蛋白酶体抑制剂诱导多巴胺能神经元变性及诱导型一氧化氮合酶变化

目的探讨蛋白酶体（proteasome）功能下降在帕金森病（PD）发病机制中的作用，以及模型大鼠脑内黑质部位诱导型一氧化氮合酶（iNOS）是否参与蛋白酶体抑制剂Lactacystin诱导的多巴胺能神经元变性。方法将30只健康雄性SD大鼠分为5组（生理盐水对照组，1d组、3d组、1周组、3周组），每组6只。将蛋白酶体抑制剂Lactacystin立体定向注射至大鼠黑质部位，记录大鼠在不同时间点的行为学改变，并用免疫组化方法观察生理盐水对照组及不同时间点组（1d、3d，1周、3周）大鼠黑质区多巴胺能神经元变性及iNOS变化。结果Lactacystin注射1周后大鼠开始出现自发性活动减少，阿朴吗啡可诱导出旋转行为；3周后，30min旋转次数为258．90±11．56；实验3周组黑质部位TH阳性细胞减少。1d后iNOS阳性细胞明显增多，3d时达高峰，1周后开始下降，3周时基本消失。结论蛋白酶体功能下降可能是多巴胺能神经元变性的始动因素，而iNOS上调可能是多巴胺能神经元变性的重要过程。     

偏侧帕金森病猴模型黑质和纹状体一氧化氮合酶表达的变化

目的探讨偏侧帕金森病（PD）猴模型黑质和纹状体一氧化氮合酶（NOS）表达的变化。方法对3只恒河猴经单侧颈内动脉注射1-甲基4-苯基1,2,3,6-四氢吡啶（MPTP）制备成偏侧PD猴模型后,应用还原型尼克酰胺腺嘌呤二核苷酸-黄递酶（NADPH．d）组化染色方法观察偏侧PD猴黑质和纹状体NOS阳性神经元表达的变化,并与正常猴比较。结果偏侧PD猴MPTP毁损侧的黑质和纹状体的NOS阳性神经元数目较毁损对侧和正常猴明显增加（均P〈0．01）,毁损对侧的黑质和纹状体NOS阳性神经元数目与正常猴比较差异无统计学意义。结论偏侧PD猴黑质和纹状体NOS阳性神经元增多,由此引起一氧化氮（NO）合成和释放增多,可能对黑质和纹状体神经元的变性和死亡起重要作用。     

姜黄素对帕金森病小鼠模型黑质多巴胺能神经元损伤的保护作用

目的研究姜黄素对由MPTP诱发的帕金森病小鼠模型的脑保护作用及其可能机制。方法应用免疫组织化学染色法和蛋白质印迹法(Western blotting)分别观察姜黄素干预前后帕金森病小鼠中脑黑质-纹状体系统中酪氨酸羟化酶、胶质纤维酸性蛋白阳性神经元数目的变化,以及酪氨酸羟化酶、诱导型一氧化氮合酶和胶质纤维酸性蛋白表达水平的变化。结果MPTP组小鼠中脑黑质酪氨酸羟化酶和胶质纤维酸性蛋白阳性神经元数目明显减少,与正常对照组及治疗组相比差异有统计学意义(均P<0.05)。经不同剂量(5mg/kg、50mg/kg和150mg/kg)的姜黄素干预治疗后,小鼠中脑纹状体中的酪氨酸羟化酶蛋白表达水平(相对灰度值)明显升高,而黑质中诱导型一氧化氮合酶和胶质纤维酸性蛋白表达水平明显降低,与MPTP组比较差异均有统计学意义(P<0.05);MPTP组与溶剂对照组(MPTP DMSO)之间差异无统计学意义(P>0.05)。结论姜黄素可以有效地拮抗MPTP诱导的帕金森病小鼠模型黑质多巴胺能神经元的丢失,其机制可能与姜黄素降低黑质多巴胺能神经元活性氧含量以及抑制炎症反应等作用有关。     

经侧脑室注射脂多糖诱导大鼠黑质部位小胶质细胞激活及多巴胺能神经元损伤的研究

目的观察经脑室注射脂多糖(LPS)后大鼠的黑质部小胶质细胞激活及多巴胺(DA)能神经元的变化,探讨脑内炎性反应在黑质DA能神经元慢性变性过程中的作用。方法健康雄性SD大鼠30只,随机分为生理盐水(NS)对照组和LPS组,分别向大鼠右侧脑室注射20μL NS或50μg LPS,40周后用免疫组织化学方法检测大鼠黑质小胶质细胞是否激活、激活的程度(OX-42及OX-6抗体水平),以及酪氨酸羟化酶(TH)阳性神经元的形态和数量。以Fluoro-Jade B(FJB)染色法检测黑质部位神经元变性情况。结果 (1)NS对照组大鼠黑质部位OX-42阳性小胶质细胞呈静息状态,染色浅。LPS组大鼠黑质部OX-42阳性小胶质细胞呈部分激活状态,染色深。两组大鼠黑质部位均未发现OX-6阳性小胶质细胞。(2)NS对照组大鼠黑质部位有大量深染的TH阳性神经元。LPS组大鼠黑质部位TH阳性染色神经元数目(99.11±20.31)比NS对照组(189.52±12.12)减少47.7%(P<0.01)。(3)两组大鼠黑质部位均未见FJB阳性染色神经元。结论经侧脑室单次注射LPS可能造成大鼠黑质部位小胶质细胞长期慢性激活及DA能神经元慢性迟发性功能性损伤。     

神经细胞黏附分子在正常老化大鼠黑质致密部多巴胺能神经细胞的表达

目的：观察神经细胞黏附分子（NCAM）和酪氨酸羟化酶（TH）在大鼠黑质致密部（SNc）多巴胺（DA）能神经细胞表达的变化,探讨其发生机制。方法：健康雄性SD大鼠24只,分为成年组（4—5月龄）和老年组（≥24月龄）,取中脑黑质,分别进行TH和NCAM的免疫组织化学染色及免疫印迹检测蛋白表达,显微镜下计数免疫组化染色阳性神经细胞,灰度分析电泳条带。结果：SNc的DA能神经细胞几乎都表达NCAM,老年大鼠SNcTH阳性细胞总数及蛋白量均无减少（P〉0．05）,但尾侧段TH阳性细胞减少（P〈0．05）;NCAM在阳性细胞总数及蛋白量均减少（P〈0．05）,但各段阳性细胞的减少无统计学意义（P〉0．05）。结论：正常老化后大鼠的SNcDA能神经细胞DA合成降低,并且NCAM可能参与了这种DA的合成下降。     

NOS Expression in Nigral Cells after Excitotoxic and Non-excitotoxic Lesion of the Pedunculopontine Tegmental Nucleus

The substantia nigra (SN) receives afferents from cholinergic neurons of the pedunculopontine tegmental nucleus (PPTg), a neuronal population that shows high levels of nitric oxide synthase (NOS), the enzyme responsible for the synthesis of nitric oxide. We have investigated the effects of the injection in PPTg of two neurotoxins, kainic acid (an excitotoxic neurotoxin), and ethylcholine mustard azirinium ion (AF64A, a non-excitotoxic neurotoxin), upon the SN cells of the rat, by using choline acetyltransferase (ChAT) immunohistochemistry as a marker of cholinergic neurons, and nicotinamide adenine dinucleotide phosphate diaphorase (NADPHd) histochemistry and NOS immunohistochemistry as markers of nitric oxide-producing neurons. Our results show that in normal rats, the SN contains two populations of NOS-positive neurons: large cholinergic neurons of PPTg that invade the caudal region of the SN, and small elongated neurons lying in the SN pars compacta. After ipsilateral PPTg lesion, another population of nigral cells, constituted by medium sized neurons, became NADPHd/NOS-positive. This was much more evident in AF64A-injected rats, in which many medium sized neurons showed enzymatic activity and normal morphological features, at least during the 90 days after injection. Kainic acid-injected rats, in contrast, showed nigral cell degeneration, an effect not found in AF64A material, and only a few NOS-positive neurons. NADPHd/NOS activity was never present in degenerating neurons. These findings suggest that induction of NOS activity is not involved in nigral cell degeneration, and that nitric oxide could have a protective rather than a neurotoxic role. The possible role of nitric oxide in the pathogenesis of Parkinson's disease is discussed.     

帕金森病模型大鼠黑质多巴胺能神经元的氧化应激研究

目的　探索帕金森病模型大鼠黑质多巴胺能神经元的氧化应激发病机制。方法　通过立体定位仪 ,将 6-OHDA注入大鼠一侧纹状体内制备 PD模型 ,2周后观察动物的行为学改变 ,2个月后观察黑质纹状体等的病理形态学变化 ,检测模型组、假手术组和正常对照组的超氧化物歧化酶 (SOD)的活性 ,丙二醛 (MDA)、一氧化氮(NO)代谢产物 (NO x)的含量的变化。结果　成功 PD模型鼠有 2 2只。光镜下 HE染色示模型组右侧黑质的多巴胺神经元受损 ,数目减少。模型组右侧黑质的 SOD的含量下降 ,MDA及 NO x含量明显升高 ,与左侧、假手术组及正常对照组相比有显著差异 (P>0 .0 5)。结论　 6-OHDA纹状体内双靶点注射法是一种有效的制备 PD模型的方法。帕金森病大鼠模型黑质内 SOD活性下降 ,MDA、NO x含量升高 ,氧化应激在 PD的发病中起重要的作用     

Inflammatory regulators in Parkinson's disease: iNOS, lipocortin-1, and cyclooxygenases-1 and -2

Degeneration of dopaminergic neurons and focal gliosis are pathological hallmarks of Parkinson's disease and although the brain is described as immune-privileged focal immune reactions surround failing nigral neurons. We examined the cellular distribution of pro- and anti-inflammatory molecules in human parkinsonian and neurologically normal substantia nigra and caudate-putamen postmortem. An up-regulation of nitric oxide synthase- and cyclo-oxygenase-1- and -2-containing amoeboid microglia was found in parkinsonian but not control nigra. Astroglia contained low levels of these molecules in both groups. Lipocortin-1-immunoreactive amoeboid microglia were present within the astrocytic envelope of neurons adjacent to or within glial scars in parkinsonian nigra only. Lipocortin-1 is known to have neuroprotective and anti-inflammatory properties. Up-regulation of nitric oxide synthase is generally associated with neurodestruction whereas prostaglandin synthesis may be either neurodestructive or protective. The balance of these molecules is likely to be decisive in determining neuronal survival or demise.     

Hypoxia-inducible factor pathway activation in restless legs syndrome patients

Background and purpose: These studies tested the hypothesis that hypoxia inducible factor‐1α (HIF‐1α) pathway activation occurs in substantia nigra neurons and brain microvasculature in patients with restless legs syndrome. Methods: Immunohistochemical analyses of substantia nigra tissue from six RLS and six control subjects were analyzed for HIF‐1α, neuronal nitric oxide synthase (nNOS) and nitrotyrosine immunoreactivity. Microvessel lysates were obtained from cortex tissue from four RLS and four control subjects and the lysates were quantified for HIF‐2α and vascular endothelial growth factor (VEGF) expression using immunoblot analyses. HIF‐1α activation of peripheral blood monocyte cells (PBMCs) (14 RLS and 9 control) was determined through immunoblot analysis of PBMC lysates for EPO. Results: HIF‐1α immunoreactivity in substantia nigra neurons was significantly increased in five of six RLS patients as compared with controls. In addition, nNOS and nitrotyrosine expression are up‐regulated in the substantia nigra of four of six RLS patients as compared with controls. HIF‐2α and VEGF expression are significantly up‐regulated in the microvasculature lysates from four RLS cortical brain tissue as compared with controls. Erythropoietin levels are significantly increased in RLS PBMCs. Conclusions: These results demonstrate that the hypoxia pathway is activated in multiple cell types in individuals with RLS. Increased nNOS and nitrotyrosine suggests that nitric oxide is involved in the activation. Activation of the hypoxia pathway can result from or contribute to cellular iron deficiency. These observations suggest a novel direction to explore in RLS that is tied to the iron deficiency model but better explains the findings in postmortem studies.     

Nitric oxide- and cGMP-active compounds affect the discharge of substantia nigra pars reticulata neurons: in vivo evidences in the rat

The nitric oxide (NO)-active drugs influence on the bioelectric activity of neurons of the pars reticulata of the substantia nigra was studied in urethane-anesthetized rats. A first group of animals was treated with 7-nitro-indazole (7-NI), a preferential inhibitor of neuronal NO synthase. In a second group of rats, electrophysiological recordings were coupled with microiontophoretic administration of Nω-nitro-l-arginine methyl ester (l-NAME, a NO synthase inhibitor), 3-morpholino-sydnonimin-hydrocloride (SIN-1, a NO donor) and 8-Br-cGMP (a cell-permeable analogue of cGMP, the main second-messenger of NO neurotransmission). 7-NI and l-NAME caused a statistically significant decrease in the firing rate of most of the responsive cells, while application of SIN-1 and 8-Br-CGMP induced statistically significant excitatory effects. The results suggest a NO mediated excitatory modulation of the SNr neurons activity with a possible involvement of the cGMP pathway.     

凝血酶诱导的小胶质细胞激活促进多巴胺能神经元变性

目的探讨凝血酶（Thrombin）诱导小胶质细胞（Micoglia）激活与黑质多巴胺能神经元变性的关系。方法采用立体定向术注射凝血酶至大鼠黑质,在不同时间点观察酪氨酸羟化酶（tyrosine hydroxylase,TH）神经元的表达及小胶质细胞的激活情况;同时检测黑质NO量及iNOS mRNA表达。结果（1）凝血酶注入大鼠黑质导致明显的黑质多巴胺能神经元变性,呈时间依赖性,TH阳性细胞数在第3d开始下降,第7d有大量的TH阳性细胞丢失,与对照侧相比下降达约53％（P〈0．01）;高倍镜下可见胞体皱缩、突起明显缩短或减少;14d时细胞数下降至21％,30d时下降至12％（P〈0．01）。（2）凝血酶注射入黑质4h后小胶质细胞开始呈现为“灌木丛样”或少量呈现“阿米巴样”：12h后小胶质细胞数目明显增加且绝大部分呈现“阿米巴样”;24h后细胞已完全激活,“阿米巴样”细胞达高峰;3d维持高峰;14d后小胶质细胞染色变淡,体积变小,“阿米巴样”细胞数目下降。（3）与对照组相比,iNOSmRNA表达明显上调及NO合成增加（P〈0．05）,并且有iNOS在小胶质细胞表达。结论凝血酶对多巴胺能神经元具有一定的损毁作用,小胶质细胞的激活先于多巴胺能神经元变性,其激活后释放的NO有可能参与多巴胺能神经元变性。     

鱼藤酮致大鼠脑内α-突触核蛋白的表达分布变化

目的 研究鱼藤酮所致的帕金森病大鼠的脑内α-突触核蛋白（α—synuclein,ASN）分布。方法 Wistar大鼠随机分成两组,分别给予鱼藤酮和／或溶剂（对照组）皮下注射,4周后取脑组织,对黑质部位HE染色,光镜下观察Lewy小体形态;对黑质、海马、纹状体等脑区进行酪氨酸羟化酶（tyrosine hydroxylase,TH）、ASN免疫组织化学染色。结果 在对照组大鼠脑内,ASN广泛分布于各脑区,尤其在皮质、纹状体、海马等纤维投射丰富的区域。鱼藤酮处理的大鼠脑中,黑质TH阳性多巴胺能神经元数目减少、纹状体区TH阳性纤维脱失,黑质部位可见Lewy小体样结构;ASN阳性染色在各个脑区均有增强但各个脑区增强程度不一,黑质部位神经元胞浆和胞核内均有ASN明显聚集,纹状体可见ASN聚集围绕在细胞周围。海马部位偶见ASN在胞浆中点状聚集,胞核中无明显改变。结论 在鱼藤酮皮下注射导致的帕金森病大鼠的脑内,ASN在多个脑区中表达增加,而在黑质纹状体部位聚集最为明显,蛋白分布由多巴胺能神经元的突触末端向胞浆和胞核扩展。     

Localization of NADPH diaphorase activity in monoaminergic neurons of the rat brain

Nitric oxide has recently been implicated as a neurotransmitter, and may modulate synaptic transmission, cerebral blood flow, and neurotoxicity. NADPH diaphorase histochemistry has been shown to be a reliable marker for nitric oxide synthase, the enzyme that synthesizes nitric oxide, in the nervous system. Because monoaminergic neurons frequently contain co-transmitters, we examined whether these cells also exhibit NADPH diaphorase activity. Frozen sections from postnatal and adult rat brains were stained for NADPH diaphorase activity and either serotonin-like immunoreactivity or tyrosine hydroxylase-like immunoreactivity. Numerous neurons in the mesopontine serotoninergic cell groups (including the caudal linear, dorsal, median, supralemniscal, and pontine raphe nuclei) contained both serotonin-like immunoreactivity and NADPH diaphorase activity. Within the dorsal raphe nucleus, approximately 70% of the serotoninergic neurons in the medial subnuclei displayed NADPH diaphorase activity, while less than 10% of the serotoninergic neurons in the lateral subnuclei were doubly labeled. Retrograde labeling with fluorescent microspheres indicated that many raphe-cortical neurons contained NADPH diaphorase activity. No NADPH diaphorase activity was detected in serotoninergic neurons in the medullary nuclei (including the raphe magnus, raphe pallidum, and raphe obscurus). Only a small proportion of tyrosine hydroxylase-like immunoreactive neurons in the periaqueductal gray, rostral linear nucleus, and rostrtrodorsal ventral tegmental area contained NADPH diaphorase activity. Tyrosine hydroxylase-like immunoreactive neurons in the substantia nigra, locus coeruleus, hypothalamus, olfactory bulb, and dorsal raphe nucleus did not contain detectable NADPH diaphorase activity. The observation that many mesopontine (but not medullary) serotoninergic neurons contain NADPH diaphorase activity suggests that these neurons may release both serotonin and nitric oxide. © Wiley-Liss, Inc.     

Nitric oxide synthase inhibition and MPTP-induced toxicity in the common marmoset

Nitric oxide, produced following activation of N-methyl-D-aspartate (NMDA) receptors, may be involved in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) toxicity since NMDA receptor antagonists have been shown to prevent MPTP induced nigral cell loss in primates. Common marmosets were treated with either saline or MPTP or L-N^Gnitro arginine methyl ester (L-NAME) or MPTP and L-NAME. MPTP-treated common marmosets showed motor deficits including bradykinesia, rigidity, and tremor accompanied by a marked loss of tyrosine hydroxylase-immunoreactive neurones in the substantia nigra pars compacta and of [³H]-mazindol binding in the caudate-putamen. MPTP treatment also caused an increase in glial fibrillary acidic protein (GFAP) staining in the substantia nigra compared to controls. However, MPTP treatment did not alter the number of constitutive nitric oxide synthase-immunoreactive neurones in the caudate-putamen. Furthermore, neurones or glial cells immunoreactive for inducible nitric oxide synthase were not observed in the substantia nigra pars compacta following MPTP treatment. L-NAME treatment alone did not produce any behavioural changes in marmosets and did not alter the number of tyrosine hydroxylase-immunoreactive cells in the substantia nigra pars compacta, the number of constitutive nitric oxide synthase-immunoreactive neurones or [³H]-mazindol binding in the caudate-putamen compared to saline-treated control animals. Furthermore, L-NAME did not affect the motor deficits, loss of tyrosine hydroxylase-immunoreactive neurones in the substantia nigra pars compacta, loss of [³H]-mazindol binding in the caudate-putamen, or the increase in GFAP staining in the substantia nigra induced by MPTP treatment of common marmosets. The failure of L-NAME to protect against MPTP-induced toxicity in the marmoset suggests that nitric oxide does not play a major role in such toxicity and casts doubt over the involvement of the NMDA:nitric oxide system in neurodegeneration in MPTP-treated primates. Synapse 26:301–316, 1997. © 1997 Wiley-Liss, Inc.     

Effects of electrolytic and 6-hydroxydopamine lesions of rat nigrostriatal pathway on nitric oxide synthase and nicotinamide adenine dinucleotide phosphate diaphorase

The aim of the present study was to assess degenerative changes in the nitric oxide (NO) system of basal ganglia in animals with experimentally induced Parkinson's disease. In one procedure, rats were stereotaxically injected with 6-hydroxydopamine (6-OHDA) in the right medial forebrain bundle; in a second procedure, electrodes were implanted in the right substantia nigra pars compacta (SNc). After 15 and 30 days animals were tested for rotational asymmetry induced by apomorphine. Apomorphine induced rotation in lesioned animals, towards the ipsilateral side after electrolytic lesion and towards contralateral side in 6-OHDA animals. Structural deficits in basal ganglia were quantified by nicotinamide adenine dinucleotide phosphate diaphorase (NADPH-d) histochemistry and by nitric oxide synthase (NOS) immunoreactivity. 6-OHDA and electrolytic lesions induced a significant decrease in the number of NADPH-d/NOS positive cells in the lesion ipsilateral to SNc, in contrast with cell number increase in the ipsilateral dorsal striatum. By contrast, 6-OHDA-treated animals showed a decrease in the number of NOS immunoreactive cells in the contralateral nucleus accumbens. We conclude that populations of NO-synthesizing neurons are differentially regulated in Parkinson's disease induced by different experimental procedures.     

帕金森病大鼠模型黑质白介素-6表达的实验研究

目的探讨白介素-6(IL-6)和小胶质细胞在帕金森病发病机制中作用,阐述小胶质细胞激活后作用的合理模式。方法采用立体定向术将神经毒素6-羟基多巴(6-OHDA)注入大鼠右侧纹状体制作偏侧帕金森病大鼠模型。造模2月后,计数黑质致密部神经元和小胶质细胞数目,观察黑质致密部病理形态学变化,并采用免疫组织化学方法观察黑质致密部IL-6表达水平的变化。结果光镜下观察模型组右侧黑质致密部多巴胺能神经元几乎消失,小胶质细胞数目明显增多,与假手术组及正常对照组相比,差异有显著性(P<0.05)。免疫组化染色显示模型组右侧黑质致密部可见明显的小胶质细胞核周的棕褐色阳性表达,而模型组左侧与假手术组及正常对照组右侧黑质均未见明显阳性着染区。结论神经毒素6-OHDA可导致神经元释放小胶质细胞激活态物质,激活小胶质细胞释放IL-6介导细胞毒作用,促进神经元的慢性变性坏死。     

Methamphetamine administration causes overexpression of nNOS in the mouse striatum

The accumulated evidence suggests that the overproduction of nitric oxide (NO) is involved in methamphetamine (METH)-induced neurotoxicity. Using NADPH-diaphorase histochemistry, neuronal nitric oxide synthase (nNOS) and inducible nitric oxide synthase (iNOS) antibody immunohistochemistry, the possible overexpression of nNOS and iNOS was investigated in the brains of mice treated with METH. The number of positive cells or the density of positive fibers was assessed at 1 h, 24 h and 1 week after METH injections. There were no clear positive iNOS cells and fibers demonstrated in the brains of mice after METH treatment. In contrast, METH caused marked increases in nNOS in the striatum and hippocampus at 1 and 24 h post-treatment. The nNOS expression normalized by 1 week. There were no statistical changes in nNOS expression in the frontal cortex, the cerebellar cortex, nor in the substantia nigra. These results provide further support for the idea that NO is involved in the neurotoxic effects of METH.     

脂多糖对多巴胺能神经元的损毁作用及其机制研究

目的观察脂多糖(1ipopolysaccharide．LPs)对黑质多巴胺(dopamine，DA)能神经元的损毁作用，探讨免疫机制与帕金森病(Parkinsondisease，PD)发病的相关性。方法采用立体定向术将LPS注人大鼠单侧黑质后分别于注射后2、3、4周经腹腔注射阿朴吗啡诱发动物旋转行为；采用高效液相色谱一电化学法(high performanee liquid chromatography，HPLC)测定纹状体和黑质部位DA等单胺类递质含量；采用免疫组化法检测黑质酪氨酸羟化酶(tyrosine hydroxylase，TH)阳性细胞数；采用尼(氏)染色(Nissl)观察小胶质细胞的活化和以双重免疫酶染色法观察小胶质细胞活化和诱导型一氧化氮合酶(inducible nitric oxide，iNOS)合成。结果大鼠单侧黑质注人LPS后2、3、4周，以阿朴吗啡诱发大鼠均出现旋转行为，其损伤侧纹状体和黑质DA及其代谢物含量降低了30%～70%，注射侧的黑质TH阳性细胞数减少，尤以3周和4周为甚．尼(氏)染色和双重免疫酶染色法也分别显示LPS注射侧小胶质细胞活化，同时伴有iNOS合成的增加。结论LPS对DA能神经元具有一定的损毁作用，小胶质细胞的活化及其释放的NO有可能参与该细胞死亡，提示免疫机制与PD的发病可能存在相关性。     

Increased number of NADPH-d-positive neurons within the substantia innominata in Alzheimer''s disease

NADPH-diaphorase histochemistry labels neurons containing nitric oxide synthase, the synthesizing for nitric oxide within the central nervous system. Quantitation revealed a statistically significant increase in the density of intensely (type 1) and moderately (type 2) but not lightly (type 3) NADPH-diaphroase stained neurons within the substantia innominata in AD as compared with age-matched controls. Increased numbers of NADPH-diaphorase neurons suggest excess nitric oxide production which may be neurotoxic to surrounding cholinergic neurons within the substantia innominata in Alzheimer's disease.     

依达拉奉对慢性脑缺血大鼠一氧化氮及一氧化氮合酶阳性神经元数量的影响

目的观察依达拉奉对脑缺血大鼠脑组织NO含量及NOS阳性神经元数量的影响,为临床上防治慢性脑缺血引发的疾病提供指导。方法 54只Wistar大鼠,分为NO含量组和NOS阳性神经元组,每组再分为模型组、治疗组、假手术组,利用结扎大鼠两侧颈总动脉制作大鼠慢性脑缺血模型,硝酸还原酶法测NO含量,NADPH-d组织化学方法染色NOS阳性神经元,光镜下观察。结果治疗组各时间点NO含量和NOS阳性神经元数量较模型组减少。结论依达拉奉对慢性脑缺血大鼠脑组织具有保护作用。