Neurodegenerative Disease Group, Montreal Neurological Institute-Hospital (The Neuro), 3801 University St, Montreal, Quebec, H3A 2B4, Canada.
Comparative Medicine & Animal Resource Centre, McGill University, Montreal, Quebec, Canada.
Naunyn Schmiedebergs Arch Pharmacol. 2024 Nov;397(11):9135-9147. doi: 10.1007/s00210-024-03216-2. Epub 2024 Jun 20.
We have previously discovered that the selective activation of metabotropic glutamate type 2 receptors (mGluR) and concurrent stimulation of metabotropic glutamate types 2 and 3 receptors (mGluR) enhance the anti-parkinsonian action of L-3,4-dihydroxyphenylalanine (L-DOPA). Here, we sought to determine the effects of the mGluR orthosteric agonists LY-354,740 and LY-404,039, as well as the effects of the mGluR positive allosteric modulators LY-487,379 and CBiPES on the range of movement, bradykinesia, posture and alertness as adjuncts to L-DOPA. Ten 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-lesioned marmosets entered 4 experimental streams: L-DOPA + LY-354,740 (vehicle, 0.1, 0.3 and 1 mg/kg), L-DOPA + LY-404,039 (vehicle, 0.1, 1 and 10 mg/kg), L-DOPA + LY-487,379 (vehicle, 0.1, 1 and 10 mg/kg), L-DOPA + CBiPES (vehicle, 0.1, 1 and 10 mg/kg). For each molecule, treatments were randomised, and the range of movement, bradykinesia, posture and alertness were assessed by a blinded rater. None of the tested compounds significantly altered the global range of movement. LY-404,039 and CBiPES both reduced global bradykinesia, by up to 46% (both P < 0.05). LY-354,740, LY-404,039 and CBiPES each improved global posture by 35%, 44% and 39% (each P < 0.05), respectively. LY-404,039 and CBiPES both enhanced alertness by 54% (P < 0.05) and 79% (P < 0.01), respectively. LY-487,379 did not improve any of the parameters. Our results suggest that selective mGluR positive allosteric modulation and combined mGluR orthosteric stimulation might benefit bradykinesia, posture and alertness in PD when added to L-DOPA, which potentially represent novel therapeutic indications for molecules acting via these mechanisms.
我们之前发现,代谢型谷氨酸受体 2 型(mGluR)的选择性激活和代谢型谷氨酸受体 2 和 3 型(mGluR)的同时刺激增强了 L-3,4-二羟基苯丙氨酸(L-DOPA)的抗帕金森病作用。在这里,我们试图确定 mGluR 正构激动剂 LY-354,740 和 LY-404,039 的作用,以及 mGluR 正变构调节剂 LY-487,379 和 CBiPES 对运动范围、运动迟缓、姿势和警觉性的影响,作为 L-DOPA 的辅助治疗。10 只 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)损伤的狨猴进入 4 个实验流:L-DOPA + LY-354,740(载体,0.1、0.3 和 1 mg/kg)、L-DOPA + LY-404,039(载体,0.1、1 和 10 mg/kg)、L-DOPA + LY-487,379(载体,0.1、1 和 10 mg/kg)、L-DOPA + CBiPES(载体,0.1、1 和 10 mg/kg)。对于每种分子,治疗均采用随机化,由盲法评分者评估运动范围、运动迟缓、姿势和警觉性。没有一种测试化合物显著改变了整体运动范围。LY-404,039 和 CBiPES 均可减少高达 46%(均 P < 0.05)的整体运动迟缓。LY-354,740、LY-404,039 和 CBiPES 分别使整体姿势改善 35%、44%和 39%(均 P < 0.05)。LY-404,039 和 CBiPES 均使警觉性分别提高 54%(P < 0.05)和 79%(P < 0.01)。LY-487,379 并未改善任何参数。我们的结果表明,当添加到 L-DOPA 时,选择性 mGluR 正变构调节和联合 mGluR 正构刺激可能有益于帕金森病的运动迟缓、姿势和警觉性,这可能代表了通过这些机制发挥作用的分子的新的治疗适应症。