Stansley Branden J, Yamamoto Bryan K
Department of Neurosciences, University of Toledo College of Medicine, 3000 Arlington Avenue, Mail Stop 1007, Toledo, OH, 43614, USA.
Psychopharmacology (Berl). 2015 Sep;232(17):3203-13. doi: 10.1007/s00213-015-3980-4. Epub 2015 Jun 3.
L-dopa, the main therapeutic for Parkinson's disease (PD), has been shown to increase brain dopamine concentrations that are necessary for proper motor control; however, PD patients experience non-motor symptoms that are not improved or could be exacerbated by L-dopa.
The purpose of this study is to determine the effects of L-dopa treatment on cognitive and affective behavioral responses of rats, as well as their corresponding monoamine brain concentrations.
Rats were treated with L-dopa (6 mg/kg; twice daily) for 10 consecutive days. Sodium ascorbate (400 mg/kg) was co-administered with L-dopa to investigate the effects of antioxidant co-treatment on behavior and monoamine concentrations. Rats underwent cognitive and affective behavioral testing. Monoamine concentrations of several brain regions were analyzed.
L-dopa treatment resulted in significant impairment in the performance in the Barnes maze and improvement in conditioned fear stress paradigms. Specifically, L-dopa caused an increase in latency to find the goal box during Barnes maze testing and increased freezing behavior in context-induced conditioned fear testing. Furthermore, the rats in the conditioned fear stress experiments showed corresponding depletions in serotonin (5-HT) and its metabolite, 5-HIAA, in the dorsal raphe nucleus (DRN) and the mPFC. The behavioral impairments as well as monoamine depletions were blocked by ascorbate co-treatment.
Chronic L-dopa may contribute to non-motor symptoms related to spatial memory and fear. These effects may be attributable to a dysregulation of brain 5-HT caused by L-dopa treatment. The results presented here provide further rationale for investigating adjunctive therapeutics to L-dopa for PD, such as antioxidants.
左旋多巴是帕金森病(PD)的主要治疗药物,已被证明可提高大脑多巴胺浓度,而多巴胺浓度是正常运动控制所必需的;然而,PD患者会出现非运动症状,这些症状不会因左旋多巴而改善,甚至可能会加重。
本研究旨在确定左旋多巴治疗对大鼠认知和情感行为反应及其相应单胺脑浓度的影响。
大鼠连续10天接受左旋多巴(6毫克/千克;每日两次)治疗。左旋多巴与抗坏血酸钠(400毫克/千克)联合给药,以研究抗氧化剂联合治疗对行为和单胺浓度的影响。对大鼠进行认知和情感行为测试,并分析几个脑区的单胺浓度。
左旋多巴治疗导致Barnes迷宫实验表现显著受损,条件性恐惧应激范式得到改善。具体而言,左旋多巴导致Barnes迷宫测试中找到目标箱的潜伏期增加,以及情境诱导的条件性恐惧测试中僵住行为增加。此外,条件性恐惧应激实验中的大鼠在背缝核(DRN)和内侧前额叶皮质(mPFC)中的血清素(5-HT)及其代谢物5-羟吲哚乙酸(5-HIAA)相应减少。抗坏血酸联合治疗可阻断行为损伤和单胺减少。
长期使用左旋多巴可能导致与空间记忆和恐惧相关的非运动症状。这些影响可能归因于左旋多巴治疗引起的脑5-HT失调。本文结果为研究左旋多巴治疗PD的辅助疗法(如抗氧化剂)提供了进一步的理论依据。