Vrana S L, Azzaro A J, Vrana K E
Department of Neurology, West Virginia University Health Sciences Center, Morgantown 26506.
Mol Pharmacol. 1992 May;41(5):839-44.
Selegiline, a selective monoamine oxidase type B inhibitor, is beneficial in the treatment of Parkinson's disease. However, this beneficial effect is only transient, and patients must ultimately resort to treatment with standard levodopa therapy. We studied the effects of chronic selegiline treatment on the rat nigrostriatal pathway, to elucidate a neurochemical correlate for this adaptive clinical response. Selegiline treatment for 3, 7, 14, or 21 days decreased tyrosine hydroxylase (the enzyme that catalyzes the rate-limiting step in catecholamine biosynthesis) activity in the cell body regions (substantia nigra) of the nigrostriatal pathway. However, tyrosine hydroxylase activity measurements in the major terminal field region (corpus striatum) of the pathway did not correspond to those in the substantia nigra; in the corpus striatum, tyrosine hydroxylase activity was decreased at 3 and 7 days of treatment and recovered by 14 days. We tested whether the decrease in tyrosine hydroxylase activity was mediated by a decrease in tyrosine hydroxylase mRNA. Northern blot and RNA dot blot analyses (using a tyrosine hydroxylase-specific cDNA probe) of substantia nigra homogenates revealed a significant decrease in tyrosine hydroxylase mRNA at 3, 7, and 14 days of selegiline treatment, compared with controls. Conversely, after 21 days of selegiline, tyrosine hydroxylase mRNA levels were significantly higher (3-fold) than controls; this finding was not reflected in substantia nigra tyrosine hydroxylase activity. The 21-day increase in mRNA may be associated with the rebound in tyrosine hydroxylase activity observed in the corpus striatum. Thus, it is possible that the recovery in tyrosine hydroxylase activity in the corpus striatum is mediated through an increase in tyrosine hydroxylase protein transport from the substantia nigra to the corpus striatum and/or that the tyrosine hydroxylase enzyme exists in a more stabilized state during this period of time. These results demonstrate that monoamine oxidase type B-selective inhibitory doses of selegiline are capable of inducing transient decreases in tyrosine hydroxylase activity and tyrosine hydroxylase mRNA levels. Furthermore, these reversible effects may represent adaptive responses associated with pharmacological tolerance and the transient beneficial actions of this drug in Parkinson's disease.
司来吉兰是一种选择性单胺氧化酶B型抑制剂,对帕金森病的治疗有益。然而,这种有益效果只是短暂的,患者最终必须依靠标准的左旋多巴疗法进行治疗。我们研究了司来吉兰长期治疗对大鼠黑质纹状体通路的影响,以阐明这种适应性临床反应的神经化学关联。司来吉兰治疗3、7、14或21天可降低黑质纹状体通路细胞体区域(黑质)中酪氨酸羟化酶(催化儿茶酚胺生物合成限速步骤的酶)的活性。然而,该通路主要终末场区域(纹状体)的酪氨酸羟化酶活性测量结果与黑质中的结果并不一致;在纹状体中,治疗3天和7天时酪氨酸羟化酶活性降低,14天时恢复。我们测试了酪氨酸羟化酶活性的降低是否由酪氨酸羟化酶mRNA的减少介导。对黑质匀浆进行Northern印迹和RNA斑点印迹分析(使用酪氨酸羟化酶特异性cDNA探针)显示,与对照组相比,司来吉兰治疗3天、7天和14天时酪氨酸羟化酶mRNA显著减少。相反,司来吉兰治疗21天后,酪氨酸羟化酶mRNA水平显著高于对照组(3倍);这一发现并未反映在黑质酪氨酸羟化酶活性中。mRNA在21天时的增加可能与纹状体中观察到的酪氨酸羟化酶活性反弹有关。因此,纹状体中酪氨酸羟化酶活性的恢复可能是通过从黑质到纹状体的酪氨酸羟化酶蛋白转运增加介导的,和/或在此期间酪氨酸羟化酶以更稳定的状态存在。这些结果表明,司来吉兰的单胺氧化酶B型选择性抑制剂量能够诱导酪氨酸羟化酶活性和酪氨酸羟化酶mRNA水平的短暂降低。此外,这些可逆效应可能代表与药物耐受性和该药物在帕金森病中的短暂有益作用相关的适应性反应。