Picconi Barbara, Pisani Antonio, Centonze Diego, Battaglia Giuseppe, Storto Marianna, Nicoletti Ferdinando, Bernardi Giorgio, Calabresi Paolo
Clinica Neurologica, Dipartimento di Neuroscienze, Università di Roma Tor Vergata, I.R.C.C.S. Fondazione Santa Lucia, Italy.
Brain. 2002 Dec;125(Pt 12):2635-45. doi: 10.1093/brain/awf269.
Excessive activation of ionotropic glutamate receptors in the striatum contributes to the pathophysiology of motor symptoms in Parkinson's disease. Metabotropic glutamate (mGlu) receptors regulate striatal excitatory synaptic transmission, and adaptive changes in their function might occur following dopaminergic denervation and chronic levodopa-treatment (L-DOPA). Corticostriatal glutamatergic transmission was examined in striatal slices obtained from rats unilaterally denervated with the dopaminergic neurotoxin, 6-hydroxy dopamine (6-OHDA), and from denervated rats chronically treated with L-DOPA plus benserazide (25 + 6.25 mg/kg, intraperitoneally, twice daily for 21 days). Selective agonists of mGlu2 and -3 receptor subtypes [compounds LY379268 and (2S,2'R,3'R)-2-(2',3'-[(3)H]-dicarboxycyclopropyl)glycine ([(3)H]DCG-IV)] exhibited a much greater potency in depressing excitatory transmission and corticostriatal synapses in slices prepared from 6-OHDA-lesioned animals. Dopaminergic denervation affected neither the ability of L-(+)-2-amino-4-phosphonobutyric acid (L-AP4; a selective agonist of mGlu4, -6, -7 and -8 receptors) to inhibit corticostriatal transmission, nor the ability of (S)-3,5-dihydroxyphenylglycine (3,5-DHPG; a selective agonist of mGlu1 and -5 receptors) to potentiate responses mediated by N-methyl-D-aspartate (NMDA) receptor activation in striatal neurones. The increased responsiveness to mGlu2/3 receptor agonists was no longer detected in slices from 6-OHDA-lesioned animals chronically treated with L-DOPA. 6-OHDA-induced denervation also led to an increased expression of striatal mGlu2/3 receptor proteins and to a >2-fold increase in the maximal density (B(max)) of [(3)H]DCG-IV binding sites. These increases were again reversed by chronic treatment with L-DOPA. No changes in the expression of mGlu4 receptors or the alpha(i1) and alpha(i2) subunits of the G(i) proteins were induced by any of the treatments. We suggest that an enhanced sensitivity of pre-synaptic inhibitory mGlu2/3 receptors might represent an adaptive change triggered by dopaminergic denervation, which can be reversed by L-DOPA treatment.
纹状体中离子型谷氨酸受体的过度激活促成了帕金森病运动症状的病理生理过程。代谢型谷氨酸(mGlu)受体调节纹状体兴奋性突触传递,在多巴胺能去神经支配和慢性左旋多巴治疗(L-DOPA)后,其功能可能会发生适应性变化。在用多巴胺能神经毒素6-羟基多巴胺(6-OHDA)单侧去神经支配的大鼠以及用L-DOPA加苄丝肼(25 + 6.25 mg/kg,腹腔注射,每日两次,共21天)慢性治疗的去神经大鼠所获得的纹状体切片中,检测了皮质纹状体谷氨酸能传递。mGlu2和-3受体亚型的选择性激动剂[化合物LY379268和(2S,2'R,3'R)-2-(2',3'-[(3)H]-二羧基环丙基)甘氨酸([(3)H]DCG-IV)]在抑制6-OHDA损伤动物制备的切片中的兴奋性传递和皮质纹状体突触方面表现出更强的效力。多巴胺能去神经支配既不影响L-(+)-2-氨基-4-膦酸丁酸(L-AP4;mGlu4、-6、-7和-8受体的选择性激动剂)抑制皮质纹状体传递的能力,也不影响(S)-3,5-二羟基苯甘氨酸(3,5-DHPG;mGlu1和-5受体的选择性激动剂)增强纹状体神经元中由N-甲基-D-天冬氨酸(NMDA)受体激活介导的反应的能力。在用L-DOPA慢性治疗的6-OHDA损伤动物的切片中,不再检测到对mGlu2/3受体激动剂反应性的增加。6-OHDA诱导的去神经支配还导致纹状体mGlu2/3受体蛋白表达增加,以及[(3)H]DCG-IV结合位点的最大密度(B(max))增加2倍以上。这些增加在用L-DOPA慢性治疗后再次逆转。任何一种治疗均未诱导mGlu4受体或G(i)蛋白的α(i1)和α(i2)亚基表达发生变化。我们认为,突触前抑制性mGlu2/3受体的敏感性增强可能代表了由多巴胺能去神经支配触发的一种适应性变化,L-DOPA治疗可将其逆转。