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右美托咪定可减轻 6-羟多巴胺诱导的帕金森病的发病并逆转其进展;涉及 K 通道、α2 肾上腺素能受体和抗炎机制。

Dexmedetomidine attenuates the induction and reverses the progress of 6-hydroxydopamine- induced parkinsonism; involvement of K channels, alpha 2 adrenoceptors and anti-inflammatory mechanisms.

机构信息

Cellular and Molecular Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

Cellular and Molecular Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Toxicol Appl Pharmacol. 2019 Nov 1;382:114743. doi: 10.1016/j.taap.2019.114743. Epub 2019 Aug 30.

DOI:10.1016/j.taap.2019.114743
PMID:31476326
Abstract

BACKGROUND

Studies have shown that dexmedetomidine (DEX), a potent α-adrenoceptors agonist provides neuroprotection through suppression of inflammatory response. In present study, we examined effect of DEX and its underlying mechanisms on the induction and progress of 6-OHDA- induced Parkinsonism in rat.

MATERIAL AND METHODS

The 6-OHDA was injected into the medial forebrain bundle of right hemisphere by stereotaxic surgery and then, behavioral tests carried out within second, fourth, sixth and eighth weeks post-surgery. All treatments were started before the toxin and continued to eight weeks afterwards. Striatal levels of dopamine, TNF-α and IL-6 were measured within the eighth week after the toxin by enzyme-linked immunosorbent assay kits.

RESULTS

DEX at dose of 50 μg/kg attenuated significantly the intensity of 6-OHDA- induced behavioral symptoms in the second week post-surgery. DEX also attenuated remarkably 6-OHDA- induced reduction in striatal dopamine level. These effects were also observed in rats treated by both DEX and yohimbine (YOH), a selective α-adrenoceptors antagonist but were not observed in rats treated by both of DEX and glibenclamide (Glib), an ATP-sensitive potassium (K) channels blocker. DEX also reversed the progressive increase in intensity of the behavioral symptoms and reversed 6-OHDA- induced overproduction of TNF-α and IL-6. These effects were reversed by YOH but not Glib.

CONCLUSION

Our findings indicate that DEX attenuates the induction and reverses the progress of 6-OHDA- induced Parkinsonism through activation of K channels and α-adrenoceptors, respectively. Through activation of α-adrenoceptors, DEX also exerts anti-inflammatory effect which is possibly another mechanism underlying the DEX's antiparkinsonism effect.

摘要

背景

研究表明,强效α-肾上腺素受体激动剂右美托咪定(DEX)通过抑制炎症反应提供神经保护作用。在本研究中,我们研究了 DEX 及其潜在机制对大鼠中 6-OHDA 诱导的帕金森病的诱导和进展的影响。

材料和方法

通过立体定向手术将 6-OHDA 注入右侧大脑中动脉束,然后在手术后第二、第四、第六和第八周进行行为测试。所有治疗均在毒素前开始,并持续到八周后。在毒素后第八周,通过酶联免疫吸附试剂盒测量纹状体中多巴胺、TNF-α 和 IL-6 的水平。

结果

50μg/kg 的 DEX 显著减轻了手术后第二周 6-OHDA 诱导的行为症状的强度。DEX 还显著减轻了 6-OHDA 诱导的纹状体多巴胺水平降低。这些作用在同时给予 DEX 和育亨宾(YOH)的大鼠中观察到,育亨宾是一种选择性 α-肾上腺素受体拮抗剂,但在同时给予 DEX 和格列本脲(Glib)的大鼠中未观察到,格列本脲是一种 ATP 敏感性钾(K)通道阻滞剂。DEX 还逆转了行为症状强度的进行性增加,并逆转了 6-OHDA 诱导的 TNF-α 和 IL-6 的过度产生。这些作用被 YOH 逆转,但不被 Glib 逆转。

结论

我们的发现表明,DEX 通过分别激活 K 通道和 α-肾上腺素受体来减轻 6-OHDA 诱导的帕金森病的诱导和逆转其进展。通过激活 α-肾上腺素受体,DEX 还发挥抗炎作用,这可能是 DEX 抗帕金森病作用的另一种机制。

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