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Métodos Terapéuticos y Terapias MTCI
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1.
Ann Neurol ; 79(1): 59-75, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26456231

RESUMEN

OBJECTIVE: To examine whether near-infrared light (NIr) treatment reduces clinical signs and/or offers neuroprotection in a subacute 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) monkey model of Parkinson disease. METHODS: We implanted an optical fiber device that delivered NIr (670 nm) to the midbrain of macaque monkeys, close to the substantia nigra of both sides. MPTP injections (1.5-2.1mg/kg) were made over a 5- to 7-day period, during which time the NIr device was turned on. This was then followed by a 3-week survival period. Monkeys were evaluated clinically (eg, posture, bradykinesia) and behaviorally (open field test), and their brains were processed for immunohistochemistry and stereology. RESULTS: All monkeys in the MPTP group developed severe clinical and behavioral impairment (mean clinical scores = 21-34; n = 11). By contrast, the MPTP-NIr group developed much less clinical and behavioral impairment (n = 9); some monkeys developed moderate clinical signs (mean scores = 11-15; n = 3), whereas the majority--quite remarkably--developed few clinical signs (mean scores = 1-6; n = 6). The monkeys that developed moderate clinical signs had hematic fluid in their optical fibers at postmortem, presumably limiting NIr exposure and overall clinical improvement. NIr was not toxic to brain tissue and offered neuroprotection to dopaminergic cells and their terminations against MPTP insult, particularly in animals that developed few clinical signs. INTERPRETATION: Our findings indicate NIr to be an effective therapeutic agent in a primate model of the disease and create the template for translation into clinical trials.


Asunto(s)
1-Metil-4-fenil-1,2,3,6-Tetrahidropiridina/farmacología , Conducta Animal/efectos de la radiación , Rayos Infrarrojos/uso terapéutico , Intoxicación por MPTP/prevención & control , Mesencéfalo/efectos de la radiación , Neurotoxinas/farmacología , 1-Metil-4-fenil-1,2,3,6-Tetrahidropiridina/administración & dosificación , Animales , Conducta Animal/efectos de los fármacos , Modelos Animales de Enfermedad , Terapia por Luz de Baja Intensidad , Intoxicación por MPTP/fisiopatología , Macaca fascicularis , Masculino , Mesencéfalo/efectos de los fármacos , Neurotoxinas/administración & dosificación , Fibras Ópticas
2.
J Neurosurg ; 124(6): 1829-41, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26613166

RESUMEN

OBJECT The authors of this study used a newly developed intracranial optical fiber device to deliver near-infrared light (NIr) to the midbrain of 6-hydroxydopamine (6-OHDA)-lesioned rats, a model of Parkinson's disease. The authors explored whether NIr had any impact on apomorphine-induced turning behavior and whether it was neuroprotective. METHODS Two NIr powers (333 nW and 0.16 mW), modes of delivery (pulse and continuous), and total doses (634 mJ and 304 J) were tested, together with the feasibility of a midbrain implant site, one considered for later use in primates. Following a striatal 6-OHDA injection, the NIr optical fiber device was implanted surgically into the midline midbrain area of Wistar rats. Animals were tested for apomorphine-induced rotations, and then, 23 days later, their brains were aldehyde fixed for routine immunohistochemical analysis. RESULTS The results showed that there was no evidence of tissue toxicity by NIr in the midbrain. After 6-OHDA lesion, regardless of mode of delivery or total dose, NIr reduced apomorphine-induced rotations at the stronger, but not at the weaker, power. The authors found that neuroprotection, as assessed by tyrosine hydroxylase expression in midbrain dopaminergic cells, could account for some, but not all, of the observed behavioral improvements; the groups that were associated with fewer rotations did not all necessarily have a greater number of surviving cells. There may have been other "symptomatic" elements contributing to behavioral improvements in these rats. CONCLUSIONS In summary, when delivered at the appropriate power, delivery mode, and dosage, NIr treatment provided both improved behavior and neuroprotection in 6-OHDA-lesioned rats.


Asunto(s)
Mesencéfalo/fisiopatología , Mesencéfalo/efectos de la radiación , Trastornos Parkinsonianos/fisiopatología , Trastornos Parkinsonianos/terapia , Fototerapia/métodos , Animales , Apomorfina/farmacología , Supervivencia Celular/fisiología , Supervivencia Celular/efectos de la radiación , Agonistas de Dopamina/farmacología , Neuronas Dopaminérgicas/efectos de los fármacos , Neuronas Dopaminérgicas/patología , Neuronas Dopaminérgicas/fisiología , Neuronas Dopaminérgicas/efectos de la radiación , Relación Dosis-Respuesta en la Radiación , Estudios de Factibilidad , Inmunohistoquímica , Terapia por Luz de Baja Intensidad , Masculino , Mesencéfalo/efectos de los fármacos , Mesencéfalo/patología , Movimiento/efectos de los fármacos , Movimiento/efectos de la radiación , Fibras Ópticas/efectos adversos , Oxidopamina , Trastornos Parkinsonianos/patología , Fototerapia/efectos adversos , Fototerapia/instrumentación , Prótesis e Implantes/efectos adversos , Ratas Wistar , Tirosina 3-Monooxigenasa/metabolismo
3.
Neurosci Res ; 92: 86-90, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25462595

RESUMEN

We explored whether 810nm near-infrared light (NIr) offered neuroprotection and/or improvement in locomotor activity in an acute 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-treated mouse model of Parkinson's disease. Mice received MPTP and 810nm NIr treatments, or not, and were tested for locomotive activity in an open-field test. Thereafter, brains were aldehyde-fixed and processed for tyrosine hydroxylase immunohistochemistry. Our results showed that MPTP-treated mice that were irradiated with 810nm NIr had both greater locomotor activity (∼40%) and number of dopaminergic cells (∼20%) than those that were not. In summary, 810nm (as with 670nm) NIr offered neuroprotection and improved locomotor activity in MPTP-treated mice.


Asunto(s)
Neuronas Dopaminérgicas/efectos de la radiación , Rayos Infrarrojos , Actividad Motora/efectos de la radiación , Trastornos Parkinsonianos/radioterapia , Porción Compacta de la Sustancia Negra/efectos de la radiación , Animales , Recuento de Células , Neuronas Dopaminérgicas/metabolismo , Terapia por Luz de Baja Intensidad , Masculino , Ratones , Ratones Endogámicos BALB C , Trastornos Parkinsonianos/metabolismo , Porción Compacta de la Sustancia Negra/metabolismo , Tirosina 3-Monooxigenasa/análisis
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