Department of Pharmacology, Faculty of Medicine and Dentistry, University of the Basque Country, Vizcaya, Spain.
PLoS One. 2011;6(9):e24679. doi: 10.1371/journal.pone.0024679. Epub 2011 Sep 9.
Despite being the most effective treatment for Parkinson's disease, L-DOPA causes a development of dyskinetic movements in the majority of treated patients. L-DOPA-induced dyskinesia is attributed to a dysregulated dopamine transmission within the basal ganglia, but serotonergic and noradrenergic systems are believed to play an important modulatory role. In this study, we have addressed the role of the locus coeruleus nucleus (LC) in a rat model of L-DOPA-induced dyskinesia. Single-unit extracellular recordings in vivo and behavioural and immunohistochemical approaches were applied in rats rendered dyskinetic by the destruction of the nigrostriatal dopamine neurons followed by chronic treatment with L-DOPA. The results showed that L-DOPA treatment reversed the change induced by 6-hydroxydopamine lesions on LC neuronal activity. The severity of the abnormal involuntary movements induced by L-DOPA correlated with the basal firing parameters of LC neuronal activity. Systemic administration of the LC-selective noradrenergic neurotoxin N-(2-chloroethyl)-N-ethyl-2-bromobenzylamine did not modify axial, limb, and orolingual dyskinesia, whereas chemical destruction of the LC with ibotenic acid significantly increased the abnormal involuntary movement scores. These results are the first to demonstrate altered LC neuronal activity in 6-OHDA lesioned rats treated with L-DOPA, and indicate that an intact noradrenergic system may limit the severity of this movement disorder.
尽管左旋多巴是治疗帕金森病最有效的方法,但它会导致大多数接受治疗的患者出现运动障碍。左旋多巴引起的运动障碍归因于基底神经节中多巴胺传递的失调,但 5-羟色胺能和去甲肾上腺素能系统被认为起着重要的调节作用。在这项研究中,我们研究了蓝斑核(LC)在左旋多巴诱导的运动障碍大鼠模型中的作用。通过破坏黑质纹状体多巴胺神经元并随后用左旋多巴进行慢性治疗,使大鼠产生运动障碍,然后进行体内单细胞外记录以及行为和免疫组织化学方法。结果表明,左旋多巴治疗逆转了 6-羟多巴胺损伤对 LC 神经元活动的变化。左旋多巴引起的异常不自主运动的严重程度与 LC 神经元活动的基础放电参数相关。LC 选择性去甲肾上腺素能神经毒素 N-(2-氯乙基)-N-乙基-2-溴苯甲胺的全身给药并未改变轴性、肢体性和口咽性运动障碍,而用海人藻酸化学破坏 LC 则显著增加了异常不自主运动评分。这些结果首次证明了接受左旋多巴治疗的 6-OHDA 损伤大鼠 LC 神经元活动的改变,并表明完整的去甲肾上腺素能系统可能限制这种运动障碍的严重程度。