Defective dentate nucleus GABA receptors in essential tremor.
Identifieur interne : 001255 ( Main/Exploration ); précédent : 001254; suivant : 001256Defective dentate nucleus GABA receptors in essential tremor.
Auteurs : Sarah Paris-Robidas [Canada] ; Elodie Brochu ; Marion Sintes ; Vincent Emond ; Mélanie Bousquet ; Milène Vandal ; Mireille Pilote ; Cyntia Tremblay ; Thérèse Di Paolo ; Ali H. Rajput ; Alex Rajput ; Frédéric CalonSource :
- Brain : a journal of neurology [ 1460-2156 ] ; 2012.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Autoradiography, Cerebellar Nuclei (metabolism), Essential Tremor (genetics), Essential Tremor (metabolism), Female, Humans, Male, Parkinson Disease (genetics), Parkinson Disease (metabolism), Receptors, GABA-A (genetics), Receptors, GABA-A (metabolism), Receptors, GABA-B (genetics), Receptors, GABA-B (metabolism).
- MESH :
- chemical , genetics : Receptors, GABA-A, Receptors, GABA-B.
- genetics : Essential Tremor, Parkinson Disease.
- metabolism : Cerebellar Nuclei, Essential Tremor, Parkinson Disease, Receptors, GABA-A, Receptors, GABA-B.
- Aged, Aged, 80 and over, Autoradiography, Female, Humans, Male.
Abstract
The development of new treatments for essential tremor, the most frequent movement disorder, is limited by a poor understanding of its pathophysiology and the relative paucity of clinicopathological studies. Here, we report a post-mortem decrease in GABA(A) (35% reduction) and GABA(B) (22-31% reduction) receptors in the dentate nucleus of the cerebellum from individuals with essential tremor, compared with controls or individuals with Parkinson's disease, as assessed by receptor-binding autoradiography. Concentrations of GABA(B) receptors in the dentate nucleus were inversely correlated with the duration of essential tremor symptoms (r(2) = 0.44, P < 0.05), suggesting that the loss of GABA(B) receptors follows the progression of the disease. In situ hybridization experiments also revealed a diminution of GABA(B(1a+b)) receptor messenger RNA in essential tremor (↓27%). In contrast, no significant changes of GABA(A) and GABA(B) receptors (protein and messenger RNA), GluN2B receptors, cytochrome oxidase-1 or GABA concentrations were detected in molecular or granular layers of the cerebellar cortex. It is proposed that a decrease in GABA receptors in the dentate nucleus results in disinhibition of cerebellar pacemaker output activity, propagating along the cerebello-thalamo-cortical pathways to generate tremors. Correction of such defective cerebellar GABAergic drive could have a therapeutic effect in essential tremor.
DOI: 10.1093/brain/awr301
PubMed: 22120148
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">The development of new treatments for essential tremor, the most frequent movement disorder, is limited by a poor understanding of its pathophysiology and the relative paucity of clinicopathological studies. Here, we report a post-mortem decrease in GABA(A) (35% reduction) and GABA(B) (22-31% reduction) receptors in the dentate nucleus of the cerebellum from individuals with essential tremor, compared with controls or individuals with Parkinson's disease, as assessed by receptor-binding autoradiography. Concentrations of GABA(B) receptors in the dentate nucleus were inversely correlated with the duration of essential tremor symptoms (r(2) = 0.44, P < 0.05), suggesting that the loss of GABA(B) receptors follows the progression of the disease. In situ hybridization experiments also revealed a diminution of GABA(B(1a+b)) receptor messenger RNA in essential tremor (↓27%). In contrast, no significant changes of GABA(A) and GABA(B) receptors (protein and messenger RNA), GluN2B receptors, cytochrome oxidase-1 or GABA concentrations were detected in molecular or granular layers of the cerebellar cortex. It is proposed that a decrease in GABA receptors in the dentate nucleus results in disinhibition of cerebellar pacemaker output activity, propagating along the cerebello-thalamo-cortical pathways to generate tremors. Correction of such defective cerebellar GABAergic drive could have a therapeutic effect in essential tremor.</div>
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