The meperidine analogue derivative l-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) induces nigrostriatal fiber damage and severe parkinsonism in humans and animals. MPTP-induced parkinsonism has been proposed as a model ofParkinson disease, but doubts have been raised about whether the patterns of nigrostriatal fiber loss in the two conditions are similar. We report here observations on [3H]mazindol monoamine (principally dopamine) uptake-site binding in the striatum of monkeys (Saimiri sciureus) exposed to low doses of MPTP. We show that this treatment can produce a pattern of nigrostriatal degeneration characteristic of that seen in Parkinson disease, in which there is greater depletion of dopaminergic markers in the putamen than in the caudate nucleus, especially posteriorly. Moreover, within the regions of diminished uptake-site binding in the MPTP-treated monkeys, there is differential preservation of binding in striosomes relative to the surrounding matrix. We suggest that both regional and striosome/matrix patterns of nigrostriatal depletion are key features of MPTP-induced neurodegeneration and that both patterns may provide dues to the mechanisms underlying neurodegeneration in Parkinson disease as well.Exposure to 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) induces a behavioral state in humans and other primates that strongly resembles idiopathic Parkinson disease (1, 2). MPTP-induced parkinsonism is highly responsive to L-dopa therapy, and in the brains of MPTP-treated primates (including one human) it has been shown that there is a concomitant loss of dopamine-containing neurons of the nigrostriatal tract, also a hallmark of pathology in Parkinson disease (3-8). These characteristics suggest that MPTPinduced parkinsonism may be similar to the idiopathic disease and have motivated a large body of work aimed at understanding the molecular mechanisms underlying MPTPinduced neurotoxicity (8-11).A key feature of the neurodegeneration in Parkinson disease is a characteristic gradient of dopamine loss in the striatum, with greater defects in the putamen than in the caudate nucleus and greater defects posteriorly than anteriorly in the putamen (4)(5)(6)(7)12). This pattern has not been found consistently in MPTP-treated monkeys (13-16). Instead, MPTP is capable of depleting dopaminergic markers from nearly the entire caudate nucleus as well as from the putamen, leaving only the ventral striatum (nucleus accumbens and olfactory tubercle) and the adjoining ventral caudoputamen relatively spared. This more global deficit has been interpreted as suggesting that MPTP-induced parkinsonism, for all its similarities to Parkinson disease, may not be a suitable model for the disease (14,15,17). This is a fundamentally important issue, because the MPTP model not only implicates environmental toxins as possible etiologic factors in Parkinson disease (11) but also, if correct, could greatly enhance efforts to understand the molecular basis of cell death in Parkinson disease (18).To address this issue ...