Bradley S R, Marino M J, Wittmann M, Rouse S T, Awad H, Levey A I, Conn P J
Department of Pharmacology, Emory University, Atlanta, Georgia 30322, USA.
J Neurosci. 2000 May 1;20(9):3085-94. doi: 10.1523/JNEUROSCI.20-09-03085.2000.
Loss of nigrostriatal dopaminergic neurons in Parkinson's disease (PD) leads to increased activity of glutamatergic neurons in the subthalamic nucleus (STN). Recent studies reveal that the resultant increase in STN-induced excitation of basal ganglia output nuclei is responsible for the disabling motor impairment characteristic of PD. On the basis of this, it is possible that any manipulation that reduces activity at excitatory STN synapses onto basal ganglia output nuclei could be useful in the treatment of PD. We now report that group II metabotropic glutamate receptors (mGluRs) are presynaptically localized on STN terminals and that activation of these receptors inhibits excitatory transmission at STN synapses. In agreement with the hypothesis that this could provide a therapeutic benefit in PD, a selective agonist of group II mGluRs induces a dramatic reversal of catalepsy in a rat model of PD. These results raise the exciting possibility that selective agonists of group II mGluRs could provide an entirely new approach to the treatment of PD. These novel therapeutic agents would provide a noninvasive pharmacological treatment that does not involve the manipulation of dopaminergic systems, thus avoiding the problems associated with current therapies.
帕金森病(PD)中黑质纹状体多巴胺能神经元的丧失导致丘脑底核(STN)中谷氨酸能神经元的活动增加。最近的研究表明,STN对基底神经节输出核的兴奋性增加是导致PD特征性运动障碍的原因。基于此,任何降低STN到基底神经节输出核兴奋性突触活动的操作都可能对PD治疗有用。我们现在报告,II组代谢型谷氨酸受体(mGluRs)位于STN终末的突触前,这些受体的激活抑制STN突触的兴奋性传递。与这可能对PD有治疗益处这一假设一致,II组mGluRs的选择性激动剂在PD大鼠模型中可显著逆转僵住症。这些结果提出了一个令人兴奋的可能性,即II组mGluRs的选择性激动剂可为PD治疗提供全新方法。这些新型治疗药物将提供一种非侵入性的药物治疗,不涉及多巴胺能系统的操作,从而避免了当前治疗相关的问题。