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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

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