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慢性间歇性左旋多巴治疗会引起多巴胺释放的变化。

Chronic intermittent L-DOPA treatment induces changes in dopamine release.

作者信息

Lundblad Martin, af Bjerkén Sara, Cenci M Angela, Pomerleau Francois, Gerhardt Greg A, Strömberg Ingrid

机构信息

Department of Integrative Medical Biology, Umeå University, Sweden.

出版信息

J Neurochem. 2009 Feb;108(4):998-1008. doi: 10.1111/j.1471-4159.2008.05848.x.

Abstract

3,4-Dihydroxyphenyl-l-alanine (l-DOPA)-induced dyskinesia often develops as a side effect of chronic l-DOPA therapy. This study was undertaken to investigate dopamine (DA) release upon l-DOPA treatment. Chronoamperometric measurements were performed in unilaterally DA-depleted rats, chronically treated with l-DOPA, resulting in dyskinetic and non-dyskinetic animals. Normal and lesioned l-DOPA naïve animals were used as controls. Potassium-evoked DA releases were significantly reduced in intact sides of animals undertaken chronic l-DOPA treatment, independent on dyskinetic behavior. Acute l-DOPA further attenuated the amplitude of the DA release in the control sides. In DA-depleted striata, no difference was found in potassium-evoked DA releases, and acute l-DOPA did not affect the amplitude. While immunoreactivity to serotonin uptake transporter was higher in lesioned striata of animals displaying dyskinetic behavior, no correlation could be documented between serotonin transporter-positive nerve fiber density and the amplitude of released DA. In conclusions, the amplitude of potassium-evoked DA release is attenuated in intact striatum after chronic intermittent l-DOPA treatment. No change in amplitude was found in DA-denervated sides of either dyskinetic or non-dyskinetic animals, while release kinetics were changed. This indicates the importance of studying DA release dynamics for the understanding of both beneficial and adverse effects of l-DOPA replacement therapy.

摘要

3,4-二羟基苯丙氨酸(左旋多巴,l-DOPA)诱导的运动障碍常作为慢性左旋多巴治疗的副作用出现。本研究旨在调查左旋多巴治疗时的多巴胺(DA)释放情况。对单侧多巴胺耗竭的大鼠进行计时电流法测量,这些大鼠长期接受左旋多巴治疗,产生了运动障碍和非运动障碍的动物。未接受过左旋多巴治疗的正常和损伤动物用作对照。在接受慢性左旋多巴治疗的动物的完整侧,钾离子诱发的多巴胺释放显著减少,与运动障碍行为无关。急性给予左旋多巴进一步减弱了对照侧多巴胺释放的幅度。在多巴胺耗竭的纹状体中,钾离子诱发的多巴胺释放未发现差异,急性给予左旋多巴也不影响其幅度。虽然在表现出运动障碍行为的动物的损伤纹状体中,对5-羟色胺摄取转运体的免疫反应性较高,但5-羟色胺转运体阳性神经纤维密度与释放的多巴胺幅度之间未发现相关性。总之,慢性间歇性左旋多巴治疗后,完整纹状体中钾离子诱发的多巴胺释放幅度减弱。在运动障碍或非运动障碍动物的多巴胺去神经支配侧,幅度未发现变化,而释放动力学发生了改变。这表明研究多巴胺释放动力学对于理解左旋多巴替代治疗的有益和不良反应的重要性。

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