纹状体和黑质 D1 和 D2 受体对 L-DOPA 诱导的运动障碍及其伴随的黑质氨基酸水平升高的贡献存在差异的体内证据。

In vivo evidence for a differential contribution of striatal and nigral D1 and D2 receptors to L-DOPA induced dyskinesia and the accompanying surge of nigral amino acid levels.

机构信息

Department of Experimental and Clinical Medicine, Section of Pharmacology, Center for Neuroscience and National Institute of Neuroscience, University of Ferrara, Ferrara, Italy.

出版信息

Neurobiol Dis. 2012 Jan;45(1):573-82. doi: 10.1016/j.nbd.2011.09.015. Epub 2011 Oct 7.

Abstract

Evidence for an involvement of striatal D1 receptors in levodopa-induced dyskinesia has been presented whereas the contribution of striatal D2 receptors remains controversial. In addition, whether D1 and D2 receptors located in the substantia nigra reticulata shape the response to levodopa remains unknown. We therefore used dual probe microdialysis to unravel the impact of striatal and nigral D1 or D2 receptor blockade on abnormal involuntary movements (AIMs) and striatal output pathways in unilaterally 6-hydroxydopamine lesioned dyskinetic rats. Regional perfusion of D1/D5 (SCH23390) and D2/D3 (raclopride) receptor antagonists was combined with systemic administration of levodopa. Levodopa-induced AIMs coincided with a prolonged surge of GABA and glutamate levels in the substantia nigra reticulata. Intrastriatal SCH23390 attenuated the levodopa-induced AIM scores (50%) and prevented the accompanying neurochemical response whereas raclopride was ineffective. When perfused in the substantia nigra, both antagonists attenuated AIM expression (21-40%). However, only intranigral SCH23390 attenuated levodopa-induced nigral GABA efflux, whereas raclopride reduced basal GABA levels without affecting the response to levodopa. In addition, intranigral raclopride elevated amino acid release in the striatum and revealed a (mild) facilitatory effect of levodopa on striatal glutamate. We conclude that both striatal and nigral D1 receptors play an important role in dyskinesia possibly via modulation of the striato-nigral direct pathway. In addition, the stimulation of nigral D2 receptors contributes to dyskinesia while modulating glutamate and GABA efflux both locally and in the striatum.

摘要

有证据表明纹状体 D1 受体参与了左旋多巴诱导的运动障碍,而纹状体 D2 受体的作用仍存在争议。此外,位于黑质网状部的 D1 和 D2 受体是否影响对左旋多巴的反应尚不清楚。因此,我们使用双探针微透析技术,研究纹状体和黑质 D1 或 D2 受体阻断对单侧 6-羟多巴胺损伤的运动障碍大鼠异常不自主运动(AIMs)和纹状体输出通路的影响。D1/D5(SCH23390)和 D2/D3(raclopride)受体拮抗剂的局部灌注与左旋多巴的全身给药相结合。左旋多巴诱导的 AIMs 与黑质网状部 GABA 和谷氨酸水平的延长激增同时发生。纹状体内的 SCH23390 减弱了左旋多巴诱导的 AIM 评分(约 50%),并阻止了伴随的神经化学反应,而 raclopride 则无效。当在黑质内灌注时,两种拮抗剂均减弱了 AIM 的表达(约 21-40%)。然而,只有黑质内的 SCH23390 减弱了左旋多巴诱导的黑质 GABA 外排,而 raclopride 降低了基础 GABA 水平而不影响对左旋多巴的反应。此外,黑质内的 raclopride 增加了纹状体中的氨基酸释放,并揭示了左旋多巴对纹状体谷氨酸的(轻微)促进作用。我们得出结论,纹状体和黑质中的 D1 受体都在运动障碍中发挥重要作用,可能通过调节纹状体-黑质直接通路。此外,黑质中 D2 受体的刺激对运动障碍有贡献,同时局部和在纹状体中调节谷氨酸和 GABA 外排。

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