摘要
帕金森病是一种神经系统退行性疾病,目前该病已成为老年致残和病死的主要疾病
之一,它的主要病理变化是投射至纹状体的黑质致密部多巴胺神经元和轴突丢失。黑质
内多巴胺神经元的减少,使纹状体内多巴胺含量降低,引起中枢多巴胺和乙酰胆碱比例
失调,在临床上出现震颤、肌肉僵直、运动弛缓等一系列症状。随着研究的深入,已发
现 PD 中中脑黑质多巴胺神经元丢失的主要方式之一是细胞凋亡,但由于 PD 病因及病机
的复杂性,至今尚无理想的治疗方法,中医药用于防治帕金森病已取得了可喜的苗头,
本实验根据中医理论和临床实践,组成了银杏平颤方, 从细胞凋亡的诱因、调控分子等
多个方面研究并比较了银杏平颤方及拆方对 MPTP 诱导 PD 鼠的防治作用,揭示了中药的
作用和机制。
本实验分为四个部分:(1)观察 PD 鼠中脑黑质致密部多巴胺神经元的丢失和凋亡
以及银杏平颤全方和拆方的作用;(2)观察 PD 鼠脑内线粒体酶复合体的活性变化以及
银杏平颤全方和拆方的影响;(3)应用免疫组化技术观察 PD 鼠脑内不同部位钙结合蛋
白 Calbindin D28k 的表达和中药的影响;(4)应用免疫组化和原位杂交技术观察 PD 鼠
黑质致密部凋亡的主要调控分子 Caspase-9、Caspase-3、Bcl-2、Caspase-3mRNA 和
Bcl-2mRNA 的表达以及中药的作用。
实验选用 C57BL/6J 小鼠,应用 0.3%MPTP(生理盐水配制)按 30mg/kg/天腹腔注射,
连续 5 天,复制 PD 模型。动物随机分为六组:(1)正常对照组(NC);(2)模型对照组
(MC);(3)银杏平颤全方治疗组(简称全方组, GBPR);(4)中药清热解毒方治疗组(简
称解毒组, JDR); (5) 中药平肝熄风方治疗组(简称平肝组, PGR);(6)中药化瘀通络
方治疗组(简称化瘀组, HYR)。动物的存活期分别是 14 天和 28 天。
主要实验结果如下:
1. 中药银杏平颤全方和拆方可抑制 PD 鼠中脑黑质致密部 TH 阳性神经元的丢失和
凋亡
实验研究表明:造模后 PD 鼠中脑黑质致密部酪氨酸羟化酶(TH)阳性神经元的数
目比正常组明显减少,14 天,减少了 52.14%,28 天,减少了 60.78%;黑质致密部 TH
阳性神和纤维的光密度也明显降低,两个时间段分别降低了 90.42%和 93.20%。14 天,
各中药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,其中解毒组和化瘀组分别减少了16.60%和17.55%,效果较好;全方组和平肝组分别
减少了 22.72%和 20.61%。28 天,全方组 TH 阳性神经元的数量减少的程度最低,其丢失
率为 33.2%, 其它三个拆方组减少的程度较大,解毒组为 49.23%、平肝组为 44.9%和化瘀
组为43.94%; 中药各组也可不同程度的增加PD鼠黑质致密部TH阳性神经元和纤维的光
密度。
造模后,Tunel 方法显示 PD 鼠中脑黑质致密部凋亡细胞的数量明显增多,阳性细胞
2 银杏平颤方对 PD 鼠中脑多巴胺神经元凋亡的影响及机制探讨
核的着色强度也明显增加,14 天更明显;各中药治疗组可抑制该部位细胞的凋亡,14
天,解毒组效果最好,28 天,全方组和平肝组效果较显著。
2. 中药银杏平颤全方和拆方可调节 PD 鼠脑内线粒体酶复合体的活性
通过常规比色法和测氧法检测了不同组别动物脑内线粒体酶复合体 I、II 和 IV 的
活性,结果表明MPTP可导致 PD 鼠脑内线粒体(包括中脑黑质)酶复合体 I、IV 的活
性下降,对酶复合体 II 的活性无明显影响。银杏平颤全方中药在早期可以部分拮抗 MPTP
引起的线粒体酶复合体 I、IV 的活性下降;拆方各组中药中,解毒中药在早期(14 天)
一般都能抑制线粒体酶复合体活性的下降,甚至提高线粒体酶复合体Ⅱ的活性,但在后
期(28 天)无此作用;而平肝中药在早期抑制 MPTP 引起的线粒体酶复合体活性的下降
的效果不明显,后期效果显著;化瘀中药则在两个时段均能抑制 MPTP 引起的线粒体酶
复合体Ⅳ活性的下降,提高线粒体酶复合体Ⅱ的活性,但对线粒体酶复合体 I 的下降在
后期无明显抑制作用。提示银杏平颤全方及其拆方中药可能通过部分阻止线粒体酶复合
体活性的下降,保护线粒体的功能,防止多巴胺神经元的凋亡。
3. 中药银杏平颤全方和拆方可调节 PD 鼠脑内 Calbindin D28k 的表达
Calbindin D28k(CB)是脑内神经元内存在着一个重要的钙结合蛋白,它可以通过结
合细胞内的钙离子,调节细胞内的钙平衡,对神经元损伤起到部分保护作用。我们的实
验显示 PD 鼠脑内多巴胺神经元丢失的敏感区内(黑质和 VTA)Calbindin D28k 的表达可
反射性的增高,在海马 CA1 区和 CA2 区 Calbindin D28k 的表达也升高,而在脑皮质
Calbindin D28k 的表达降低。提示不同脑区神经元对 MPTP 的毒性反应不同,神经元内
Calbindin D28k 的表达增高,可能是细胞内钙超载导致神经元启动自我保护机制的结
果。一般来说,全方和化瘀中药可上调中脑、皮质和海马 CB 表达,早期(14 天)较后
期(28 天)更明显,提示中药可能通过增加钙结合蛋白 CB 的表达,调节细胞内的钙平
衡,达到保护神经元的目的。另外我们同样观察到解毒组中药在早期上调 CB 的作用明
显,后期效果不显著;而平肝中药在后期上调 CB 的效果明显,这提示在 PD 早期多巴
胺神经元内各种自由基的产生加速、细胞
Parkinson’s disease(PD) is a neurodegenerative disease. It is one of the
main diseases with high incidence and disable rate , also many sequelae. 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. The loss of dopaminergic neurons results in
decrease of dopamine in the striatum and imbalance in dopamine and acetylcholine.
So Parkinson’s disease is characterized by resting tremor ,rigidity and akinesia .
Recent studies have suggested that main causes of neuronal death in PD are
apoptosis. Despite extensive research, the disease remains poorly understood
and there is still no effective treatment. Chinese herbal medicine have efficacy
at treating PD. According to the theory of traditional Chinese medicine and based
on clinical practices, Ginkgo Biloba Pingchan Recipe(GBPR) is consisted. To
elucidate the effect and mechanism of GBPR and its three separated
prescriptions, we observed the changes of apoptosis-related molecules and
factors in SNpc in Parkinsonian mice model with MPTP-treated.
This study is consisted of four parts:(1)To observe the loss and apoptosis
of dopaminergic neurons in SNpc in Parkinsonian mice and the roles of GBPR and
its three separated prescriptions;(2) To observe the activity of the
mitochondrial complex in brain in Parkinsonian mice and influence of GBPR and
its three separated prescriptions;(3) To observe the expression of the
calcium-binding protein calbindin D28k in brain in Parkinsonian mice and
influence of GBPR and its three separated prescriptions by ABC
immunohistochemistry technique;(4) To observe the expression of the apoptotic
regulated factors Caspase-9、Caspase-3、Bcl-2、Caspase-3mRNA and Bcl-2mRNA in
SNpc in Parkinsonian mice and the effect of GBPR and its three separated
prescriptions by ABC immunohistochemistry and in situ hybridization technique.
In experimental research, male C57BL/6J mice are injected intraperitoneally
with a total cumulative dose of 150mg/kg MPTP ,30mg /kg daily to induce
Parkinson’s disease model. The modeled mice are called Parkinsonian mice. The
英文摘要 5
experimental animals is divided randomly into six groups:(1)The normal control
group( NC); (2) The model control group( MC);(3) Ginkgo Biloba Pingchan Recipe
group( GBPR); (4) Jiedu Recipe group (JDR); (5) Pinggan Recipe group(PGR); (6)
Huayu Recipe group;(HYR) .The animals were killed respectively on the 14th and
the 28th day after first injecting with MPTP.
The main results are displayed as follow:
1.Chinese herbal medicine Ginkgo Biloba Pingchan Recipe and its separated
Recipe may inhibit the loss and apoptosis of TH+ dopaminergic neurons
In the experimental studying, ABC immunohistochemistry technique is
used.The TH+ dopaminergic neurons were counted in every group . The number of
TH+ neurons in SNpc in MC is decreased by 52.14% on the 14th day and 60.78%
on the 28th day.The option density for TH+ neurons and fibers also obviously
reduced by 90.42% on the 14th day and 93.20% on the 28th day.The loss of TH+
neurons are partly inhibited in SNpc of Chinese herbal medicine. The number
of TH+ neurons in SNpc of JDR and HYR is decreased by 16.6% and 17.55% on the
14th day; The number of TH+neuronsin SNpc of GBPR and PGR is decreased by 22.72%
and 20.61% on the 14th day. On 28th Day, The degree of loss of TH+ neurons in SNpc
of GBPR is lightest ,for 33.2%; HYR,PGR and JDR are respectively for 43.94%,44.9%
and 49.23%. The option density for TH+ neurons and fibers in SNpc of Chinese
herbal medicine is also increased.The trend is similar to the changes of number
of TH+ neurons.
The apoptotic cells in SNpc is found by Tunel tethnique. The number and
density of apoptotic cells in SNpc in MC are increased,on 14th day is more
obvious. Chinese he
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