暴露于杀虫剂与患帕金森病(PD)的风险增加有关。目前,由于缺乏针对神经变性的人类相关终点,基于啮齿动物的风险评估研究无法充分捕获农药的神经变性效应.因此,有必要改进风险评估准则。具体来说,机械评估策略,需要基于人类生理学和(病理)生物学,可应用于下一代风险评估。不利结果路径(AOP)框架特别适合为这种策略提供机械基础。这里,我们在Embase和MEDLINE进行了半系统的审查,专注于神经变性和杀虫剂,建立帕金森病运动症状的AOP网络。使用在线平台Sysrev标记并包含/排除文章。只有初级文章,用英语写的,重点介绍了农药或PD模型化合物在大脑模型中的作用。共66条,在1700筛选中,包括在内。PD症状是由黑质(SN)中多巴胺能神经元的功能丧失和最终死亡引起的。我们的文献综述强调,这些细胞增加其脆弱性的独特特征是它们依赖于持续的低水平钙流入。因此,细胞内钙过量被确定为中枢早期关键事件(KE)。这种KE可以导致SN的多巴胺能神经元死亡,最终出现帕金森病运动症状,通过四种不同的途径:1)钙蛋白酶的激活,2)内质网应激,3)蛋白质降解的损害,4)氧化损伤。已经鉴定了几种受体,其可以充当分子起始事件(MIE)以触发这些途径中的一种或多种。拟议的AOP网络提供了生物学基础,可用于开发一种机制测试策略,以捕获农药的神经退行性作用。
Exposure to pesticides is associated with an increased risk of developing Parkinson\'s disease (PD). Currently, rodent-based risk assessment studies cannot adequately capture neurodegenerative effects of pesticides due to a lack of human-relevant endpoints targeted at neurodegeneration. Thus, there is a need for improvement of the risk assessment guidelines. Specifically, a mechanistic assessment strategy, based on human physiology and (patho)biology is needed, which can be applied in next generation risk assessment. The Adverse Outcome Pathway (AOP) framework is particularly well-suited to provide the mechanistic basis for such a strategy. Here, we conducted a semi-systematic review in Embase and MEDLINE, focused on neurodegeneration and pesticides, to develop an AOP network for parkinsonian motor symptoms. Articles were labelled and included/excluded using the online platform Sysrev. Only primary articles, written in English, focused on effects of pesticides or PD model compounds in models for the brain were included. A total of 66 articles, out of the 1700 screened, was included. PD symptoms are caused by loss of function and ultimately death of dopaminergic neurons in the substantia nigra (SN). Our literature review highlights that a unique feature of these cells that increases their vulnerability is their reliance on continuous low-level influx of calcium. As such, excess intracellular calcium was identified as a central early Key Event (KE). This KE can lead to death of dopaminergic neurons of the SN, and eventually parkinsonian motor symptoms, via four distinct pathways: 1) activation of calpains, 2) endoplasmic reticulum stress, 3) impairment of protein degradation, and 4) oxidative damage. Several receptors have been identified that may serve as molecular initiating events (MIEs) to trigger one or more of these pathways. The proposed AOP network provides the biological basis that can be used to develop a mechanistic testing strategy that captures neurodegenerative effects of pesticides.