The data reviewed here show that, in Parkinson's disease (PD), some do
paminergic neurons are more vulnerable than others to the pathologic p
rocess. The glial cells surrounding dopaminergic neurons may be involv
ed in this selective vulnerability. One subpopulation of glial cells,
in particular, may play a neuroprotective role by metabolizing dopamin
e and scavenging oxygen free radicals that are associated with dopamin
e metabolism. Another subpopulation of glial cells may be deleterious
to dopaminergic neurons. This effect may be mediated by the production
of nitric oxide and cytokines, which may in turn account for the oxid
ative stress observed in the substantia nigra of patients with PD. Fin
ally, this inflammatory reaction may result in the induction of apopto
sis.