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5-羟色氨酸治疗左旋多巴诱导的帕金森病大鼠模型运动障碍。

5-Hydroxy-tryptophan for the treatment of L-DOPA-induced dyskinesia in the rat Parkinson's disease model.

机构信息

Department of Biomedical Sciences, Cagliari University, Cagliari, Italy.

出版信息

Neurobiol Dis. 2013 Dec;60:108-14. doi: 10.1016/j.nbd.2013.08.014. Epub 2013 Sep 1.

Abstract

The serotonin system has recently emerged as an important player in the appearance of L-DOPA-induced dyskinesia (LID) in experimental models of Parkinson's disease, as it provides an unregulated source of L-DOPA-derived dopamine release in the dopamine-depleted striatum. Accordingly, toxin lesion or pharmacological silencing of serotonin neurons suppressed LID in the rat and monkey models of Parkinson's disease. However, 5-HT1 receptor agonists were also found to partially reduce the therapeutic effect of L-DOPA. In this study, we evaluated whether enhancement of the serotonin tone induced by the administration of the serotonin precursor 5-hydroxy-tryptophan (5-HTP) could affect induction and expression of LID, as well as the therapeutic effect of L-DOPA, in 6-OHDA-lesioned rats. Drug naïve and L-DOPA-primed 6-OHDA-lesioned rats were chronically treated with a daily injection of L-DOPA (6 mg/kg plus benserazide, s.c.) alone, or in combination with 5-HTP (24-48 mg/kg, i.p.). The abnormal involuntary movements (AIMs) test, as well as the stepping and the motor activity tests, were performed during the chronic treatments. Results showed that 5-HTP reduced the appearance of LID of about 50% at both tested doses. A partial reduction of the therapeutic effect of L-DOPA was seen with the higher but not with the lower dose of 5-HTP. 5-HTP 24 mg/kg was also able to reduce the expression of dyskinesia in L-DOPA-primed dyskinetic rats, to a similar extent than in L-DOPA-primed rats. Importantly, the antidyskinetic effect of 5-HTP 24 mg/kg does not appear to be due to a competition with L-DOPA for crossing the blood-brain barrier; in fact, similar L-DOPA striatal levels were found in L-DOPA only and L-DOPA plus 5-HTP 24 mg/kg treated animals. These data further confirm the involvement of the serotonin system in the appearance of LID, and suggest that 5-HTP may be useful to counteract the appearance of dyskinesia in Parkinson's disease patients.

摘要

5-羟色胺(5-HT)系统最近成为帕金森病实验模型中出现左旋多巴诱导的运动障碍(LID)的重要参与者,因为它为多巴胺耗竭纹状体中的左旋多巴衍生多巴胺释放提供了不受调节的来源。相应地,毒素损伤或 5-HT 神经元的药理学沉默抑制了帕金森病大鼠和猴模型中的 LID。然而,5-HT1 受体激动剂也被发现部分降低了左旋多巴的治疗效果。在这项研究中,我们评估了 5-羟色氨酸(5-HTP)给药引起的 5-HT 张力增强是否会影响 6-羟基多巴胺(6-OHDA)损伤大鼠的 LID 的诱导和表达以及左旋多巴的治疗效果。药物未处理和 L-DOPA 预处理的 6-OHDA 损伤大鼠每天接受一次皮下注射 L-DOPA(6mg/kg 加苄丝肼)单独或与 5-HTP(24-48mg/kg,腹腔内)联合治疗。在慢性治疗期间进行异常不自主运动(AIMs)测试以及踏步和运动活动测试。结果表明,5-HTP 在两种测试剂量下均降低了约 50%的 LID 出现率。用较高但不用较低剂量的 5-HTP 观察到左旋多巴治疗效果的部分降低。5-HTP 24mg/kg 还能够降低左旋多巴预处理的运动障碍大鼠的运动障碍表达,其程度与左旋多巴预处理的大鼠相似。重要的是,5-HTP 24mg/kg 的抗运动障碍作用似乎不是由于与 L-DOPA 竞争穿过血脑屏障;实际上,在仅接受 L-DOPA 和接受 L-DOPA 加 5-HTP 24mg/kg 的动物中发现了类似的 L-DOPA 纹状体水平。这些数据进一步证实了 5-HT 系统参与 LID 的出现,并表明 5-HTP 可能有助于对抗帕金森病患者的运动障碍。

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