Schintu Nicoletta, Zhang Xiaoqun, Stroth Nikolas, Mathé Aleksander A, Andrén Per E, Svenningsson Per
Department of Clinical Neuroscience, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Medical Mass Spectrometry Imaging, Department of Pharmaceutical Biosciences, Uppsala University, Uppsala, Sweden.
Front Pharmacol. 2020 Mar 20;11:304. doi: 10.3389/fphar.2020.00304. eCollection 2020.
Depression is a common comorbid condition in Parkinson's disease (PD). Patients with depression have a two-fold increased risk to develop PD. Further, depression symptoms often precede motor symptoms in PD and are frequent at all stages of the disease. However, the influence of a depressive state on the responses to antiparkinson treatments is largely unknown. In this study, the genetically inbred depression-like flinders sensitive line (FSL) rats and control flinders resistant line (FRL) rats were studied in models of experimental parkinsonism. FSL rats showed a potentiated tremorgenic response to tacrine, a cholinesterase inhibitor used experimentally to induce 6 Hz resting tremor reminiscent of parkinsonian tremor. We also studied rats lesioned with 6-OHDA to induce hemiparkinsonism. No baseline differences in dopaminergic response to acute apomorphine or L-DOPA was found. However, following chronic treatment with L-DOPA, FRL rats developed sensitization of turning and abnormal involuntary movements (AIMs); these effects were counteracted by the anti-dyskinetic 5-HT agonist/D partial agonist sarizotan. In contrast, FSL rats did not develop sensitization of turning and only minor AIMs in response to L-DOPA treatment. The roles of several non-dopamine systems underlying this discrepancy were studied. Unexpectedly, no differences of opioid neuropeptides or serotonin markers were found between FRL and FSL rats. The marked behavioral difference between the FRL and FSL rats was paralleled with the striatal expression of the established marker, c-fos, but also the GABAergic transporter (vGAT), and a hitherto unknown marker, tamalin, that is known to regulate mGluR5 receptor function and postsynaptic organization. This study demonstrates that behavioral and transcriptional responses of non-dopaminergic systems to experimental parkinsonism and L-DOPA are modified in a genetic rat model of depression.
抑郁症是帕金森病(PD)中常见的共病情况。患有抑郁症的患者患帕金森病的风险增加两倍。此外,抑郁症症状在帕金森病中通常先于运动症状出现,且在疾病的各个阶段都很常见。然而,抑郁状态对帕金森病治疗反应的影响在很大程度上尚不清楚。在本研究中,我们在实验性帕金森病模型中研究了基因近交的抑郁样弗林德斯敏感系(FSL)大鼠和对照弗林德斯抗性系(FRL)大鼠。FSL大鼠对他克林(一种实验中用于诱导类似于帕金森震颤的6Hz静息震颤的胆碱酯酶抑制剂)表现出增强的震颤反应。我们还研究了用6-OHDA损伤以诱导偏侧帕金森病的大鼠。未发现对急性阿扑吗啡或左旋多巴的多巴胺能反应存在基线差异。然而,在用左旋多巴进行慢性治疗后,FRL大鼠出现了旋转致敏和异常不自主运动(AIMs);这些效应被抗异动症的5-HT激动剂/D部分激动剂沙立佐坦抵消。相比之下,FSL大鼠对左旋多巴治疗未出现旋转致敏,仅出现轻微的AIMs。研究了导致这种差异的几个非多巴胺系统的作用。出乎意料的是,在FRL和FSL大鼠之间未发现阿片类神经肽或5-羟色胺标志物存在差异。FRL和FSL大鼠之间明显的行为差异与既定标志物c-fos的纹状体表达平行,同时也与γ-氨基丁酸能转运体(vGAT)以及一种迄今未知的标志物tamalin的表达平行,tamalin已知可调节代谢型谷氨酸受体5(mGluR5)受体功能和突触后组织。本研究表明,在抑郁症的基因大鼠模型中,非多巴胺系统对实验性帕金森病和左旋多巴的行为和转录反应发生了改变。