Parkinson’s disease: lesions in dorsal horn layer I, involvement of parasympathetic and sympathetic pre- and postganglionic neurons View Full Text


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Article Info

DATE

2007-02-09

AUTHORS

Heiko Braak, Magdalena Sastre, Jürgen R. E. Bohl, Rob A. I. de Vos, Kelly Del Tredici

ABSTRACT

Clinical signs frequently recognized in early phases of sporadic Parkinson’s disease (PD) may include autonomic dysfunctions and the experience of pain. Early disease-related lesions that may account for these symptoms are presently unknown or incompletely known. In this study, immunocytochemistry for α-synuclein was used to investigate the first relay stations of the pain system as well as parasympathetic and sympathetic pre- and postganglionic nerve cells in the lower brainstem, spinal cord, and coeliac ganglion in 100 μm polyethylene glycol embedded sections from six autopsy individuals, whose brains were staged for PD-associated synucleinopathy. Immunoreactive inclusions were found for the first time in spinal cord lamina I neurons. Lower portions of the spinal cord downwards of the fourth thoracic segment appeared to be predominantly affected, whereas the spinal trigeminal nucleus was virtually intact. Additional involvement was seen in parasympathetic preganglionic projection neurons of the vagal nerve, in sympathetic preganglionic neurons of the spinal cord, and in postganglionic neurons of the coeliac ganglion. The known interconnectivities between all of these components offer a possible explanation for their particular vulnerability. Lamina I neurons (pain system) directly project upon sympathetic relay centers, and these, in turn, exert influence on the parasympathetic regulation of the enteric nervous system. This constellation indicates that physical contacts between vulnerable regions play a key role in the pathogenesis of PD. More... »

PAGES

421-429

References to SciGraph publications

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  • 2003-05. Autonomic dysfunction in Parkinson's disease in NEUROLOGICAL SCIENCES
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  • 1997-08. The intermediolateral nucleus and Clarke’s column in Parkinson’s disease in ACTA NEUROPATHOLOGICA
  • 2005-04. Symptoms of autonomic failure in Parkinson’s disease: prevalence and impact on daily life in CLINICAL AUTONOMIC RESEARCH
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  • 2004-02. Diagnostic staging of Parkinson’s disease: conceptual aspects in JOURNAL OF NEURAL TRANSMISSION
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00401-007-0193-x

    DOI

    http://dx.doi.org/10.1007/s00401-007-0193-x

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17294202


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