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经临床测试的化合物对左旋多巴诱发的异常不自主运动的调节作用:大鼠运动障碍模型的进一步验证

Modulation of L-DOPA-induced abnormal involuntary movements by clinically tested compounds: further validation of the rat dyskinesia model.

作者信息

Dekundy Andrzej, Lundblad Martin, Danysz Wojciech, Cenci M Angela

机构信息

In vivo Pharmacology, Preclinical Research and Development, Merz Pharmaceuticals GmbH, Eckenheimer Landstrasse 100, D-60318 Frankfurt am Main, Germany.

出版信息

Behav Brain Res. 2007 Apr 16;179(1):76-89. doi: 10.1016/j.bbr.2007.01.013. Epub 2007 Jan 23.

Abstract

L-DOPA-induced dyskinesia (LID) is a major complication of the pharmacotherapy of Parkinson's Disease. A model of LID has recently been described in rats with unilateral 6-hydroxydopamine (6-OHDA) lesions. In the present study, the model was used in order to compare the efficacies of some clinically available compounds that have shown antidyskinetic effects in nonhuman primate models of LID and/or in patients, namely, amantadine (20 and 40 mg/kg), buspirone (1, 2 and 4 mg/kg), clonidine (0.01, 0.1 and 1 mg/kg), clozapine (4 and 8 mg/kg), fluoxetine (2.5 and 5 mg/kg), propranolol (5, 10 and 20mg/kg), riluzole (2 and 4 mg/kg), and yohimbine (2 and 10 mg/kg). Rats were treated for 3 weeks with L-DOPA for an induction and monitoring of abnormal involuntary movements (AIMs) prior to the drug screening experiments. The antidyskinetic drugs or their vehicles were administered together with L-DOPA, and their effects were evaluated according to a randomized cross-over design both on the AIM rating scale and on the rotarod test. Most of the compounds under investigation attenuated the L-DOPA-induced axial, limb and orolingual AIM scores. However, the highest doses of many of these substances (but for amantadine and riluzole) had also detrimental motor effects, producing a reduction in rotarod performance and locomotor scores. Since the present results correspond well to existing clinical and experimental data, this study indicates that axial, limb and orolingual AIMs possess predictive validity for the preclinical screening of novel antidyskinetic treatments. Combining tests of general motor performance with AIMs ratings in the same experiment allows for selecting drugs that specifically reduce dyskinesia without diminishing the anti-akinetic effect of L-DOPA.

摘要

左旋多巴诱发的异动症(LID)是帕金森病药物治疗的主要并发症。最近在单侧6-羟基多巴胺(6-OHDA)损伤的大鼠中描述了一种LID模型。在本研究中,使用该模型来比较一些在LID非人灵长类动物模型和/或患者中显示出抗异动症作用的临床可用化合物的疗效,即金刚烷胺(20和40mg/kg)、丁螺环酮(1、2和4mg/kg)、可乐定(0.01、0.1和1mg/kg)、氯氮平(4和8mg/kg)、氟西汀(2.5和5mg/kg)、普萘洛尔(5、10和20mg/kg)、利鲁唑(2和4mg/kg)以及育亨宾(2和10mg/kg)。在药物筛选实验之前,用左旋多巴对大鼠进行3周治疗以诱导和监测异常不自主运动(AIMs)。抗异动症药物或其赋形剂与左旋多巴一起给药,并根据随机交叉设计在AIM评分量表和转棒试验上评估其效果。大多数研究中的化合物减轻了左旋多巴诱发的轴向、肢体和口面部不自主运动评分。然而,这些物质中的许多最高剂量(除了金刚烷胺和利鲁唑)也有有害的运动效应,导致转棒试验表现和运动评分降低。由于目前的结果与现有的临床和实验数据非常吻合,本研究表明轴向、肢体和口面部不自主运动对新型抗异动症治疗的临床前筛选具有预测效度。在同一实验中将一般运动表现测试与不自主运动评分相结合,可以选择出能特异性减轻异动症而不降低左旋多巴抗运动不能作用的药物。

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