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经鼻腔给予 L-DOPA 可减轻单侧黑质纹状体 6-OHDA 损伤大鼠的帕金森病症状。

Intranasally applied L-DOPA alleviates parkinsonian symptoms in rats with unilateral nigro-striatal 6-OHDA lesions.

机构信息

Center for Behavioral Neuroscience, University of Düsseldorf, Universitaetstrasse 1, 40225 Düsseldorf, Germany.

出版信息

Brain Res Bull. 2012 Feb 10;87(2-3):340-5. doi: 10.1016/j.brainresbull.2011.11.004. Epub 2011 Nov 15.

Abstract

l-3,4-Dihydroxyphenylalanine (L-DOPA) remains the most effective drug for therapy of Parkinson's disease. However, the current clinical route of L-DOPA administration is variable and unreliable because of problems with drug absorption and first-pass metabolism. Administration of drugs via the nasal passage has been proven an effective alternate route for a number of medicinal substances. Here we examined the acute behavioral and neurochemical effects of intranasally (IN) applied L-DOPA in rats bearing unilateral lesions of the medial forebrain bundle, with severe depletion (97%) of striatal dopamine. Turning behavior in an open field, footslips on a horizontal grid and postural motor asymmetry in a cylinder were assessed following IN L-DOPA or vehicle administration with, or without, benserazide pre-treatment. IN L-DOPA without benserazide pre-treatment mildly decreased ipsilateral turnings and increased contralateral turnings 10-20 min after the treatment. IN L-DOPA with saline pre-treatment reduced contralateral forelimb-slips on the grid while no effects were evident in the cylinder test. These results support the hypothesis that L-DOPA can bypass the blood-brain barrier by the IN route and alleviate behavioral impairments in the hemiparkinsonian animal model.

摘要

左旋多巴(L-DOPA)仍然是治疗帕金森病最有效的药物。然而,由于药物吸收和首过代谢的问题,目前 L-DOPA 的临床给药途径是可变的和不可靠的。经鼻给药已被证明是许多药物的有效替代途径。在这里,我们检查了经鼻(IN)给予内侧前脑束单侧损伤大鼠 L-DOPA 的急性行为和神经化学效应,纹状体多巴胺严重耗竭(97%)。在 IN L-DOPA 或载体给药后,评估了在开放场中的转身行为、水平网格上的足滑以及在圆柱中的姿势运动不对称,同时伴有或不伴有苯扎丝肼预处理。未经苯扎丝肼预处理的 IN L-DOPA 在治疗后 10-20 分钟轻度减少了同侧的转弯,增加了对侧的转弯。IN L-DOPA 与盐水预处理减少了网格上的对侧前肢滑,而在圆柱测试中没有明显的效果。这些结果支持了这样一种假设,即 L-DOPA 可以通过 IN 途径绕过血脑屏障,并缓解半帕金森动物模型中的行为障碍。

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