Tel B C, Zeng B-Y, Cannizzaro C, Pearce R K B, Rose S, Jenner P
Neurodegenerative Disease Research Centre, Guy's, King's and St. Thomas' School of Biomedical Sciences, King's College, SE1 1UL, London, UK.
Neuroscience. 2002;115(4):1047-58. doi: 10.1016/s0306-4522(02)00535-3.
Chronic administration of L-DOPA to MPTP-treated common marmosets induces marked dyskinesia while repeated administration of equivalent antiparkisonian doses of ropinirole and bromocriptine produces only mild involuntary movements. The occurrence of dyskinesia has been associated with an altered balance between the direct and indirect striatal output pathways. Using in situ hybridisation histochemistry, we now compare the effects of these drug treatments on striatal preproenkephalin-A (PPE-A) and adenosine A(2a) receptor mRNA expression as markers of the indirect pathway and striatal preprotachykinin (PPT) mRNA and preproenkephalin-B (PPE-B, prodynorphin) mRNA expression as markers of the direct pathway.The equivalent marked losses of specific [3H]mazindol binding in the striatum of all drug treatment groups confirmed the identical nature of the nigral cell loss produced by MPTP treatment. MPTP-induced destruction of the nigro-striatal pathway markedly increased the level of PPE-A mRNA in the caudate nucleus and putamen and decreased the levels of PPT and PPE-B mRNA relative to normal animals. Repeated treatment with L-DOPA for 30 days produced marked dyskinesia but had no effect on the MPTP-induced increase in PPE-A mRNA in the caudate nucleus and putamen. In contrast, L-DOPA treatment normalised the MPTP-induced decrease in the level of PPT and PPE-B mRNA. Repeated treatment with ropinirole produced little or no dyskinesia but markedly reversed the MPTP-induced elevation in PPE-A mRNA in the caudate nucleus and putamen. However, it had no effect on the decrease in PPT or PPE-B mRNA. Similarly, bromocriptine treatment which induced only mild dyskinesia attenuated the MPTP-induced elevation in PPE-A mRNA in the caudate nucleus and putamen with no effect on reduced striatal PPT or PPE-B mRNA. Neither MPTP treatment nor treatment with L-DOPA, bromocriptine or ropinirole had any effect on adenosine A(2a) receptor mRNA in the striatum. These patterns of alteration in striatal PPE-A and PPT and PPE-B mRNA produced by L-DOPA, bromocriptine and ropinirole show differential involvement of markers of the direct and indirect striatal output pathways related to improvement of locomotor activity and mirror the relative abilities of the drugs to induce dyskinesia.
对经MPTP处理的普通狨猴长期给予左旋多巴会诱发明显的运动障碍,而反复给予等效抗帕金森剂量的罗匹尼罗和溴隐亭仅产生轻微的不自主运动。运动障碍的发生与纹状体直接和间接输出通路之间平衡的改变有关。我们现在使用原位杂交组织化学方法,比较这些药物治疗对纹状体前脑啡肽原A(PPE-A)和腺苷A(2a)受体mRNA表达的影响,以此作为间接通路的标志物,并比较对纹状体前速激肽原(PPT)mRNA和前脑啡肽原B(PPE-B,强啡肽原)mRNA表达的影响,以此作为直接通路的标志物。所有药物治疗组纹状体中特异性[3H]马吲哚结合的显著损失证实了MPTP处理导致的黑质细胞损失性质相同。MPTP诱导的黑质-纹状体通路破坏显著增加了尾状核和壳核中PPE-A mRNA的水平,相对于正常动物,降低了PPT和PPE-B mRNA的水平。用左旋多巴反复治疗30天会产生明显的运动障碍,但对MPTP诱导的尾状核和壳核中PPE-A mRNA增加没有影响。相反,左旋多巴治疗使MPTP诱导的PPT和PPE-B mRNA水平降低恢复正常。反复用罗匹尼罗治疗几乎不产生或不产生运动障碍,但显著逆转了MPTP诱导的尾状核和壳核中PPE-A mRNA升高。然而,它对PPT或PPE-B mRNA的降低没有影响。同样,仅诱发轻微运动障碍的溴隐亭治疗减弱了MPTP诱导的尾状核和壳核中PPE-A mRNA升高,对纹状体中PPT或PPE-B mRNA降低没有影响。MPTP处理以及左旋多巴、溴隐亭或罗匹尼罗治疗对纹状体中的腺苷A(2a)受体mRNA均无任何影响。左旋多巴、溴隐亭和罗匹尼罗导致的纹状体PPE-A、PPT和PPE-B mRNA的这些变化模式表明,与运动活性改善相关的纹状体直接和间接输出通路标志物参与情况不同,并且反映了药物诱发运动障碍的相对能力。