New insight into Parkinson's disease pathogenesis from reactive oxygen species-mediated extracellular Zn²⁺ influx

Parkinson's disease (PD) is the common neurodegenerative disorder in the elderly characterized by motor symptoms such as tremors, which is caused by selective loss of nigral dopaminergic neurons. Oxidative stress induced by the auto-oxidation of dopamine has been implicated as a key cause of the selective loss of dopaminergic neurons.

To understand the selective loss of nigral dopaminergic neurons, the PD pathogenesis is reviewed focused on paraquat (PQ) and 6-hydroxydopamine (6-OHDA)-induced PD in rats.

Reactive oxygen species (ROS), which are produced by PQ and 6-OHDA, are retrogradely transported to presynaptic glutamatergic neuron terminals. ROS activate presynaptic transient receptor potential melastatin 2 (TRPM2) cation channels and induce extracellular glutamate accumulation in the substantia nigra pars compacta (SNpc), followed by age-related intracellular Zn²⁺ dysregulation. Loss of nigral dopaminergic neurons is accelerated by age-related intracellular Zn²⁺ dysregulation in the SNpc of rat PD models. The intracellular Zn²⁺ dysregulation in nigral dopaminergic neurons is linked with the rapid influx of extracellular Zn²⁺ via postsynaptic AMPA receptor activation, suggesting that PQ- and 6-OHDA-induced pathogenesis is linked with age-related intracellular Zn²⁺ dysregulation in the SNpc. Postsynaptic TRPM2 channels may be also involved in intracellular Zn²⁺ dysregulation in the SNpc.

A novel mechanism of nigral dopaminergic degeneration, in which ROS induce rapid intracellular Zn²⁺ dysregulation, figures out the PD pathogenesis induced by PQ and 6-OHDA in rats. This review deals with new insight into PD pathogenesis from ROS-mediated extracellular Zn²⁺ influx and its proposed defense strategy.