This study analyzed gender differences in the progressive dopamine (DA) deficiency phenotype in the MitoPark (MP) mouse model of Parkinson's disease (PD) with progressive loss of DA release and reuptake in midbrain DA pathways. We found that the progressive loss of these DA presynaptic parameters begins significantly earlier in male than female MP mice. This was correlated with behavioral gender differences of both forced and spontaneous motor behavior. The degeneration of the nigrostriatal DA system in MP mice is earlier and more marked than that of the mesolimbic DA system, with male MP mice again being more strongly affected than female MP mice. After ovariectomy, DA presynaptic and behavioral changes in female mice become very similar to those of male animals. Our results suggest that estrogen, either directly or indirectly, is neuroprotective in the midbrain DA system. Our results are compatible with epidemiological data on incidence and symptom progression in PD, showing that men are more strongly affected than women at early ages.Int. J. Mol. Sci. 2019, 20, 6251 2 of 17 in nigral neurons in aged humans with sharp elevations starting shortly before age 70. This correlates with age being a known major risk factor for PD. A better understanding of the progressive cellular events that precede the appearance of behavioral symptoms will be critical for the early diagnosis of PD and development of more effective treatment strategies.It has been suggested that gender is an important factor in the development of PD. The disease is more common in men than in woman by an approximate ratio of 1.5-2:1 [18,19]. In addition to prevalence, several other PD-coupled parameters differ between men and women, including onset of symptoms, types of motor and non-motor symptoms, medication use, the effect size of PD risk factors, levodopa bioavailability, neuropsychiatric, and cognitive changes, development of hallucinations, caregiver utilization and reliance, and the quality of life [20,21]. In women, the age of PD onset has shown a positive correlation with fertility. Sex hormones, especially estrogen, may thus influence PD pathogenesis and be an important gender differentiation factor [22,23]. Here we use the MitoPark (MP) mouse model of PD where the mitochondrial transcription factor, TFAM, is specifically deleted in midbrain dopamine (DA) neurons. There is subsequent progressive degeneration of midbrain DA neurons which project to both striatum and extrastriatal telencephalic sites. Since the TFAM deletion is driven by the DAT promoter, neurons that do not express DAT are spared. Ovariectomy was used to address gender differences and the possible protective effects of estrogen on the time course of degeneration of DA neurons.
ResultsDA release rate was measured by fast scan cyclic voltammetry (FSCV) in ex vivo (in vitro) brain slices. The capacity of axon terminals to release DA was assessed by using one single pulse (for tonic) or 10 pulses (for phasic) stimulation delivered at 25 Hz under 10 volts stimulation intensities....