Hamadjida Adjia, Sid-Otmane Lamia, Kwan Cynthia, Frouni Imane, Nafade Vaidehi, Bédard Dominique, Gagnon Dave, Wallman Marie-Josée, Rouillard Claude, Parent André, Parent Martin, Huot Philippe
Neurodegenerative Disease Group, Montreal Neurological Institute, Montreal, QC, Canada.
Département de Pharmacologie et Physiologie, Université de Montréal, Montreal, QC, Canada.
Eur J Neurosci. 2020 Jun;51(12):2412-2422. doi: 10.1111/ejn.14679. Epub 2020 Feb 12.
l-3,4-Dihydroxyphenylalanine (l-DOPA) is the most effective treatment for Parkinson's disease (PD), but its use over a long period is marred by motors complications such as dyskinesia. We previously demonstrated that selective metabotropic glutamate 2/3 (mGlu ) receptor activation with LY-354,740 alleviates dyskinesia in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-lesioned marmoset and the 6-hydroxydopamine (6-OHDA)-lesioned rat. Here, we sought to determine the role played by selective mGlu activation in the anti-dyskinetic effect of mGlu stimulation and have investigated the effect of the highly selective mGlu positive allosteric modulator LY-487,379 at alleviating established, and preventing the development of, l-DOPA-induced dyskinesia in the 6-OHDA-lesioned rat. First, dyskinetic 6-OHDA-lesioned rats were administered l-DOPA in combination with LY-487,379 (0.1, 1 and 10 mg/kg) or vehicle, and the severity of dyskinesia was determined. Second, 6-OHDA-lesioned rats were administered LY-487,379 (0.1 or 1 mg/kg), started concurrently with l-DOPA, once daily for 22 days, and dyskinesia severity was evaluated weekly for four consecutive weeks. We also assessed the effect of LY-487,379 on l-DOPA anti-parkinsonian effect. We found that acute challenges of LY-487,379 0.1 mg/kg in combination with l-DOPA, significantly diminished dyskinesia severity, by ≈54% (p < .01), when compared to vehicle. Moreover, animals treated with l-DOPA/LY-487,379 0.1 and 1 mg/kg during the dyskinesia induction phase exhibited milder dyskinesia, by ≈74% and ≈61%, respectively (both p < .01), when compared to l-DOPA/vehicle. LY-487,379 did not impair l-DOPA anti-parkinsonian activity. These results suggest that mGlu activation may be an effective and promising therapeutic strategy to alleviate the severity and prevent the development of dyskinesia.
左旋3,4-二羟基苯丙氨酸(左旋多巴)是治疗帕金森病(PD)最有效的药物,但其长期使用会出现运动并发症,如运动障碍。我们之前证明,用LY-354,740选择性激活代谢型谷氨酸2/3(mGlu)受体可减轻1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)损伤的狨猴和6-羟基多巴胺(6-OHDA)损伤的大鼠的运动障碍。在此,我们试图确定选择性mGlu激活在mGlu刺激的抗运动障碍作用中所起的作用,并研究了高选择性mGlu正向变构调节剂LY-487,379对减轻6-OHDA损伤大鼠已有的左旋多巴诱导的运动障碍以及预防其发展的效果。首先,给出现运动障碍的6-OHDA损伤大鼠给予左旋多巴联合LY-487,379(0.1、1和10 mg/kg)或赋形剂,然后测定运动障碍的严重程度。其次,给6-OHDA损伤大鼠给予LY-487,379(0.1或1 mg/kg),与左旋多巴同时开始给药,每天一次,共22天,并连续四周每周评估运动障碍的严重程度。我们还评估了LY-487,379对左旋多巴抗帕金森病作用的影响。我们发现,与赋形剂相比,0.1 mg/kg的LY-487,379与左旋多巴联合急性给药可使运动障碍严重程度显著降低约54%(p <.01)。此外,在运动障碍诱导期用左旋多巴/LY-487,379 0.1和1 mg/kg治疗的动物,与左旋多巴/赋形剂组相比,运动障碍分别减轻了约74%和约61%(均p <.01)。LY-487,379并未损害左旋多巴的抗帕金森病活性。这些结果表明,激活mGlu可能是一种有效且有前景的治疗策略,可减轻运动障碍的严重程度并预防其发展。