Fredriksson A, Palomo T, Chase T, Archer T
Department of Psychiatry, University of Uppsala, Sweden.
J Neural Transm (Vienna). 1999;106(3-4):283-300. doi: 10.1007/s007020050158.
Three experiments were performed to study the development and manipulation of tolerance to a suprathreshold dose of L-Dopa (20 mg/kg, s.c.) in MPTP-treated and control (saline-injected) C57 Bl/6 mice. The motor activity reinstatement effect of this dose of L-Dopa upon MPTP-treated mouse behaviour deteriorated from the 13th injection (Test Day 8) of L-Dopa onwards and reached basal level (i.e. no stimulatory effects of the drug) by the 16th administration (Test Day 10). Administration of L-Dopa to control mice reduced locomotor and rearing activity throughout the tolerance development period (Test Days 1-12) during the first hour after injection, and then increased locomotor activity during the second hour. The effects of combining either a noncompetitive, MK-801, or a competitive, CGP 40116, glutamate antagonist with L-Dopa, following tolerance development, were assessed in MPTP mice on the 23rd day of L-Dopa administration (Test Day 13). MK-801 (0.1 mg/kg, s.c.) reinstated the locomotory and rearing behaviour induced by L-Dopa; CGP 40116 did so also to a greater extent in the dose range 0.01 to 0.03 mg/kg. These results indicate that MPTP-treated mice continue to offer a useful parkinsonian model also for the examination of different aspects of the "wearing-off" phenomenon of L-Dopa tolerance and in particular the putative glutamatergic involvement. The clinical consequences may be far-reaching for the utility of L-Dopa in Parkinson's disease, whether the effects demonstrated be of a reinstatement or synergistic nature, once therapeutically adequate glutamate antagonists are more readily available.
进行了三项实验,以研究经1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)处理的和对照(注射生理盐水)的C57 Bl/6小鼠对超阈值剂量左旋多巴(20毫克/千克,皮下注射)耐受性的发展及调控情况。该剂量的左旋多巴对MPTP处理小鼠行为的运动活性恢复作用,从第13次注射(测试日8)左旋多巴起开始恶化,并在第16次给药(测试日10)时达到基础水平(即药物无刺激作用)。在耐受性发展期间(测试日1至12),给对照小鼠注射左旋多巴后,在注射后的第一小时内会降低其运动和竖毛活动,然后在第二小时增加运动活性。在左旋多巴给药的第23天(测试日13),对MPTP处理的小鼠评估了在耐受性发展后,将非竞争性的MK-801或竞争性的CGP 40116谷氨酸拮抗剂与左旋多巴联合使用的效果。MK-801(0.1毫克/千克,皮下注射)恢复了左旋多巴诱导的运动和竖毛行为;CGP 40116在0.01至0.03毫克/千克的剂量范围内也有更大程度的恢复作用。这些结果表明,经MPTP处理的小鼠对于研究左旋多巴耐受性“失效”现象的不同方面,特别是假定的谷氨酸能参与,仍然是一个有用的帕金森病模型。一旦治疗上适用的谷氨酸拮抗剂更容易获得,无论所证明的效果是恢复性的还是协同性的,这些结果对于左旋多巴在帕金森病中的效用可能具有深远的临床意义。