Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
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INTRODUCTION<br />
46<br />
Another pathway has been l<strong>in</strong>ked to excitotoxicity. In PD there is evidence for<br />
abnormal activation <strong>of</strong> cycl<strong>in</strong>-dependent k<strong>in</strong>ase 5 (Cdk5), a ser<strong>in</strong>e/threon<strong>in</strong>e k<strong>in</strong>ase<br />
which needs activat<strong>in</strong>g partners, p35 and p39 (Cheung et al. 2004, Cheung 2006). Over-<br />
activation <strong>of</strong> NMDAR was shown to provoke cleavage <strong>of</strong> p35 to p25, a prote<strong>in</strong> that<br />
cause a more robust and prolonged activation <strong>of</strong> Cdk5. Excessive Cdk5 activity has<br />
been l<strong>in</strong>ked to PD pathogenesis (O‟Hare et al. 2005, Smith et al. 2006, Wang et al.<br />
2007, Qu et al. 2007) and is known to contribute to neuronal death by phosphorylat<strong>in</strong>g<br />
the transcription factor myocyte enhancer factor 2 (MEF2) and the anti<strong>oxidative</strong> <strong>stress</strong><br />
enzyme peroxiredox<strong>in</strong> 2 (Prx2), lead<strong>in</strong>g to attenuation <strong>of</strong> their normal prosurvival<br />
functions. Actually, Prx2 breaks down H2O2 to H2O and O2 protect<strong>in</strong>g the cells aga<strong>in</strong>st<br />
<strong>oxidative</strong> <strong>stress</strong> (Abou-Sleiman et al. 2006), whereas MEF2 is an important<br />
transcription factor <strong>of</strong> prosurvival genes (Potth<strong>of</strong>f and Olson 2007).<br />
Neuro<strong>in</strong>flammation and glial cells<br />
It is well known that the bra<strong>in</strong> can <strong>in</strong>itiate <strong>in</strong>jury responses, such as<br />
neuro<strong>in</strong>flammation, as a way to clean up <strong>in</strong>jured bra<strong>in</strong> tissues. The ma<strong>in</strong> cellular<br />
responders are microglia, specialized macrophages capable <strong>of</strong> produc<strong>in</strong>g cytok<strong>in</strong>es and<br />
other protective factors to regulate the <strong>in</strong>jury response. Although neuro<strong>in</strong>flammation<br />
may have <strong>in</strong>itial protective effects, it has been hypothesized to be a potential contributor<br />
to PD pathogenesis (Hartmann et al. 2003). Its exact role is unclear: it may act as an<br />
<strong>in</strong>itial event <strong>of</strong> PD pathogenesis or be a downstream result <strong>of</strong> another trigger<strong>in</strong>g<br />
pathogenic factor.<br />
Immunohistochemical studies have demonstrated the presence <strong>of</strong> activated<br />
microglia, <strong>in</strong>creased expression <strong>of</strong> iNOS, cytok<strong>in</strong>es like tumour necrosis factor-α (TNF-<br />
α) and <strong>in</strong>terleuk<strong>in</strong> (IL)-1β, and pro-<strong>in</strong>flammatory signall<strong>in</strong>g cascades such as<br />
cyclooxygenase-2 (COX-2) and NF-κB <strong>in</strong> striatum, SN and cerebrosp<strong>in</strong>al fluid (CSF) <strong>of</strong><br />
PD patients (Boka et al. 1994, Mogi et al. 1994, Blum-Degen et al. 1995, Hunot et al.<br />
1996, Hirsh et al. 1998, Muller et al. 1998, Hunot et al. 1999, Knott et al. 2000, Nagatsu<br />
et al. 2000, Nagatsu 2002). Animal models <strong>of</strong> PD us<strong>in</strong>g rotenone, MPTP, and 6-OHDA<br />
showed levels <strong>of</strong> microglial activation similar to what is found <strong>in</strong> PD (Czlonkowska et