Neurodegenerative Disease Group, Montreal Neurological Institute-Hospital (The Neuro), Montreal, QC, Canada.
Neurodegenerative Disease Group, Montreal Neurological Institute-Hospital (The Neuro), Montreal, QC, Canada; Département de Pharmacologie et Physiologie, Université de Montréal, Montreal, QC, Canada.
J Chem Neuroanat. 2024 Jul;138:102422. doi: 10.1016/j.jchemneu.2024.102422. Epub 2024 Apr 23.
L-3,4-dihydroxyphenylalanine (L-DOPA) is the treatment of choice for Parkinson's disease (PD) motor symptoms, but its chronic use is hindered by complications such as dyskinesia. Pre-clinical studies discovered that activation of metabotropic glutamate type 2 and 3 (mGlu) receptors alleviates L-DOPA-induced dyskinesia. To gain mechanistic insight into the anti-dyskinetic activity of mGlu activation, we performed autoradiographic binding with [H]-LY-341,495 in brain sections from L-DOPA-treated 6-hydroxydopamine (6-OHDA)-lesioned rats that developed mild or severe dyskinesia, as well as L-DOPA-untreated 6-OHDA-lesioned and sham-lesioned animals. In the ipsilateral hemisphere, mildly dyskinetic 6-OHDA-lesioned rats showed a decrease in [H]-LY-341,495 binding in the entopeduncular nucleus (EPN, 30 % vs sham-lesioned rats, P<0.05), globus pallidus (GP, 28 % vs sham-lesioned rats, P<0.05; 23 % vs L-DOPA-untreated 6-OHDA-lesioned rats, P<0.001), and primary motor cortex (49 % vs sham-lesioned rats, P<0.05; 45 % vs L-DOPA-untreated 6-OHDA-lesioned rats, P<0.001). Severely dyskinetic 6-OHDA-lesioned rats exhibited an increase in binding in the primary motor cortex (43 % vs mildly dyskinetic 6-OHDA-lesioned rats, P<0.05). In the contralateral hemisphere, mildly dyskinetic 6-OHDA-lesioned rats harboured a decrease in binding in the EPN (30 % vs sham-lesioned rats; 24 % vs L-DOPA-untreated 6-OHDA-lesioned rats, both P<0.05), GP (34 % vs sham-lesioned rats, P<0.05; 23 % vs L-DOPA-untreated 6-OHDA-lesioned rats, P<0.001), and primary motor cortex (50 % vs sham-lesioned rats; 44 % vs L-DOPA-untreated 6-OHDA-lesioned rats, both P<0.05). Severely dyskinetic 6-OHDA-lesioned rats presented a decrease in binding in the GP (30 % vs sham-lesioned rats; 19 % vs L-DOPA-untreated 6-OHDA-lesioned rats, both P<0.05). Abnormal involuntary movements scores of 6-OHDA-lesioned animals were positively correlated with [H]-LY-341,495 binding in the ipsilateral striatum, ipsilateral EPN, ipsilateral primary motor cortex and contralateral primary motor cortex (all P<0.05). These results suggest that alterations in mGlu receptor levels may be part of an endogenous compensatory mechanism to alleviate dyskinesia.
L-3,4-二羟基苯丙氨酸(L-DOPA)是治疗帕金森病(PD)运动症状的首选药物,但由于运动障碍等并发症,其长期使用受到阻碍。临床前研究发现,代谢型谷氨酸受体 2 和 3(mGlu)的激活可减轻 L-DOPA 诱导的运动障碍。为了深入了解 mGlu 激活的抗运动障碍作用的机制,我们使用 [H]-LY-341,495 在接受 L-DOPA 治疗的 6-羟基多巴胺(6-OHDA)损伤大鼠的脑切片中进行放射性配体结合研究,这些大鼠出现了轻度或重度运动障碍,以及未经 L-DOPA 治疗的 6-OHDA 损伤和假损伤动物。在同侧半脑,轻度运动障碍的 6-OHDA 损伤大鼠的纹状体外侧部(EPN,与假损伤大鼠相比下降 30%,P<0.05)、苍白球(GP,与假损伤大鼠相比下降 28%,P<0.05;与未经 L-DOPA 治疗的 6-OHDA 损伤大鼠相比下降 23%,P<0.001)和初级运动皮层(与假损伤大鼠相比下降 49%,P<0.05;与未经 L-DOPA 治疗的 6-OHDA 损伤大鼠相比下降 45%,P<0.001)的 [H]-LY-341,495 结合减少。严重运动障碍的 6-OHDA 损伤大鼠的初级运动皮层结合增加(与轻度运动障碍的 6-OHDA 损伤大鼠相比增加 43%,P<0.05)。在对侧半脑,轻度运动障碍的 6-OHDA 损伤大鼠的 EPN(与假损伤大鼠相比下降 30%,P<0.05;与未经 L-DOPA 治疗的 6-OHDA 损伤大鼠相比下降 24%,P<0.05)、GP(与假损伤大鼠相比下降 34%,P<0.05;与未经 L-DOPA 治疗的 6-OHDA 损伤大鼠相比下降 23%,P<0.001)和初级运动皮层(与假损伤大鼠相比下降 50%,P<0.05;与未经 L-DOPA 治疗的 6-OHDA 损伤大鼠相比下降 44%,P<0.05)的 [H]-LY-341,495 结合减少。严重运动障碍的 6-OHDA 损伤大鼠的 GP(与假损伤大鼠相比下降 30%,P<0.05;与未经 L-DOPA 治疗的 6-OHDA 损伤大鼠相比下降 19%,P<0.05)结合减少。6-OHDA 损伤动物的异常不自主运动评分与同侧纹状体、同侧 EPN、同侧初级运动皮层和对侧初级运动皮层的 [H]-LY-341,495 结合呈正相关(均 P<0.05)。这些结果表明,mGlu 受体水平的改变可能是缓解运动障碍的内源性代偿机制的一部分。