Hirsch E C.Glial cells and Parkinson’s disease.J Neurol,2000,247:Ⅱ/58Ⅱ/62.
    14.赵卫华.胶质细胞与神经变性病.中国临床神经科学,2003,11(3)316-319.
    1. 王岚,孙圣刚.帕金森病发病机制研究进展.临床内科杂志,2006,23(6):365-368.
    2. 利佳,李志刚,姜波.帕金森病与细胞凋亡.中国现代医学杂志,2006,16(7):1032-1036.
    3. 建成,袁灿兴,卫洪昌.中西药合用对帕金森病大鼠神经细胞凋亡的影响.中国临床康复第,2006,10(16):53-55.
    4. 陈俊抛,林煜.阿尔茨海默病.痴呆治疗学.北京:人民军医出版社,2002.99.
    5. gambato-Faure V,Buggiv V,Gilbert F,et al.Coordinated and spatial upregulation of arcin striatonigral neurons correlates with L-dopa-induced behavioral senditization in dyskinetic rats[J].JNeuropathol Exp Neurol,2005,64(11):936-947.
    6. 益华,张华杰,南发俊.Caspase 抑制剂的研究进展.生命科学,2006,18(3):247-254.
    7. 艳云,蒲小平.caspase-3 在神经毒素 1-甲基-4-苯基吡啶离子诱发多巴胺能神经元凋亡中的表达.北京大学学报(医学版),2002,34(6):688-691.
    8. 亚辉,李佳,周忠良.Caspase-3:治疗神经退行性疾病的新靶点.生物化学与生物物理进展,2003,30(2):175-178.
    9. 曲方.Caspase 抑制剂与神经疾病.中国临床神经科学,2005,13(2):218-221.
    10.Bang L,Sugama S,Mischak RP,et al.A novel systemically active caspase inhibitor attenuates the toxicities of MPTP,malonate,and 3NP in vivo[J].Neurobiol Dis,2004,17:250-259.
    11.孙晓芳,王巍.天麻及其制剂神经保护机制的研究进展.中国中药杂志,2004,29(4):292-295.

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