Löschmann P A, Kunow M, Wachtel H
Research Laboratories, Schering AG, Berlin, Federal Republic of Germany.
J Neural Transm Suppl. 1992;38:55-64.
Advance in understanding of the anatomy, physiology and pharmacology of basal ganglia organisation over the past decade revealed a functional relation between excitatory glutamatergic and the degenerated dopaminergic nigrostriatal transmitter systems which could serve as targets for pharmacological interventions in Parkinson's disease. The selective AMPA-antagonist NBQX is not effective in animal models of Parkinson's disease when given alone but ameliorates parkinsonian symptomatology and enhances the locomotor response of a threshold dose of L-DOPA. These synergistic effects are seen in the MPTP-treated (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) common marmoset and the rat with unilateral 6-hydroxydopamine (6-OHDA) lesions of the substantia nigra. Here we report that, in the latter model, such synergism of NBQX is also seen with the direct dopamine agonists lisuride and apomorphine, indicating the potential usefulness of AMPA antagonists for the symptomatic treatment of Parkinson's disease.
在过去十年中,对基底神经节组织结构的解剖学、生理学和药理学的理解取得了进展,揭示了兴奋性谷氨酸能和退化的多巴胺能黑质纹状体递质系统之间的功能关系,这可能成为帕金森病药物干预的靶点。选择性AMPA拮抗剂NBQX单独给药时在帕金森病动物模型中无效,但可改善帕金森症状,并增强阈剂量左旋多巴的运动反应。在MPTP(1-甲基-4-苯基-1,2,3,6-四氢吡啶)处理的普通狨猴和单侧黑质6-羟基多巴胺(6-OHDA)损伤的大鼠中观察到了这些协同作用。在此我们报告,在后者模型中,NBQX与直接多巴胺激动剂利苏瑞得和阿扑吗啡也表现出这种协同作用,表明AMPA拮抗剂在帕金森病症状治疗方面具有潜在用途。