Department of Neurology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Clin Interv Aging. 2013;8:347-52. doi: 10.2147/CIA.S41464. Epub 2013 Mar 26.
Parkinson's disease is a neurodegenerative disorder caused by loss of dopaminergic neurons in the substantia nigra. The dopamine precursor, levodopa, remains the most effective and common treatment for this disorder. However, long-term administration of levodopa is known to induce characteristic dyskinesia, and molecular mechanisms underlying dyskinesia are poorly understood.
In this study, we investigated the effect of 6-hydroxydopamine lesions in dopaminergic neurons and chronic treatment with levodopa on expression of G protein-coupled receptor kinase 6 and β-arrestin-1, two key regulators of G protein-coupled receptors, in the rat striatum.
We found that a unilateral 6-hydroxydopamine lesion reduced expression of G protein-coupled receptor kinase 6 and β-arrestin-1 protein in the lesioned striatum. Reduction of these two proteins persisted in 6-hydroxydopamine-lesioned rats on chronic levodopa treatment for 23 days. In addition, coadministration of the N-methyl-D-aspartate receptor antagonist, MK-801, and levodopa reversed the reduction of G protein-coupled receptor kinase 6 and β-arrestin-1 in the striatum. MK-801 also attenuated levodopa-induced dyskinetic behavior.
These data indicate that G protein-coupled receptor kinase 6 and β-arrestin-1 in striatal neurons are sensitive to dopamine depletion and are downregulated in rats with Parkinson's disease and in levodopa-treated rats with the disease. This downregulation seems to require activation of N-methyl-D-aspartate glutamate receptors.
帕金森病是一种神经退行性疾病,由黑质中多巴胺能神经元的丧失引起。多巴胺前体左旋多巴仍然是治疗这种疾病最有效和最常用的方法。然而,长期服用左旋多巴已知会引起特征性运动障碍,而运动障碍的分子机制还了解甚少。
在这项研究中,我们研究了多巴胺能神经元中 6-羟多巴胺损伤和慢性左旋多巴治疗对大鼠纹状体中 G 蛋白偶联受体激酶 6 和β-arrestin-1 的表达的影响,G 蛋白偶联受体激酶 6 和β-arrestin-1 是 G 蛋白偶联受体的两个关键调节因子。
我们发现,单侧 6-羟多巴胺损伤减少了损伤纹状体中 G 蛋白偶联受体激酶 6 和β-arrestin-1 蛋白的表达。在慢性左旋多巴治疗 23 天后,这些两种蛋白质在 6-羟多巴胺损伤的大鼠中仍然减少。此外,NMDA 受体拮抗剂 MK-801 与左旋多巴共同给药可逆转纹状体中 G 蛋白偶联受体激酶 6 和β-arrestin-1 的减少。MK-801 还减轻了左旋多巴引起的运动障碍行为。
这些数据表明,纹状体神经元中的 G 蛋白偶联受体激酶 6 和β-arrestin-1 对多巴胺耗竭敏感,在帕金森病大鼠和患病的左旋多巴治疗大鼠中下调。这种下调似乎需要激活 NMDA 谷氨酸受体。