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亨廷顿舞蹈症:丙戊酸和γ-氨基丁酸治疗法

Huntington's disease: treatment with dipropylacetic acid and gamma-aminobutyric acid.

作者信息

Shoulson I, Kartzinel R, Chase T N

出版信息

Neurology. 1976 Jan;26(1):61-3. doi: 10.1212/wnl.26.1.61.

Abstract

Dipropylacetic acid (DPA), and anticonvulsant known to raise brain gamma-aminobutyric acid (GABA), was administered orally to eight patients with Huntington's disease. Both alone and in combination with high oral doses of GAGA, DPA failed to ameliorate and motor signs of this disorder. At maximum dose levels, combined DPA and GABA treatment led to an apparent increase in the central turnover of both dopamine and serotonin, as estimated by the oral probenecid-loading test. These latter observations may indicate a close functional interrelation between monoaminergic and GABAnergic neural pathways in the central nervous system of man.

摘要

双丙戊酸(DPA)是一种已知可提高脑γ-氨基丁酸(GABA)水平的抗惊厥药,对8名亨廷顿病患者进行了口服给药。无论是单独使用还是与高剂量口服GABA联合使用,DPA均未能改善该疾病的运动症状。在最大剂量水平时,联合使用DPA和GABA治疗导致多巴胺和5-羟色胺的中枢周转率明显增加,这是通过口服丙磺舒负荷试验评估得出的。后一项观察结果可能表明,在人类中枢神经系统中,单胺能和GABA能神经通路之间存在密切的功能相互关系。

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