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通过阻断中枢多巴脱羧酶抑制黑质损伤大鼠左旋多巴诱导的转圈行为:对左旋多巴在帕金森病中作用机制的启示

Suppression of L-dopa-induced circling in rats with nigral lesions by blockade of central dopa-decarboxylase: implications for mechanism of action of L-dopa in parkinsonism.

作者信息

Melamed E, Hefti F, Bitton V, Globus M

出版信息

Neurology. 1984 Dec;34(12):1566-70. doi: 10.1212/wnl.34.12.1566.

Abstract

Dopamine (DA) elevations in rat striatum produced by combined administration of L-dopa and carbidopa were abolished when L-dopa was injected with NSD-1015, an inhibitor of central dopa-decarboxylase. In all rats with unilateral 6-OH-DA nigral lesions, L-dopa-induced contraversive circling occurred after carbidopa, but was totally abolished (in 60%) or markedly suppressed after pretreatment with NSD-1015. Administration of the DA metabolites DOPAC and HVA systemically and of 3-methoxytyramine intrastriatally evoked no circling in animals with 6-OH-DA lesions. In rats with unilateral nigrotomies, the direction of L-dopa-induced circling was reversed and became ipsiversive after DA receptors were reduced by the addition of kainic acid lesions in ipsilateral striata. Findings provide evidence that circling in rats--and by analogy, efficacy in parkinsonians--requires the decarboxylation of exogenous L-dopa and interaction of the formed DA with DA receptors in striatum.

摘要

当左旋多巴与中枢多巴脱羧酶抑制剂NSD - 1015一起注射时,左旋多巴和卡比多巴联合给药所引起的大鼠纹状体多巴胺(DA)升高被消除。在所有单侧6 - 羟基多巴胺(6 - OH - DA)黑质损伤的大鼠中,卡比多巴给药后会出现左旋多巴诱导的向对侧转圈,但在用NSD - 1015预处理后,这种转圈行为完全被消除(60%的大鼠)或明显受到抑制。对有6 - OH - DA损伤的动物全身给予DA代谢产物3,4 - 二羟基苯乙酸(DOPAC)和高香草酸(HVA)以及向纹状体内注射3 - 甲氧基酪胺均未诱发转圈行为。在单侧黑质切开的大鼠中,当通过在同侧纹状体添加 kainic 酸损伤来减少DA受体后,左旋多巴诱导的转圈方向发生逆转并变为向同侧。这些发现提供了证据,表明大鼠的转圈行为——类推到帕金森病患者身上的疗效——需要外源性左旋多巴的脱羧作用以及生成的DA与纹状体中的DA受体相互作用。

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