Tomiyama Masahiko, Mori Fumiaki, Kimura Tamaki, Ichinohe Noritaka, Wakabayashi Koichi, Matsunaga Muneo, Baba Masayuki
Third Department of Medicine, Institute of Brain Science, Hirosaki University School of Medicine, Hirosaki, Japan.
Neuropathology. 2004 Dec;24(4):290-5. doi: 10.1111/j.1440-1789.2004.00559.x.
The medial globus pallidus plays a crucial role in generation of L-DOPA-induced dyskinesia in patients with Parkinson's disease. The 6-hydroxydopamine-lesioned rat exhibiting behavioral sensitization to L-DOPA is one useful animal model for examining L-DOPA-induced dyskinesia. To determine neuropathological abnormality responsible for behavioral sensitization, the medial globus pallidus and the substantia nigra reticulata in 6-hydroxydopamine-lesioned rats treated with L-DOPA were examined. Intermittent L-DOPA treatment induced hypertrophy of the lesioned-side of medial globus pallidus and substantia nigra reticulata of 6-hydroxydopamine-lesioned rats with behavioral sensitization to L-DOPA. Additionally, coadministration of a 5-HT1A receptor agonist, 8-hydroxy-2(di-n-propylamino)tetralin with L-DOPA, alleviated the hypertrophy with improvement of the behavioral sensitization. These results suggest that hypertrophy of the medial globus pallidus and substantia nigra reticulata is associated with induction of behavioral sensitization to L-DOPA in 6-hydroxydopamine-lesioned rats. Therefore, neuropathological changes corresponding to hypertrophy might underlie L-DOPA-induced dyskinesia in patients with Parkinson's disease.
内侧苍白球在帕金森病患者左旋多巴诱发的异动症产生中起关键作用。对左旋多巴表现出行为敏化的6-羟基多巴胺损伤大鼠是研究左旋多巴诱发异动症的一种有用动物模型。为确定导致行为敏化的神经病理学异常,对接受左旋多巴治疗的6-羟基多巴胺损伤大鼠的内侧苍白球和黑质网状部进行了检查。间歇性左旋多巴治疗导致对左旋多巴有行为敏化的6-羟基多巴胺损伤大鼠的内侧苍白球和黑质网状部损伤侧肥大。此外,将5-HT1A受体激动剂8-羟基-2(二正丙基氨基)四氢萘与左旋多巴联合给药,可减轻肥大并改善行为敏化。这些结果表明,内侧苍白球和黑质网状部肥大与6-羟基多巴胺损伤大鼠对左旋多巴的行为敏化诱导有关。因此,与肥大相对应的神经病理学变化可能是帕金森病患者左旋多巴诱发异动症的基础。