Brain Repair Group, School of Biosciences, Cardiff University, Cardiff, Wales, UK.
Behav Brain Res. 2010 Nov 12;213(1):66-72. doi: 10.1016/j.bbr.2010.04.034. Epub 2010 Apr 29.
L-dopa induced dyskinesia is a complication of long-term L-dopa administration in patients with Parkinson's disease. This study uses the rodent model of dyskinesia to determine whether prior dopamine agonist treatment causes long-term changes that influence the development of L-dopa mediated behaviours. Rats with unilateral 6-OHDA lesions were injected with dopamine agonists (ropinirole, piribedil bromocriptine, all 1mg/kg) or saline (0.9%) daily for 21 days. Following a 1-week drug free interval L-dopa was administered for 15 days (10mg/kg with benserazide 15 mg/kg in saline s.c.). Rotational behaviour and abnormal involuntary movements (AIMs) were recorded at regular intervals. All dopamine agonists induced a contralateral rotational response on day 1, which increased in response to repeated administration but did not by themselves induce overt dyskinesias. On day 1 of L-dopa administration animals pre-treated with piribedil and ropinirole produced a more severe rotational response. In the saline pre-treated group, AIMs developed with repeated L-dopa administration, which was reflected in the increased expression of PPE-B mRNA. There was a trend for the same pattern in the dopamine agonist treated groups but this was non-significant. Therefore, while locomotor sensitivity is altered by the pre-treatment with dopamine agonists, there appears to be no increased risk of developing AIMs.
左旋多巴诱导的运动障碍是帕金森病患者长期使用左旋多巴治疗的一种并发症。本研究使用运动障碍的啮齿动物模型来确定多巴胺激动剂预先治疗是否会引起长期变化,从而影响左旋多巴介导的行为的发展。单侧 6-OHDA 损伤的大鼠每天接受多巴胺激动剂(罗匹尼罗、吡贝地尔、溴隐亭,均为 1mg/kg)或生理盐水(0.9%)注射 21 天。在 1 周的无药物间隔后,给予左旋多巴 15 天(10mg/kg,与生理盐水皮下注射的培高利特 15mg/kg 混合)。定期记录旋转行为和异常不自主运动(AIMs)。所有多巴胺激动剂在第 1 天均诱导出对侧旋转反应,该反应随着重复给药而增加,但本身并不引起明显的运动障碍。在左旋多巴给药的第 1 天,预先用吡贝地尔和罗匹尼罗处理的动物产生了更严重的旋转反应。在生理盐水预处理组中,随着重复给予左旋多巴,出现了 AIMs,这反映在 PPE-B mRNA 的表达增加。在多巴胺激动剂处理组中也存在同样的趋势,但无统计学意义。因此,虽然预先用多巴胺激动剂治疗会改变运动敏感性,但似乎没有增加出现 AIMs 的风险。