Sader-Mazbar O, Loboda Y, Rabey M J, Finberg J P M
Department of Molecular Pharmacology, Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Br J Pharmacol. 2013 Nov;170(5):999-1013. doi: 10.1111/bph.12349.
Selective MAO type B (MAO-B) inhibitors are effective in potentiation of the clinical effect of L-DOPA in Parkinson's disease, but dopamine (DA) is deaminated mainly by MAO type A (MAO-A) in rat brain. We sought to clarify the roles of MAO-A and MAO-B in deamination of DA formed from exogenous L-DOPA in rat striatum depleted of dopaminergic, or both dopaminergic and serotonergic innervations. We also studied the effect of organic cation transporter-3 (OCT-3) inhibition by decinium-22 on extracellular DA levels following L-DOPA.
Striatal dopaminergic and/or serotonergic neuronal innervations were lesioned by 6-hydroxydopamine or 5,7-dihydroxytryptamine respectively. Microdialysate DA levels after systemic L-DOPA were measured after inhibition of MAO-A or MAO-B by clorgyline or rasagiline respectively. MAO subtype localization in the striatum was determined by immunofluorescence.
Rasagiline increased DA extracellular levels following L-DOPA to a greater extent in double- than in single-lesioned rats (2.8- and 1.8-fold increase, respectively, relative to saline treatment); however, clorgyline elevated DA levels in both models over 10-fold. MAO-A was strongly expressed in medium spiny neurons (MSNs) in intact and lesioned striata, while MAO-B was localized in glia and to a small extent in MSNs. Inhibition of OCT-3 increased DA levels in the double- more than the single-lesion animals.
In striatum devoid of dopaminergic and serotonergic inputs, most deamination of L-DOPA-derived DA is mediated by MAO-A in MSN and a smaller amount by MAO-B in both MSN and glia. OCT-3 plays a significant role in uptake of DA from extracellular space. Inhibitors of OCT-3 are potential future targets for anti-Parkinsonian treatments.
选择性单胺氧化酶B型(MAO - B)抑制剂在增强左旋多巴(L - DOPA)对帕金森病的临床疗效方面有效,但在大鼠脑中多巴胺(DA)主要由单胺氧化酶A型(MAO - A)脱氨基。我们试图阐明MAO - A和MAO - B在去多巴胺能神经支配或多巴胺能与5 - 羟色胺能神经支配均缺失的大鼠纹状体中,对外源性L - DOPA形成的DA脱氨基过程中的作用。我们还研究了癸铵 - 22抑制有机阳离子转运体3(OCT - 3)对L - DOPA给药后细胞外DA水平的影响。
分别用6 - 羟基多巴胺或5,7 - 二羟基色胺损毁纹状体多巴胺能和/或5 - 羟色胺能神经元支配。分别用氯吉兰或雷沙吉兰抑制MAO - A或MAO - B后,测量全身给予L - DOPA后的微透析液中DA水平。通过免疫荧光法确定MAO亚型在纹状体中的定位。
雷沙吉兰使L - DOPA给药后双损毁大鼠的细胞外DA水平升高幅度大于单损毁大鼠(相对于生理盐水处理,分别增加2.8倍和1.8倍);然而,氯吉兰在两种模型中均使DA水平升高超过10倍。MAO - A在完整和损毁纹状体的中等棘状神经元(MSN)中强烈表达,而MAO - B定位于神经胶质细胞,在MSN中有少量表达。抑制OCT - 3使双损毁动物的DA水平升高幅度大于单损毁动物。
在缺乏多巴胺能和5 - 羟色胺能输入的纹状体中,L - DOPA衍生的DA的大多数脱氨基作用由MSN中的MAO - A介导,MSN和神经胶质细胞中的MAO - B介导的量较少。OCT - 3在从细胞外空间摄取DA中起重要作用。OCT - 3抑制剂是未来抗帕金森病治疗的潜在靶点。