Asanuma Masato, Miyazaki Ikuko, Diaz-Corrales Francisco J, Shimizu Masako, Tanaka Ken-ichi, Ogawa Norio
Department of Brain Science, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Neurol Res. 2005 Jul;27(5):533-9. doi: 10.1179/016164105X22093.
To clarify the effects of a non-ergot dopamine agonist pramipexole on levodopa-induced abnormal dopamine metabolism in the parkinsonian model, we examined striatal changes in dopamine and its metabolites after repeated administration of pramipexole and/or levodopa using 6-hydroxydopamine-lesioned hemi-parkinsonian mice. Moreover, the effects of pramipexole on dopamine-semiquinones were also accessed using an in vitro dopamine-semiquinone generating system to elucidate its neuroprotective property against dopamine quinone-induced neurotoxicity that appears as dopamine neuron-specific oxidative stress.
Combined administration of pramipexole (0.5 or 1 mg/kg/day, 7 days) selectively suppressed the levodopa-induced (50 mg/kg/day) increase of striatal dopamine turnover in the parkinsonian side, but not in the non-lesioned side. In addition to the antioxidant properties previously reported, it was clarified that pramipexole scavenged dopamine-semiquinones generated in a dose-dependent manner either in simultaneous incubation or post-incubation.
The neurotoxicity of dopamine quinones that appear as dopaminergic neuron-specific oxidative stress has recently been known to play a role in the pathogenesis of Parkinson's disease and neurotoxin-induced parkinsonism. Therefore, the present results revealed that pramipexole possesses neuroprotective effects against abnormal dopamine metabolism in excessively levodopa-administered parkinsonian brains and against cytotoxic dopamine quinones generated from excess dopamine, preventing consequently dopaminergic neuronal damage induced by excess dopamine or levodopa.
为阐明非麦角多巴胺激动剂普拉克索对帕金森病模型中左旋多巴诱导的异常多巴胺代谢的影响,我们使用6-羟基多巴胺损伤的半帕金森病小鼠,研究了重复给予普拉克索和/或左旋多巴后纹状体中多巴胺及其代谢产物的变化。此外,还使用体外多巴胺半醌生成系统研究了普拉克索对多巴胺半醌的影响,以阐明其对多巴胺醌诱导的神经毒性(表现为多巴胺神经元特异性氧化应激)的神经保护特性。
联合给予普拉克索(0.5或1mg/kg/天,共7天)可选择性抑制帕金森病侧左旋多巴(50mg/kg/天)诱导的纹状体多巴胺周转率增加,但对未损伤侧无此作用。除了先前报道的抗氧化特性外,还明确了普拉克索在同时孵育或孵育后均能以剂量依赖的方式清除生成的多巴胺半醌。
最近已知,表现为多巴胺能神经元特异性氧化应激的多巴胺醌的神经毒性在帕金森病和神经毒素诱导的帕金森综合征的发病机制中起作用。因此,本研究结果表明,普拉克索对左旋多巴过量给药的帕金森病大脑中的异常多巴胺代谢以及过量多巴胺生成的细胞毒性多巴胺醌具有神经保护作用,从而防止过量多巴胺或左旋多巴诱导的多巴胺能神经元损伤。