Aboulghasemi Nazanin, Hadipour Jahromy Mahsa, Ghasemi Amir
Herbal Pharmacology Research Center, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Dept. of pharmacology, Faculty of Medicine, Islamic Azad University, Tehran Medical Sciences, Tehran, Iran.
IBRO Rep. 2018 Dec 14;6:40-44. doi: 10.1016/j.ibror.2018.12.001. eCollection 2019 Jun.
Parkinson's disease is a progressive debilitative neurodegenerative disease characterised mostly with bradykinesia, tremor, catatonia, drooping posture, unsteady gate and unstable steps. Levodopa has been proven to be among the most effective and acceptable treatment that can reconstitute dopamine in Parkinson's disease. However, there is a relation between levodopa long term administration and dyskinesia. Regarding the effectiveness of ondansetron in Parkinson's disease, we planned to test its effect on levodopa-induced dyskinesia (LID). In this study, Parkinsonism was induced in 40 adult male rats using 6-OHDA injection into the striatum via stereotaxic surgery. After 2 weeks, all animals tested for Parkinson's disease using apomorphine rotation test. Then, animals with positive symptoms for Parkinsonism divided into 4 equal groups, the first group treated with levodopa 50 mg/kg i.p, the second group received only distilled water, the third and forth groups treated with levodopa 50 mg/kg i.p plus two different doses of ondansetron (0.04 and 0.08 mg/kg i.p) for 3 weeks. Animals tested for dyskinesia using AIMs and rotarod tests at specific days and a week after discontinuation of ondansetron. Evaluations of AIMs test showed significant changes in dyskinetic movements and reduction in scores in groups treating with ondansetron when compared with the first group. Upon discontinuations of ondansetron in the last two groups, AIMs scores significantly increased. While in rotarod test, ondansetron had no additional benefit when added to levodopa in motor coordination of animals. Findings of this study suggest that co administration of ondansetron with levodopa is effective in attenuating dyskinesia.
帕金森病是一种进行性衰弱的神经退行性疾病,主要特征为运动迟缓、震颤、紧张症、姿势下垂、步态不稳和步伐不稳。左旋多巴已被证明是帕金森病中最有效且可接受的治疗方法之一,它能够补充多巴胺。然而,长期服用左旋多巴与运动障碍之间存在关联。关于昂丹司琼在帕金森病中的疗效,我们计划测试其对左旋多巴诱发的运动障碍(LID)的影响。在本研究中,通过立体定向手术向40只成年雄性大鼠的纹状体内注射6-羟基多巴胺(6-OHDA)来诱发帕金森病。两周后,所有动物均使用阿扑吗啡旋转试验检测帕金森病。然后,帕金森病症状呈阳性的动物被分为4组,每组数量相等。第一组腹腔注射50毫克/千克的左旋多巴,第二组仅接受蒸馏水,第三组和第四组腹腔注射50毫克/千克的左旋多巴并分别添加两种不同剂量的昂丹司琼(0.04毫克/千克和0.08毫克/千克腹腔注射),持续3周。在特定日期以及停用昂丹司琼一周后,使用异常不自主运动量表(AIMs)和转棒试验对动物进行运动障碍检测。AIMs试验评估显示,与第一组相比,使用昂丹司琼治疗的组中,运动障碍性运动有显著变化且评分降低。在最后两组停用昂丹司琼后,AIMs评分显著增加。而在转棒试验中,在动物的运动协调方面,将昂丹司琼添加到左旋多巴中并无额外益处。本研究结果表明,昂丹司琼与左旋多巴联合使用在减轻运动障碍方面是有效的。