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磷酸二酯酶抑制剂对纹状体中多巴胺信号的调节:治疗神经和精神疾病的新型疗法。

Regulation of dopamine signaling in the striatum by phosphodiesterase inhibitors: novel therapeutics to treat neurological and psychiatric disorders.

作者信息

Ramirez Andres D, Smith Sean M

机构信息

Department of Neuroscience, Merck Research Laboratories, WP26-270, 770 Sumneytown Pike, West Point, PA 19486, USA.

出版信息

Cent Nerv Syst Agents Med Chem. 2014;14(2):72-82. doi: 10.2174/1871524914666141226103421.

Abstract

Abnormal dopamine neurotransmission has been linked to a wide array of motor, cognitive, and psychiatric disorders. Dopamine binds and regulates intracellular signals through D1-like (D1 and D5) and D2-like (D2, D3, and D4) G-protein coupled receptors. Activation of D1- like receptors stimulates cAMP/PKA signaling via Gs mediated activation of adenylyl cyclase. In contrast, activation of D2-like receptors inhibits cAMP/PKA signaling by Gi inhibition of adenylyl cyclase. In the brain, dopamine signaling is tightly regulated by cyclic nucleotide phosphodiesterases (PDEs). PDEs are a family of enzymes that selectively degrade cAMP and cGMP. There are 11 different families of PDEs that vary in their substrate specificity, kinetic properties, mode of regulation, intracellular localization, and tissue expression patterns. A number of PDE families are highly expressed in the striatum including PDE1, PDE2, PDE4, and PDE10. There is a growing amount of evidence to suggest that these enzymes play a critical role in modulating dopamine signaling and selective inhibitors of these enzymes are currently being explored as novel therapeutics to treat schizophrenia, Huntington's disease, cognitive disorders and Parkinson's disease. The aim of this review is to summarize the distinct roles of different PDEs in regulating dopamine signaling in the striatum. In addition, we will briefly review the therapeutic potential of selective PDE inhibitors to treat neurological and psychiatric disorders associated with abnormal striatal function.

摘要

异常的多巴胺神经传递与一系列运动、认知和精神疾病有关。多巴胺通过D1样(D1和D5)和D2样(D2、D3和D4)G蛋白偶联受体结合并调节细胞内信号。D1样受体的激活通过Gs介导的腺苷酸环化酶激活刺激cAMP/PKA信号传导。相反,D2样受体的激活通过Gi对腺苷酸环化酶的抑制作用来抑制cAMP/PKA信号传导。在大脑中,多巴胺信号传导受环核苷酸磷酸二酯酶(PDEs)的严格调控。PDEs是一类选择性降解cAMP和cGMP的酶。有11个不同的PDE家族,它们在底物特异性、动力学特性、调节模式、细胞内定位和组织表达模式方面各不相同。一些PDE家族在纹状体中高度表达,包括PDE1、PDE2、PDE4和PDE10。越来越多的证据表明,这些酶在调节多巴胺信号传导中起关键作用,目前正在探索这些酶的选择性抑制剂作为治疗精神分裂症、亨廷顿舞蹈病、认知障碍和帕金森病的新型疗法。本综述的目的是总结不同PDEs在调节纹状体多巴胺信号传导中的独特作用。此外,我们将简要回顾选择性PDE抑制剂治疗与纹状体功能异常相关的神经和精神疾病的治疗潜力。

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