Mabrouk Omar S, Volta Mattia, Marti Matteo, Morari Michele
Department of Experimental and Clinical Medicine, Section of Pharmacology, University of Ferrara, Ferrara, Italy.
J Neurochem. 2008 Dec;107(6):1647-59. doi: 10.1111/j.1471-4159.2008.05727.x.
The delta opioid peptide (DOP) receptor has been proposed as a target in the symptomatic therapy of Parkinson's disease. However, the circuitry underlying the antiparkinsonian action of DOP receptor agonists and their site of action have never been adequately investigated. Systemic administration of the DOP receptor agonist (+)-4-[(alphaR)-alpha-(2S,5R)-allyl-2,5-dimethyl-1-piperazinyl)-3-methoxy-benzyl]-N-N-diethylbenzamide (SNC-80) attenuated akinesia/bradykinesia and improved motor activity in 6-hydroxydopamine hemilesioned rats. Opposite effects were produced by the selective DOP receptor antagonist naltrindole (NTD), suggesting that endogenous enkephalins tonically sustain movement under parkinsonian conditions. Microdialysis revealed that SNC-80 reduced GABA release in globus pallidus (GP) while NTD elevated it. Moreover, SNC-80 reduced GABA and glutamate release in substantia nigra reticulata (SNr) whereas NTD reduced GABA without affecting glutamate release. The bar test coupled to microdialysis showed that perfusion with NTD in SNr but not GP or striatum prevented the antiakinetic effect of systemic SNC-80 and its neurochemical correlates. Consistently, microinjections of SNC-80 into SNr or bicuculline in GP attenuated parkinsonian-like symptoms while SNC-80 microinjections in GP or striatum were ineffective. This study demonstrates that nigral DOP receptors mediate antiparkinsonian actions of SNC-80 and challenges the common view that DOP receptor agonists solely attenuate parkinsonism via pallidal mechanisms.
δ阿片肽(DOP)受体已被提议作为帕金森病症状治疗的靶点。然而,DOP受体激动剂的抗帕金森病作用的潜在神经回路及其作用位点从未得到充分研究。对6-羟基多巴胺半侧损伤大鼠全身给予DOP受体激动剂(+)-4-[(αR)-α-(2S,5R)-烯丙基-2,5-二甲基-1-哌嗪基)-3-甲氧基苄基]-N,N-二乙基苯甲酰胺(SNC-80)可减轻运动不能/运动迟缓并改善运动活性。选择性DOP受体拮抗剂纳曲吲哚(NTD)则产生相反的作用,提示内源性脑啡肽在帕金森病状态下持续维持运动。微透析显示,SNC-80可降低苍白球(GP)中的γ-氨基丁酸(GABA)释放,而NTD可升高其释放。此外,SNC-80可降低黑质网状部(SNr)中的GABA和谷氨酸释放,而NTD可降低GABA释放但不影响谷氨酸释放。与微透析相结合的杆状试验表明,在SNr而非GP或纹状体中灌注NTD可阻止全身给予SNC-80的抗运动不能作用及其神经化学相关性。同样,向SNr中微量注射SNC-80或向GP中微量注射荷包牡丹碱可减轻帕金森样症状,而向GP或纹状体中微量注射SNC-80则无效。本研究表明,黑质DOP受体介导SNC-80的抗帕金森病作用,并挑战了DOP受体激动剂仅通过苍白球机制减轻帕金森病的普遍观点。