Center for Health Sciences, SRI International, Menlo Park, California 94025, USA.
J Pharmacol Exp Ther. 2010 Jun;333(3):929-38. doi: 10.1124/jpet.109.162396. Epub 2010 Mar 3.
L-DOPA-induced dyskinesias in Parkinson's disease are a significant clinical problem for which few therapies are available. We recently showed that nicotine reduces L-DOPA-induced abnormal involuntary movements (AIMs) in parkinsonian animals, suggesting it may be useful for the treatment of L-DOPA-induced dyskinesias. The present experiments were performed to understand the mechanisms whereby nicotine reduces L-DOPA-induced AIMs. We used a well established model of dyskinesias, L-DOPA-treated unilateral 6-hydroxydopamine-lesioned rats. Dose-ranging studies showed that injection of 0.1 mg/kg nicotine once or twice daily for 4 or 10 days most effectively reduced AIMs, with no worsening of parkinsonism. Importantly, a single nicotine injection did not reduce AIMs, indicating that nicotine's effect is caused by long-term rather than short-term molecular changes. Administration of the metabolite cotinine did not reduce AIMs, suggesting a direct effect of nicotine. Experiments with the nicotinic receptor (nAChR) antagonist mecamylamine were done to determine whether nicotine acted via a receptor-mediated mechanism. Unexpectedly, several days of mecamylamine injection (1.0 mg/kg) alone significantly ameliorated dyskinesias to a comparable extent as nicotine. The decline in AIMs with combined nicotine and mecamylamine treatment was not additive, suggesting that nicotine exerts its effects via a nAChR interaction. This latter finding, combined with data showing that mecamylamine reduced AIMs to a similar extent as nicotine, and that nicotine or mecamylamine treatment both decreased alpha6beta2* and increased alpha4beta2* nAChR expression, suggests that the nicotine-mediated improvement in L-DOPA-induced AIMs may involve a desensitization block. These data have important implications for the treatment of L-DOPA-induced dyskinesias in Parkinson's disease.
左旋多巴诱导的帕金森病运动障碍是一个重大的临床问题,目前可用的治疗方法很少。我们最近表明,尼古丁可减少帕金森病动物的左旋多巴诱导的异常不自主运动(AIMs),表明它可能对治疗左旋多巴诱导的运动障碍有用。本实验旨在了解尼古丁减少左旋多巴诱导的 AIMs 的机制。我们使用了一种成熟的运动障碍模型,即左旋多巴治疗的单侧 6-羟多巴胺损伤大鼠。剂量范围研究表明,每天一次或两次注射 0.1mg/kg 尼古丁连续 4 或 10 天可最有效地减少 AIMs,而不会加重帕金森病。重要的是,单次尼古丁注射不能减少 AIMs,表明尼古丁的作用是由长期而不是短期的分子变化引起的。烟碱的代谢产物可替宁的给药不能减少 AIMs,表明尼古丁的作用是直接的。用烟碱型乙酰胆碱受体(nAChR)拮抗剂美加明进行的实验是为了确定尼古丁是否通过受体介导的机制起作用。出乎意料的是,单独使用美加明几天(1.0mg/kg)的注射就能显著改善运动障碍,其效果与尼古丁相当。在尼古丁和美加明联合治疗时,AIMs 的下降并没有相加,这表明尼古丁通过 nAChR 相互作用发挥作用。这一发现,加上数据表明美加明和尼古丁以相似的程度减少 AIMs,以及尼古丁或美加明处理都降低了 alpha6beta2和增加了 alpha4beta2 nAChR 表达,表明尼古丁介导的改善左旋多巴诱导的 AIMs 可能涉及脱敏阻滞。这些数据对治疗帕金森病患者的左旋多巴诱导的运动障碍具有重要意义。