Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
Mechanisms of aluminium neurotoxicity in oxidative stress-induced ... Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
INTRODUCTION the drug users was further confirmed by the development of symptoms very similar to PD following injection of MPTP in an animal model (Burns et al. 1983). 28 Studies showed that MPTP readily crosses the blood-brain barrier (BBB) and is oxidized by MAO-B in astrocytes within glia to a pyridinium derivative, MPP + (1- methyl-4-phenyl pyridinium ion) (Ransom et al. 1987). MPP + is then selectively taken up by the DAergic cells and accumulated in nigrostriatal neurons (Chiba et al. 1985). After entering the mitochondria by the passive cationic gradient, MPP + inhibits the NADH-dehydrogenase at complex I in the respiratory chain preventing ATP synthesis and leading to reactive oxygen species (ROS) production and cell death in DAergic neurons (Chiba et al. 1984, Heikkila et al. 1985, Nicklas et al. 1985, Vyas et al. 1986, Singer and Ramsay 1990) (Figure 15). Studies showed that pre-treatment of animals with two selective MAO-B inhibitors (deprenyl or pargyline), blocked MPTP toxicity most likely by blocking MPTP oxidation to MPP + (Heikkila et al. 1984, Langston et al. 1984, Markey et al. 1984). Figure 15: MPTP metabolism (Dauer and Przedborski 2003)
INTRODUCTION The finding of MPTP toxicity not only established a link between environmental exposure and the development of PD, but also introduced MPTP as experimental model for the study of PD. Other DAergic neurotoxins have been identified, such as the insecticide rotenone and the herbicide paraquat (Brooks et al. 1999, Betarbet et al. 2000, Dhillon et al. 2008, Cannon et al. 2009). As MPTP, paraquat and rotenone are selective complex I inhibitors and induce DA diminution in animal studies. This will be discussed later in the section “Experimental models of PD”. Other environmental factors Since the discovery of MPTP-induced parkinsonism, many epidemiological studies have been performed to examine the link between the risk of PD and other environmental factors. Lifestyle-associated factors can have positive or negative influence on the risk of developing PD. Living in a rural environment (in industrialised countries), farming, exposure to pesticide use and wood preservatives, and drinking well water (Hertzman et al. 1990, Engel et al. 2001, Priyadarshi et al. 2001, Baldiet al. 2003, Gorell et al. 2004, Dick 2006) seem to confer an increased risk of PD but it remains debatable (Koller et al. 1990, Gorell et al. 1998). On the contrary, some environmental factors appear to exhibit a negative correlation with PD. Caffeine intake, cigarette smoking, and high vitamin intake are inversely associated with the risk of developing this disease (Baron 1986, Morens et al. 1995, Ross et al. 2000, Hernan et al. 2002, Lai et al. 2002, Landrigan et al. 2005, de Lau and Breteler 2006). Metals Exposure to some specific metals such as aluminium, amalgam, copper, iron, lead, manganese, mercury, zinc, and a combination of metals have also been hypothesised to be a risk factor in PD through the accumulation of metals in the SN and increased oxidative stress (Ngim and Devathasan 1989, Zayed et al. 1990, Seidler et al. 1996, Gorell et al. 1997, Gorell et al. 1999, Rybicki et al. 1999, Kuhn et al. 1998, Lai et al. 2002). During the past few years, special attention was paid to aluminium. As it will 29
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INTRODUCTION<br />
The f<strong>in</strong>d<strong>in</strong>g <strong>of</strong> MPTP toxicity not only established a l<strong>in</strong>k between environmental<br />
exposure and the development <strong>of</strong> PD, but also <strong>in</strong>troduced MPTP as experimental model<br />
for the study <strong>of</strong> PD. Other DAergic neurotox<strong>in</strong>s have been identified, such as the<br />
<strong>in</strong>secticide rotenone and the herbicide paraquat (Brooks et al. 1999, Betarbet et al. 2000,<br />
Dhillon et al. 2008, Cannon et al. 2009). As MPTP, paraquat and rotenone are selective<br />
complex I <strong>in</strong>hibitors and <strong>in</strong>duce DA dim<strong>in</strong>ution <strong>in</strong> animal studies. This will be<br />
discussed later <strong>in</strong> the section “Experimental models <strong>of</strong> PD”.<br />
Other environmental factors<br />
S<strong>in</strong>ce the discovery <strong>of</strong> MPTP-<strong>in</strong>duced park<strong>in</strong>sonism, many epidemiological<br />
studies have been performed to exam<strong>in</strong>e the l<strong>in</strong>k between the risk <strong>of</strong> PD and other<br />
environmental factors. Lifestyle-associated factors can have positive or negative<br />
<strong>in</strong>fluence on the risk <strong>of</strong> develop<strong>in</strong>g PD. Liv<strong>in</strong>g <strong>in</strong> a rural environment (<strong>in</strong> <strong>in</strong>dustrialised<br />
countries), farm<strong>in</strong>g, exposure to pesticide use and wood preservatives, and dr<strong>in</strong>k<strong>in</strong>g<br />
well water (Hertzman et al. 1990, Engel et al. 2001, Priyadarshi et al. 2001, Baldiet al.<br />
2003, Gorell et al. 2004, Dick 2006) seem to confer an <strong>in</strong>creased risk <strong>of</strong> PD but it<br />
rema<strong>in</strong>s debatable (Koller et al. 1990, Gorell et al. 1998). On the contrary, some<br />
environmental factors appear to exhibit a negative correlation with PD. Caffe<strong>in</strong>e <strong>in</strong>take,<br />
cigarette smok<strong>in</strong>g, and high vitam<strong>in</strong> <strong>in</strong>take are <strong>in</strong>versely associated with the risk <strong>of</strong><br />
develop<strong>in</strong>g this disease (Baron 1986, Morens et al. 1995, Ross et al. 2000, Hernan et al.<br />
2002, Lai et al. 2002, Landrigan et al. 2005, de Lau and Breteler 2006).<br />
Metals<br />
Exposure to some specific metals such as <strong>alum<strong>in</strong>ium</strong>, amalgam, copper, iron,<br />
lead, manganese, mercury, z<strong>in</strong>c, and a comb<strong>in</strong>ation <strong>of</strong> metals have also been<br />
hypothesised to be a risk factor <strong>in</strong> PD through the accumulation <strong>of</strong> metals <strong>in</strong> the SN and<br />
<strong>in</strong>creased <strong>oxidative</strong> <strong>stress</strong> (Ngim and Devathasan 1989, Zayed et al. 1990, Seidler et al.<br />
1996, Gorell et al. 1997, Gorell et al. 1999, Rybicki et al. 1999, Kuhn et al. 1998, Lai et<br />
al. 2002). Dur<strong>in</strong>g the past few years, special attention was paid to <strong>alum<strong>in</strong>ium</strong>. As it will<br />
29