Pifl C, Nanoff C, Schingnitz G, Schütz W, Hornykiewicz O
Institute of Biochemical Pharmacology, University of Vienna, Austria.
J Neurochem. 1992 Jun;58(6):1997-2004. doi: 10.1111/j.1471-4159.1992.tb10939.x.
Dopamine-stimulated adenylyl cyclase activity was measured in striatal homogenates of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-treated rhesus monkeys and humans with idiopathic Parkinson's disease and compared with the activity in control tissue. No differences between parkinsonian and control tissue were found in the presence of 20 mM NaCl. However, when 120 mM NaCl was included in the assay medium, a significantly higher increase in the Vmax of dopamine-stimulated adenylyl cyclase activity was observed in the caudate of MPTP-parkinsonian rhesus monkeys and the putamen of patients with idiopathic Parkinson's disease. No such sensitization was seen in the MPTP-treated rhesus putamen or human Parkinson's disease caudate tissue. A role of D2 receptors in this sensitization could be ruled out by the concomitant use of the D2 antagonist l-sulpiride and by [3H]spiperone saturation analysis of the D2 receptor density, which was found at control level in the caudate tissue of MPTP-treated rhesus monkeys. Similarly, on the basis of saturation binding with the D1 selective ligand 125I-SCH 23982, there was no difference in caudate nucleus D1 receptor densities between control and MPTP-treated monkeys. Our results point to a region-specific functional sensitization of D1 receptors as a consequence of severe dopaminergic denervation of the striatum and suggest the possibility of a therapeutic potential of a D1 agonist with full intrinsic activity in Parkinson's disease.
在1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)处理的恒河猴以及特发性帕金森病患者的纹状体匀浆中,测定多巴胺刺激的腺苷酸环化酶活性,并与对照组织中的活性进行比较。在存在20 mM氯化钠的情况下,帕金森病组织和对照组织之间未发现差异。然而,当测定培养基中包含120 mM氯化钠时,在MPTP诱导帕金森病的恒河猴的尾状核以及特发性帕金森病患者的壳核中,观察到多巴胺刺激的腺苷酸环化酶活性的Vmax有显著更高的增加。在MPTP处理的恒河猴壳核或人类帕金森病尾状核组织中未观察到这种敏化现象。通过同时使用D2拮抗剂左旋舒必利以及对D2受体密度进行[3H]司哌罗宁饱和分析,可以排除D2受体在这种敏化中的作用,在MPTP处理的恒河猴的尾状核组织中发现D2受体密度处于对照水平。同样,基于与D1选择性配体125I-SCH 23982的饱和结合,对照猴和MPTP处理猴的尾状核D1受体密度没有差异。我们的结果表明,纹状体严重多巴胺能去神经支配导致D1受体出现区域特异性功能敏化,并提示具有完全内在活性的D1激动剂在帕金森病中具有治疗潜力的可能性。