RT Journal Article SR Electronic T1 Caspase-8 Is an Effector in Apoptotic Death of Dopaminergic Neurons in Parkinson's Disease, But Pathway Inhibition Results in Neuronal Necrosis JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 2247 OP 2255 DO 10.1523/JNEUROSCI.21-07-02247.2001 VO 21 IS 7 A1 Andreas Hartmann A1 Jean-Denis Troadec A1 Stéphane Hunot A1 Kristy Kikly A1 Baptiste A. Faucheux A1 Annick Mouatt-Prigent A1 Merle Ruberg A1 Yves Agid A1 Etienne C. Hirsch YR 2001 UL http://www.jneurosci.org/content/21/7/2247.abstract AB Caspase-8 is a proximal effector protein of the tumor necrosis factor receptor family death pathway. In the present human postmortem study, we observed a significantly higher percentage of dopaminergic (DA) substantia nigra pars compacta neurons that displayed caspase-8 activation in Parkinson's disease (PD) patients compared with controls. In an in vivo experimental PD model, namely subchronically 1,2,3,6-tetrahydropyridine-treated mice, we also show that caspase-8 is indeed activated after exposure to this toxin early in the course of cell demise, suggesting that caspase-8 activation precedes and is not the consequence of cell death. However, cotreatment of 1-methyl-4-phenylpyridinium-intoxicated primary DA cultures with broad-spectrum and specific caspase-8 inhibitors did not result in neuroprotection but seemed to trigger a switch from apoptosis to necrosis. We propose that this effect is related to ATP depletion and suggest that the use of caspase inhibitors in pathologies linked to intracellular energy depletion, such as PD, should be cautiously evaluated.