Department of Experimental Medicine, University of L'Aquila, Via Vetoio Coppito 2, 67100 L'Aquila, Italy.
Neuropharmacology. 2011 Feb-Mar;60(2-3):439-45. doi: 10.1016/j.neuropharm.2010.10.018. Epub 2010 Oct 28.
Though there is evidence that sustained exposure of dopamine (DA) receptors to agonists can elicit a supersensitivity of adenylyl cyclase (AC), little is known about the pharmacological characteristics of this phenomenon, and possible interrelationships amongst DA receptor subtypes have not been examined. In cells co-transfected with D(1) plus D(2), or D(1) plus D(3), receptors, which are known to physically and functionally interact, long-term exposure to quinpirole, pramipexole and ropinirole (which possess negligible affinities for D(1) sites) elicited supersensitivity of D(1) receptor-activated AC. By contrast, D(2)/D(3) receptor agonists that also act as D(1) receptor agonists, bromocriptine, lisuride, cabergoline, apomorphine and DA itself, did not elicit supersensitivity. Interestingly, AC supersensitivity was also observed in the nucleus accumbens of mice pretreated with twice-daily pramipexole and quinpirole, whereas no change was seen either with lisuride or with the DA precursor, L-DOPA. Thus, AC supersensitivity is elicited by the sustained exposure of cloned human and native mouse populations of dopaminergic receptors, to D(2)/D(3) but not D(1)/D(2)/D(3) agonists. These observations may be related to the exacerbation of gambling in Parkinson's disease that is provoked by antiparkinson agents acting as selective D(2)/D(3) receptor agonists, notably pramipexole.
尽管有证据表明,多巴胺(DA)受体持续暴露于激动剂会引起腺苷酸环化酶(AC)的超敏性,但对于这种现象的药理学特征知之甚少,并且尚未检查 DA 受体亚型之间的可能相互关系。在共转染 D(1)加 D(2)或 D(1)加 D(3)受体的细胞中,这些受体已知具有物理和功能相互作用,长期暴露于喹吡罗、普拉克索和罗匹尼罗(对 D(1)位点具有微不足道的亲和力)会引起 D(1)受体激活的 AC 的超敏性。相比之下,D(2)/D(3)受体激动剂,也作为 D(1)受体激动剂,溴隐亭、培高利特、卡麦角林、阿扑吗啡和 DA 本身,不会引起超敏性。有趣的是,在每日两次给予普拉克索和喹吡罗预处理的小鼠伏隔核中也观察到 AC 超敏性,而利舒得或 DA 前体 L-DOPA 则没有变化。因此,AC 超敏性是由克隆的人类和天然的小鼠群体的多巴胺受体持续暴露于 D(2)/D(3)激动剂引起的,但不会引起 D(1)/D(2)/D(3)激动剂的超敏性。这些观察结果可能与帕金森病中赌博恶化有关,这种恶化是由作为选择性 D(2)/D(3)受体激动剂的抗帕金森药物引起的,特别是普拉克索。