Yin Su-Bing, Zhang Xiao-Guang, Chen Shuang, Yang Wen-Ting, Zheng Xia-Wei, Zheng Guo-Qing
Department of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University , Wenzhou , China.
Front Neurol. 2017 Mar 21;8:88. doi: 10.3389/fneur.2017.00088. eCollection 2017.
l-3,4-Dihydroxyphenylalanine (l-DOPA) remains the primary pharmacological agent for the symptomatic treatment of Parkinson's disease (PD). However, the development of l-DOPA-induced dyskinesia (LID) limits the long-term use of l-DOPA for PD patients. Some data have reported that adenosine A receptor (AR) antagonists prevented LID in animal model of PD. However, the mechanism in which adenosine AR blockade alleviates the symptoms of LID has not been fully clarified. Here, we determined to knock out (KO) the gene of AR and explored the possible underlying mechanisms implicated in development of LID in a mouse model of PD. AR gene KO mice were unilaterally injected into the striatum with 6-hydroxydopamine (6-OHDA) in order to damage dopamine neurons on one side of the brain. 6-OHDA-lesioned mice were then injected once daily for 21 days with l-DOPA. Abnormal involuntary movements (AIMs) were evaluated on days 3, 8, 13, and 18 after l-DOPA administration, and real-time polymerase chain reaction and immunohistochemistry for glutamic acid decarboxylase (GAD) 65 and GAD67 were performed. We found that AR gene KO was effective in reducing AIM scores and accompanied with decrease of striatal GAD67, rather than GAD65. These results demonstrated that the possible mechanism involved in alleviation of AIM symptoms by AR gene KO might be through reducing the expression of striatal GAD67.
左旋3,4-二羟基苯丙氨酸(L-多巴)仍然是帕金森病(PD)症状性治疗的主要药物。然而,左旋多巴诱发的异动症(LID)的出现限制了左旋多巴在PD患者中的长期使用。一些数据报道,腺苷A受体(AR)拮抗剂可预防PD动物模型中的LID。然而,腺苷AR阻断减轻LID症状的机制尚未完全阐明。在此,我们决定敲除(KO)AR基因,并在PD小鼠模型中探索LID发生可能的潜在机制。将AR基因敲除小鼠单侧纹状体内注射6-羟基多巴胺(6-OHDA),以损伤一侧脑内的多巴胺能神经元。然后,对6-OHDA损伤的小鼠每天注射一次左旋多巴,持续21天。在给予左旋多巴后的第3、8、13和18天评估异常不自主运动(AIMs),并进行实时聚合酶链反应以及谷氨酸脱羧酶(GAD)65和GAD67的免疫组织化学检测。我们发现AR基因敲除可有效降低AIM评分,并伴有纹状体GAD67而非GAD65的减少。这些结果表明,AR基因敲除减轻AIM症状的可能机制可能是通过降低纹状体GAD67的表达。