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Relationship: 910

Title

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Degeneration of dopaminergic neurons of the nigrostriatal pathway leads to Parkinsonian motor deficits

Upstream event

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Degeneration of dopaminergic neurons of the nigrostriatal pathway

Downstream event

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Parkinsonian motor deficits

Key Event Relationship Overview

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AOPs Referencing Relationship

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AOP Name Adjacency Weight of Evidence Quantitative Understanding
Inhibition of the mitochondrial complex I of nigro-striatal neurons leads to parkinsonian motor deficits adjacent High High

Taxonomic Applicability

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Sex Applicability

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Life Stage Applicability

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Key Event Relationship Description

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Degeneration of dopaminergic (DA) neuron terminals in the striatum and the degeneration of DA neurons in the substantia nigra pars compacts (SNpc) are the defining histopathological events observed in idiopathic, familial, and toxicant-evoked cases of Parkinson’s Disease (PD) (Tolwani et al. 1999; Bove et al. 2012). The loss of nigrostriatal DA neurons leads to a decline in the levels of DA in the striatum (Koller et al. 1992). Striatal DA is involved in the modulation of extrapyramidal motor control circuits. A decline in striatal DA leads to an overactivation of the two principal basal ganglia output nuclei (GPi/STN). Therefore, the inhibitory GABAergic neurons that project to thalamo-cortical structures are overactivated and inhibit cortical pyramidal motor output performance. This inhibited output activity is responsible for key clinical symptoms of PD such as bradykinesia and rigor.

Evidence Supporting this KER

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Biological Plausibility

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The mechanistic understanding of striatal DA and its regulatory role in the extrapyramidal motor control system is well established (Alexander et al. 1986; Penney et al. 1986; Albin et al. 1989; DeLong et al. 1990; Obeso et al. 2008; Blandini et al. 2000). The selective degeneration of DA neurons in the SNpc (and the subsequent decline in striatal DA levels) have been known to be linked to PD symptoms for more than 50 years (Ehringer et al. 1960). The reduction of DA in the striatum is characteristic for all etiologies of PD (idiopathic, familial, chronic manganese exposure) and related parkinsonian disorders (Bernheimer et al. 1973), and it is not observed in other neurodegenerative diseases, such as Alzheimer’s or Huntington’s Diseases (Reynolds et al. 1986). In more progressive stages of PD, not only a loss of DA neuronal terminals in the striatum, but also a degeneration of the entire DA neuron cell bodies in the substantia nigra pars compacta (SNpc) was detected (Leenders et al. 1986; Bernheimer et al. 1973). The different forms of PD exhibit variations in the degradation pattern of the SNpc DA neurons. In idiopathic PD, for example, the putamen is more severely affected than the caudate nucleus (Moratalla et al. 1992; Snow et al. 2000). All different PD forms however are characterized by the loss in striatal DA that is paralleled by impaired motor output (Bernheimer et al. 1973). Characteristic clinical symptoms of motor deficit (bradykinesia, tremor, or rigidity) of PD are observed when more than 80 % of striatal DA is depleted (Koller et al. 1992). These findings on the correlation of a decline in striatal DA levels as a consequence of SNpc DA neuronal degeneration with the onset of clinical PD symptoms in man provide the rationale for the current standard therapies that aim to supplement striatal DA, either by the application of L-DOPA, or by a pharmacological inhibition of the endogenous DA degradation-enzyme monoaminde oxidase B (MAO-B). These treatments result in an elevation of striatal DA that is correlated with an improvement of motor performance (Calne et al 1970). The success of these therapies in man as well as in experimental animal models clearly confirms the causal role of dopamine depletion for PD motor symptoms.

Empirical Evidence

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The experimental support linking the degeneration of DA neurons of nigrostriatal pathways with the manifestation of motor symptoms characteristics of parkinsonian disorders comes from human clinical observations as well as from primates, mice and rat in vivo models using DA neuron ablation by toxicants. The levels of striatal DA corrected with the onset of PD symptoms, and dopaminergic degeneration preceed the onset of motor symptoms. The exemplary animal studies selected here are based on the use of MPTP or rotenone. The efficacy of MPTP or rotenone treatment depends on the regimen applied (acute, subacute, chronic administration), the age of the animals, and the strains used. For the interpretation of the studies, it is important that in some animal models the initial depletion of DA is only partially explained by neurite degeneration. The other contributing factors are downregulation of TH, and depletion of DA from synaptic terminals. These effects recover after 1-2 weeks. This makes the time point of measurement important for the correlation of effects. Moreover, the mouse brain has a very high plasticity after damage, so that motor deficits can recover after several weeks although there is pronounced dopaminergic neuro degeneration.

Rat in vivo models

  • Rat/rotenone: Correlation between striatal DA, SNpc DA neurons, and motor deficits. Lewis rats exposed to systemic rotenone (3 mg/kg/ day i.p.) exhibited a loss of TH positive neurons in the SNpc by 45 %. Motor deficits were assessed by the postural instability test and by the rearing test. While 3 month old animals developed motor symptoms after 12 days of rotenone exposure, 7 month and 12 month old animals developed motor symptoms already after 6 days of exposure. Rotenone treatment elicited a progressive development of motor deficits that was reversible when treated with a DA agonist. Similar to that, the loss of rearing performance evoked by rotenone was reversed by the DA agonist apomorphine. Rotenone elicited terminal loss in the dorsolateral structures. While in the dorsolateral striatum, a significant loss of TH-positive neurites was detected, striatal cell bodies were spared from degeneration. Initial striatal DA levels (75 ng/ mg protein) dropped to 45 % following rotenone treatment (Cannon et al. 2009).
  • Rat/6-OHDA: Destruction of nigrostriatal DA neurons. Unilateral injection of 6-OHDA into the dopaminergic nigrostriatal pathway leads to a preferential loss of DA neurons that is correlated with the onset of rotational motor deficits (Luthman et al. 1989; Perese et al. 1989; Przedborski et al. 1995).
  • Rats/rotenone: Correlation between striatal dopamine and motor symptoms; partial reversibility by L-DOPA. Rats were exposed to 2.5 mg/kg rotenone, daily, for 48 days. Dopamine detected in the anterior striatum and posterior striatum was reduced by ca. 50 % after rotenone treatment. Rotenone treatment resulted in a significantly prolonged descent latency compared to control in the bar test and grid test. In the catalepsy test, descent latency dropped from 35 s of the controls to 5 s. In the grid test, a reduction from 30 s (control) down to 4 s (rotenone) was observed. The average distance travelled within 10 min by the animals was reduced from 37 m to 17 m in the rotenone group. Average number of rearings declined from 65 to 30; the time of inactive sitting of 270 s in controls was increased to 400 s in the rotenone group (Alam et al. 2004).
  • Rat/rotenone: Correlation between striatal dopamine and motor symptoms. Rats were treated with rotenone either at doses of 1.5 mg/kg or 2.5 mg/kg over two months with daily i.p. injections. In the 2.5 mg/kg group, striatal DA levels dropped from 6400 pg/mg in the controls to 3500 pg/mg in the rotenone group. Rotenone treated animals showed an extended descent latency (5 to 50). In a vertical grid test, latency time increased from 9 s to 72 s (Alam et al. 2002).
  • Rats/rotenone: Correlation between nigrostriatal TH intensity and motor symptoms. Rats were treated with different doses of rotenone for 21 days with daily i.v. or s.c. injections. In the 2.5 mg/kg group, TH intensity in the striatum dropped from 0.2 to 0.12. The average time to initiate a step increased from 5 s in the controls to 11 s in the rotenone group. Spontaneous rearing scores dropped from 80 % of the vehicle treated controls to 20 % in the rotenone group (Fleming et al. 2004).
  • Rat/rotenone: In middle-aged rats exposed to rotenone (3 mg/kg/day for 6 days), a reduction of striatal DA levels and TH positive neurons by ca. 50 % correlated with impairments rearing performance and postural instability tests (Cannon et al. 2009).
  • Rat/rotenone: In rats, exposed to rotenone (2.5 mg/kg/day), spontaneous locomotor activity was reduced by ca. 50 % after 1 week of rotenone treatment. This impaired motor performance was correlated with a loss of striatal DA fibers by 54 % and a loss of nigral DA neurons by 28.5 % (Höglinger et al. 2003).

Mouse in vivo models

  • Mouse/MPTP: In mice exposed to MPTP in combination with probenecid, both a chronic treatment scheme (MPTP 25 mg/kg, in 3.5 day intervals for 5 weeks) as well as a subacute treatment scheme (25 mg/kg, 1x per day for 5 days) resulted in a deletion of striatal DA that was directly correlated with impairments in motor symptoms (Petroske et al. 2001).
  • Mouse/MPTP: In a mouse model exposed to MPTP at 15 day intervals (36 mg/kg), lower rotarod performance was observed after the fourth injection. The decline in motor performance was correlated with the decline in TH-immunoreactivity in the striatum (r2 = 0.87) (Rozas et al. 1998).
  • Mouse/D2 receptor knockout. Mice deficient in D2 receptors displayed akinesia, bradykinesia and a reduction in spontaneous movement (Baik et al. 1995).

Monkey in vivo models

  • Monkey/MPTP: Correlation between striatal DA, SNpc DA neuron number and PD symptoms. Macaca exposed to MPTP (i.v) (0.2 mg/kg, daily) display signs of PD at day 15, including motor abnormalities. The transition between the presymptomatic and symptomatic period occurred between day 12 and day 15 of MPTP exposure. At day 15, TH neurons in the SNpc were reduced by 50%, DAT binding autoradiography studies revealed a decline in binding also by 50% at day 15. Compared with control values of 150 pg/µg protein, the DA content of the caudate nucleus dropped to values < 10 pg/µg protein at day 15. In the putamen, DA levels dropped from 175 pg/µg protein to 20 pg/µg protein at day 15 (Bezard et al. 2001).
  • Monkey/MPTP: Correlation between striatal DA, SNpc DA neurons, and PD symptoms. Monkeys display a motor symptom pattern similar to that observed in humans. In order to optimize a MPTP intoxication protocol that allows a gradual development of nigral lesion, different states of PD symptom severity were defined and correlated with the amount of striatal DA and the number of TH-positive neurons in the SNpc. Asymptomatic monkeys displayed a reduction in striatal DA by 30 %, a neuronal loss in the SNpc by 40 %, and a decline in striatal expression of TH, DAT and VMAT2 by 50-60 %. Monkeys that recovered from early PD symptoms displayed a reduction of striatal DA of 50 %, a loss of TH neurons in the SNpc and a loss of DAT and VMAT2 expression up to 60 %. In animals with moderate PD symptoms, striatal DA levels as well as TH positive neurons and DAT and VMAT 2 expression were reduced by 70-80 %. Animals with severe PD symptoms displayed remaining levels of striatal DA and SNpc expression of TH, DAT and VMAT2 of around 20 % compared to untreated controls (Blesa et al. 2012).
  • Monkey/MPTP: The established model of basal ganglia wiring received ample experimental support in recent years. For instance, an increase in the inhibitory output by GPi/STN has been observed in MPTP treated monkeys, similar to the situation in idiopathic PD patients. These findings were corroborated by observations indicating an elevated mitochondrial activity and an elevated firing rate of the inhibitory output nuclei detected on the level of individual neurons (Mitchell et al. 1989; Filion et al. 1991). Lesions in the output ganglia of monkeys lead to a reduction in the output and to an improvement in motor control (Bergman et al. 1990; Aziz et al. 1991). In analogy to these lesion experiments, deep brain stimulation of these regions results in a profound improvement of motor performance in PD patients (Limousin et al. 1999; Ceballos-Baumann et al. 1994).

Human PD

  • Human PD: Association of PD phenotype with impaired striatal DA. In the brains of human PD patients, a significant decrease of striatal DA was observed (Lloyd et al. 1975). In the caudate nucleus, levels of DA dropped from control values of 4 µg/g tissue to levels of 0.2 µg/g. In the putamen, control values were in the range of 5 µg/g and 0.14 µg/g in the PD patient group. The levels of DA in the striata of DA patients that received L-DOPA treatment was 9-15 times higher compared with non-treated PD cases.
  • Human PD: Correlation between striatal DA loss and degeneration of DA neurons in the SNpc. Examinations of the brains of PD patients revealed morphological damage in the SNpc, accompanied by the degeneration of DA neurons (Earle et al. 1968).
  • Human: Association of striatal DA levels and motor performance. In order to substitute degenerated DA neurons in the SNpc, human fetal tissue from the ventral mesencephalon was transplanted to the caudate and putamen in idiopathic cases PD as well as in patients that developed PD-related motor deficits as a consequence to MPTP intoxication. Transplanted cells led to a reinnervation of the striatum with DA projections (Widner et al. 1992; Kordower et al. 1995, 1998). In these case studies, patients demonstrated a sustained improvement in motor function (decline in rigidity score by more than 80 %).
  • Human PD: correlation between nigrostriatal DA neuron content and motor symptoms. Imaging of DAT was performed by the use of 123I-FP-CIT SPECT (single photon emission computed tomography). Clinical PD severity was determined by using the Unified Parkinsons Disease Rating Score (UPDRS). In PD patients, DAT binding in the striatum, caudate, and putamen correlated with disease severity and duration of disease (Benamer et al. 2000).
  • Human PD: correlation between 18F-dopa uptake measured by PET and the onset of motor symptoms detected according the UPDRS. 18F-dopa influx rate constants (Ki/min) were reduced in the midbrain from 0.008 to 0.006, in the right putamen from 0.017 to 0.0036, and in the left putamen from 0.017 to 0.005 (Rakshi et al. 1999).
  • Human PD: correlation between putamen influx rate (Ki/min). Ki (control): 0.0123; asymptomatic PD (no observable motor deficits): 0.0099; symptomatic PD (clinically evident motor deficits): 0.007. Mean UPDRS value was "15.1  7.5". A correlation coefficient of -0.41 was detected between motor UPDRS and putamen influx (Ki) (Morrish et al. 1995).
  • Human PD: Correlation of the degree of monoaminergic degeneration in early PD with motor symptoms assed by the UPDRS and the Hoehn and Yahr Stage scale. For PET imaging, 18F-9-fluoropropyl-dihydrotetrabenzazine that targets VMAT2 was used. Uptake of the tracer was reduced by 20-36 % in the caudate, by 45-80 % in the putamen, and by 31 % in the substantia nigra. This correlated with a total UPDRS value of "12.1  7.1" in the PD group, respectively with a HY value of "1.0  0.1" in the PD group compared to controls (Lin et al. 2014).
  • Human PD: Correlation between the decline in 18F-dopa rate constant (Ki) and the onset of motor deficits. The 18F-dopa rate constant Ki was reduced in the caudate nucleus (0.011 down to 0.0043) and inversely correlated with an increase in the UPDRS from "11.9  5.2" to "50 11.6" (Broussolle et al. 1999).
  • Human PD: Correlation between striatal DAT binding measured by the use of 123I-CIT SPECT and motor deficits. A correlation coefficient between 123I-CIT binding and UPDRS motor scale of -0.56 was detected. A correlation coefficient of -0.64 between 123I-CIT binding and Hoehn and Yahr stage scale was detected. Motor symptoms in the clinically less affected body side show a closer correlation with striatal DAT binding (Pirker et al. 2003).
  • Human PD: Correlation between the reduction in the putamen uptake of 18F-CFT and the severity of PD motor symptoms. 18F-CFT uptale was reduced to 18 % in the putamen, to 28% in the anterior putamen, and to 51 % in the caudate nucleus (Rinne et al. 1999).
  • Human PD: Reduction in 123I-CIT binding in the putamen by 65 % correlated with a mean UPDRS score of 27.1 (Tissingh et al. 1998).
  • Association between striatal DA and motor performance. Application of L-DOPA leads to a substitution of DA in the striatum and improves motor performance. (Boraud et al. 1998; Gilmour et al. 2011; Heimer et al. 2002; Papa et al. 1999; Hutchonson et al. 1997; Levy et al. 2001).

Uncertainties and Inconsistencies

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  • Motor abnormalities observed in PD display large interindividual variations.
  • The model of striatal DA loss and its influence on motor output ganglia does not allow to explain specific motor abnormalities observed in PD (e.g. resting tremor vs bradykinesia) (Obeso et al. 2000). Other neurotransmitters (Ach) may play additional roles.
  • There are some reports indicating that in subacute rotenone or MPTP models (non-human primates), a significant, sometimes complete, recovery of motor deficits can be observed after termination of toxicant treatment. While the transient loss of striatal DA can be explained by an excessive release of DA under acute toxicant treatment, the reported losses of TH-positive neurons in the SNpc and their corresponding nerve terminals in the striatum are currently not explained (Petroske et al. 2001).
  • In MPTP treated baboons, the ventral region of the pars compacta was observed to be more severely degenerated that the dorsal region. This pattern is similar to the degeneration pattern in idiopathic PD in humans. These observations indicate that two subpopulations of nigrostriatal DA neurons with different vulnerabilities might exist (Varastet et al. 1994).
  • According to the classical model of basal ganglia organization, DA is assumed to have a dichotomous effect on neurons belonging either to the direct or indirect pathway. More recent evidence however rather indicates that D1 and D2 receptors are expressed on most striatal neurons in parallel (Aizman et al. 2000).
  • Large variability exists regarding the onset of the downstream AO. This is dependent upon the the stressor used and the route of exposure and variability in the experimentl outcome consequent to differences in the route of exposure is a frequent inconsistencies.

Quantitative Understanding of the Linkage

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An example of quantitative analysis is reported in the table below. The analysis of the empirical data produced with the chemical toxicants supports a strong response- response relationship between the KE up and the KE down which also indicative of the temporal progression and relationship between the degeneration of striatal terminals of DA neurons, loss of DA neurons in the SNpc and the occurrence and severity of the motor deficits. This is also quantitatively supported by studies conducted in human PD patients.

Upstream key event (KE 4)

Downstream key event (AO)

References

Comments

Rat models

 

 

 

45 % loss of TH-positive SNpc neurons in 7 month old rats, ca. 40 % loss in 12 month old rats

 

Striatal DA reduced from 90 ng/mg (control) down to 45 ng/mg

TH pos. neuron number

18000 (control)

10000 (rotenone)

Bradykinesia, postural instability, rigidity observed in 50 % of cases:

3 month old rats: after 12 days of rotenone

7 + 12 month old rats. After 6 days of rotenone

Postural instability test:

Distance required for the animal to regain postural stability:

3.5 cm (control)

5 cm (rotenone)

 

Rearing test (rears/ 5 min):

10 (control

3 (rotenone)

Loss of rearing performance evoked by rotenone was reversed by the DA agonist Apomorphine in 3 month old rats

Cannon et al. 2009

Lewis rats + rotenone (3 mg/kg/day, i.p. daily)

Dopamine in the anterior and posterior striatum reduced by ca. 50 %.

Catalepsy test: decline from 35 s to 5 s.

Grid test: decline from 30 s to 4 s

Distance travelled in 10 min: reduction from 37 m to 17 m.

Number of rearings: decline from 65 to 30.

Inactivity time increased from 270 s to 400 s.

Partial reversibility by L-DOPA treatment:

L-DOPA: number of rearings increased from 16 to 30.

L-DOPA: inactivity time reduced from 450 s to 360 s.

L-DOPA: increase in the distance travelled from 12 to 16 m.

Alam et al. 2004

Rats + rotenone (2.5 mg/kg) daily over the course of 48 days.

TH staining intensity reduced from 0.2 to 0.12

Rearing scores reduced from 80 % (vehicle controls) to 20 % (rotenone group).

Increase in the average time to initiate a step from 5 s to 11 s.

Fleming et al. 2004

Rats + rotenone 2.5 mg/kg for 21 days i.v. or s.c.

Loss of striatal DA fibers by 54 %

Loss of DA neurons by 28.5 %

Spontaneous locomotor activity after 1 week

100 % (control)

55 % (rotenone)

Höglinger et al. 2003

Rats + rotenone (2.5 mg/kg/day for 28 days

Mouse models

 

 

 

Subacute model:

Striatal DA dropped from 11 ng/mg (control) to 2.5 ng/mg (MPTP) after 3 days.

3H-DA striatal uptake reduced from 2.9 pmol/mg (control) to 1.3 pmol/mg after 3 days of MPTP.

Total nigrostriatal TH cell count was not affected.

 

Chronic model:

Striatal DA content reduced from 13 ng/ml down to 0.5 ng/ml at 1 week after MPTP treatment.

3H-DA uptake in the striatum reduced from 3 pmol/mg to 1 pmol/mg 1 week after start of MPTP treatment.

TH staining in the nigrostriatal system reduced by ca. 50 % 1 week after initiation of MPTP treatment.

Subacute model:

Rotarod performance reduced from 1800 AUC (control) down to 1500 AUC (MPTP).

 

 

 

 

 

 

 

Chronic model:

Rotarod performance reduced from 1800 AUC (control) to 1250 AUC (1 week after initiation of MPTP treatment)

Petroske et al. 2001

Mouse + MPTP

Subacute model:

25 mg/kg MPTP 1x days for 5 days

Chronic model:

MPTP (25 mg/kg + 250 mg/kg probenizid) in 3.5 day intervals for maximal 5 weeks

Reduction in TH staining intensity of at least 50 % required for detectable influence on motor performance.

TH density in the nigrostriatal system correlated with the decline of rotarod performance (r2 = 0.87)

Rotarod performance reduced from 1250 AUC to 200 AUC

 

Time on rod at a speed of 20 rpm:

125 s in controls, 25 s in MPTP animals

Rozas et al. 1998

Mouse + MPTP

Monkey models

 

 

 

Approx. 50 % loss of TH positive neurons in the SNpc. DA content in the caudate nucleu reduced to < 10 %; DA content of the putamen ca. 10 % compared with control

Mean duration in the bradykinesia test increased from 3 sec. (day 0) to 19 sec. at day 15

Bezard et al. 2001

Macaca + MPTP i.v. 0.2 mg/kg daily for 15 days

Human

 

 

 

18F-dopa influx rate constants (Ki)

Midbrain:

Control: 0.008

Early PD: 0.008

Adv. PD: 0.006

Right putamen:

Control: 0.017

Early PD: 0.006

Adv. PD: 0.0036

Left putamen:

Control: 0.017

Early PD: 0.0096

Adv. PD: 0.005

Early PD:

UPDRS: 9 +/- 3

 

Adv. PD:

UPDRS: 41+/- 15

Rakshi et al. 1999

Human PD patients

Putamen influx (Ki/min) detected by 18F-dopa

control: 0.0123

asympt. PD: 0.0099

symptom. PD: 0.007

Symptom. PD patients: mean UPDRS: 15.1 +/- 7.5

Correlation between total UPDRS and putamen Ki:

r = -0.41

Morrish et al. 1995

Human PD

 

Uptake of 18F-DTBZ (VMAT2 tracer) reduced by:

20-36 % (caudate)

45-80 % (putamen)

31 % (SN)

UPDRS total: 12.1 +/- 7.1

Hoehn and Yahr : 1.0 +/- 0.1

Lin et al. 2014

Human PD

Caudate nucleus Ki/min

Control: 0.011

PD group 3: 0.0067

 

Putamen Ki/min

Control: 0.011

PD group 3: 0.0043

UPDRS: 50 +/- 11.6 in PD group 3

 

Broussolle et al. 1999

Human PD

Reduction in 18F-CFT uptake in the posterior putamen (by 18 %); in the anterior putamen (by 28 %); in the caudate nucleus (by 51 %)

Correlation between total motor score of the UPDRS and 18F-CFT uptake:

Posterior putamen:

r = -0.62

Anterior putamen:

r = -0.64

Caudate nucleus:

r = -0.62

Rinne et al. 1999

Human PD

123I-CIT SPECT values in controls and PD cases with a Hoehn and Yahr rating of 2-2.5:

Putamen (ipsilateral):

Control: 6.13

PD: 1.84

Caudate (ipsilateral):

Control: 6.93

PD: 3.66

Striatum

(ipsilateral):

Control: 6.28

PD: 2.33

Correlation coefficient between striatal 123I-CIT binding and:

Str. (ipsilateral) and Bradykinesia:

r = -0.61

Str. (ipsilateral) and Rigidity:

r = -0.46

Str. (ipsilateral) and UPDRS:

r = -0.79

Tissingh et al. 1998

Human PD

Binding ration striatum/cerebellum detected by 123I-CIT / SPECT

Control:

8.71 +/- 1.54

PD:

4.49 +/- 1.86

Correlation between 123I-CIT binding to DAT and PD motor symptoms rated according to the Hoehn and Yahr scale:

r = -0.75

Correlation according to the UPDRS:

r = -0.49

Asenbaum et al. 1997

Human PD

Uptake of 123I-CIT in the putamen reduced to 54 %; uptake into the caudate nucleus reduced to 65 %

Correlation between CIT uptake in the putamen and Hoehn and Yahr stage:

r = -0. 79

Rinne et al. 1995

Human PD

Decline in nigrostriatal DAT assed by 123I-CIT SPECT in PD patients

Correlation coefficients for 123I-CIT uptake in the striatum and:

UPDRS: r =-0.54

Bradykinesia: r = -0.5

Rigidity: r = -0.27

Tremor: r = -0.3

Correlation coefficients for 123I-CIT uptake in the caudate and:

UPDRS: r =-0.5

Bradykinesia: r = -0.43

Rigidity: r = -0.27

Tremor: r = -0.26

Correlation coefficients for 123I-CIT uptake in the putamen and:

UPDRS: r =-0.57

Bradykinesia: r = -0.53

Rigidity: r = -0.29

Tremor: r = -0.37

 

 

 

 

Benamer et al. 2000

Human PD

Response-response Relationship

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Time-scale

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Known modulating factors

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Known Feedforward/Feedback loops influencing this KER

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Domain of Applicability

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Parkinonian disorders are generally recognized as progressive age-related human neurodegenerative diseases more prevalent in males. However, the anatomy and function of the nigrostriatal pathway is conserved across mammalian species (Barron et al. 2010) and no sex and species restrictions were evidenciated using the chemical stressors rotenone and MPTP. It should be noted that animal behaviour models can only be considered as surrogates of human motor disorders as occuring in Parkinson's disease.

References

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Aizman O, Brismar H, Uhlén P, Zettergren E, Levey AI, Forssberg H, Greengard P, Aperia A (2000) Anatomical and physiological evidence for D1 and D2 dopamine receptor colocalization in neostriatal neurons. Nat Neurosci. 3(3):226-30.

Alam M, Schmidt WJ (2002) Rotenone destroys dopaminergic neurons and induces parkinsonian symptoms in rats. Behav Brain Res. 136(1):317-24.

Alam M, Schmidt WJ (2004) L-DOPA reverses the hypokinetic behaviour and rigidity in rotenone-treated rats. Behav Brain Res. 153(2):439-46. Albin RL, Young AB, Penney JB (1989) The functional anatomy of basal ganglia disorders. Trends Neurosci. 12(10):366-75.

Alexander GE, DeLong MR, Strick PL (1986) Parallel organization of functionally segregated circuits linking basal ganglia and cortex. Annu Rev Neurosci. 9:357-81.

Asenbaum S, Brücke T, Pirker W, Podreka I, Angelberger P, Wenger S, Wöber C, Müller C, Deecke L (1997) Imaging of dopamine transporters with iodine-123-beta-CIT and SPECT in Parkinson's disease. J Nucl Med. 38(1):1-6.

Aziz TZ, Peggs D, Sambrook MA, Crossman AR (1991) Lesion of the subthalamic nucleus for the alleviation of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced parkinsonism in the primate. Mov Disord. 6(4):288-92.

Baik JH, Picetti R, Saiardi A, Thiriet G, Dierich A, Depaulis A, Le Meur M, Borrelli E (1995) Parkinsonian-like locomotor impairment in mice lacking dopamine D2 receptors. Nature. 377(6548):424-8.

Benamer HT, Patterson J, Wyper DJ, Hadley DM, Macphee GJ, Grosset DG (2000) Correlation of Parkinson's disease severity and duration with 123I-FP-CIT SPECT striatal uptake. Mov Disord. 15(4):692-8.

Bergman H, Wichmann T, DeLong MR (1990) Reversal of experimental parkinsonism by lesions of the subthalamic nucleus. Science. 249(4975):1436-8.

Bernheimer H, Birkmayer W, Hornykiewicz O, Jellinger K, Seitelberger F (1973) Brain dopamine and the syndromes of Parkinson and Huntington. Clinical, morphological and neurochemical correlations. J Neurol Sci. 20(4):415-55.

Bezard E, Dovero S, Prunier C, Ravenscroft P, Chalon S, Guilloteau D, Crossman AR, Bioulac B, Brotchie JM, Gross CE (2001) Relationship between the appearance of symptoms and the level of nigrostriatal degeneration in a progressive 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-lesioned macaque model of Parkinson's disease. J Neurosci. 21(17):6853-61.

Blandini F, Nappi G, Tassorelli C, Martignoni E (2000) Functional changes of the basal ganglia circuitry in Parkinson's disease. Prog Neurobiol. 62(1):63-88.

Blesa J, Pifl C, Sánchez-González MA, Juri C, García-Cabezas MA, Adánez R, Iglesias E, Collantes M, Peñuelas I, Sánchez-Hernández JJ, Rodríguez-Oroz MC, Avendaño C, Hornykiewicz O, Cavada C, Obeso JA (2012) The nigrostriatal system in the presymptomatic and symptomatic stages in the MPTP monkey model: a PET, histological and biochemical study. Neurobiol Dis. 48(1):79-91.

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