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咖啡因联合氟哌啶醇可减少帕金森病实验模型中的疲劳——一种针对 AR-DR 杂二聚体拮抗的前瞻性研究。

Caffeine plus haloperidol reduces fatigue in an experimental model of Parkinson's disease - a prospective to AR-DR heterodimer antagonism.

机构信息

Laboratory of Exercise Biology (LaBioEx), Department of Health Sciences, Federal University of Santa Catarina (UFSC), Ararangua, SC, 88905-120, Brazil.

出版信息

Purinergic Signal. 2024 Feb;20(1):29-34. doi: 10.1007/s11302-023-09933-2. Epub 2023 Mar 15.

Abstract

Fatigue is a non-motor symptom of Parkinson's disease (PD). Adenosine receptor (AR) and compromised dopamine neurotransmission are linked to fatigue. Studies demonstrate that AR antagonism potentiates dopamine transmission via dopamine receptor D (DR). However, the heterodimer form of AR-DR in the striatum prompted questions about the therapeutic targets for PD patients. This study investigates the effects of caffeine (AR non-selective antagonist) plus haloperidol (DR selective antagonist) treatment in the fatigue induced by the reserpine model of PD. Reserpinized mice showed impaired motor control in the open field test (p < 0.05) and fatigue in the grip strength meter test (p < 0.05). L-DOPA and caffeine plus haloperidol similarly increased motor control (p < 0.05) and mitigated fatigue (p < 0.05). Our results support the AR-DR heterodimer participation in the central fatigue of PD, and highlight the potential of AR-DR antagonism in the management of PD.

摘要

疲劳是帕金森病(PD)的一种非运动症状。腺苷受体(AR)和多巴胺神经传递受损与疲劳有关。研究表明,AR 拮抗剂通过多巴胺受体 D(DR)增强多巴胺传递。然而,纹状体中的 AR-DR 异二聚体形式引发了关于 PD 患者治疗靶点的问题。本研究探讨了咖啡因(AR 非选择性拮抗剂)加氟哌啶醇(DR 选择性拮抗剂)治疗利血平诱导的 PD 疲劳模型的效果。利血平化小鼠在旷场试验中表现出运动控制受损(p<0.05)和握力计试验中疲劳(p<0.05)。L-多巴和咖啡因加氟哌啶醇同样增加了运动控制(p<0.05)并减轻了疲劳(p<0.05)。我们的结果支持 AR-DR 异二聚体参与 PD 的中枢疲劳,并强调了 AR-DR 拮抗在 PD 管理中的潜力。

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Parkinson's Disease and Parkinsonism.帕金森病和帕金森综合征。
Am J Med. 2019 Jul;132(7):802-807. doi: 10.1016/j.amjmed.2019.03.001. Epub 2019 Mar 16.
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Istradefylline for the treatment of Parkinson's disease: is it a promising strategy?依曲司他林治疗帕金森病:是否有应用前景?
Expert Opin Pharmacother. 2018 Nov;19(16):1821-1828. doi: 10.1080/14656566.2018.1524876. Epub 2018 Oct 11.

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