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Related Experiment Videos

Decrease of substance P in the parabrachial nucleus of multiple system atrophy.

H Nomura1, H Konno, S Takase

  • 1Department of Neurology, Kohnan Hospital, Sendai, Japan.

Autonomic Neuroscience : Basic & Clinical
|September 26, 2001
PubMed
Summary
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Multiple system atrophy (MSA) patients with autonomic failure show a significant reduction in substance P (SP) nerve fibers within the parabrachial nucleus (PBN). This suggests SP pathways to the PBN are involved in MSA

Area of Science:

  • Neuroscience
  • Autonomic Nervous System Research
  • Neurodegenerative Diseases

Background:

  • The parabrachial nucleus (PBN) regulates autonomic functions.
  • Substance P (SP) containing nerve fibers modulate PBN transmission.
  • The nucleus of the solitary tract (NTS) projects SP fibers to the PBN.

Purpose of the Study:

  • To investigate the role of substance P (SP) pathways in the autonomic failure of multiple system atrophy (MSA).
  • To compare SP-like immunoreactive (SPLI) nerve fiber terminals in the PBN of MSA patients and controls.

Main Methods:

  • Postmortem brain tissue from four MSA patients with autonomic failure and four healthy controls were analyzed.
  • Immunohistochemical staining for SP was performed on pons sections containing the PBN.

Related Experiment Videos

  • Histopathological evaluation included assessment of astrocytosis for neuron preservation.
  • Main Results:

    • A marked decrease in SP-like immunoreactive (SPLI) nerve fiber terminals was observed in the PBN of all MSA patients compared to controls.
    • Obvious astrocytosis was present in the PBN of MSA patients, indicating neuronal damage.

    Conclusions:

    • The projecting SP pathway to the PBN is significantly diminished in MSA patients with autonomic failure.
    • These findings suggest that the SP pathway to the PBN plays a crucial role in the pathophysiology of autonomic dysfunction in MSA.