Engber T M, Anderson J J, Boldry R C, Kuo S, Chase T N
Experimental Therapeutics Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD 20892.
Neuroscience. 1993 Jun;54(4):1051-61. doi: 10.1016/0306-4522(93)90595-7.
Dopamine and the excitatory amino acids play important roles in the control of motor behavior by the basal ganglia; elucidating the manner in which these transmitter systems interact may provide new therapeutic approaches to the treatment of movement disorders such as Parkinson's disease. The 2-deoxyglucose autoradiographic technique was used to examine the effect of N-methyl-D-aspartate receptor blockade on regional cerebral metabolic responses to D1 and D2 dopamine receptor stimulation in rats with a unilateral 6-hydroxydopamine lesion of the nigrostriatal pathway. The D1 agonist SKF 38393 (5 mg/kg, i.v.) increased glucose utilization markedly in entopeduncular nucleus and substantia nigra pars reticulata ipsilateral to the lesion, while the D2 agonist quinpirole (1 mg/kg, i.v.) had no effect in these striatal output regions. SKF 38393 and quinpirole reduced 2-deoxyglucose uptake to a similar extent in the lateral habenula, a region which receives afferent input from entopeduncular nucleus; quinpirole also decreased glucose utilization bilaterally in nucleus accumbens. Pretreatment with the noncompetitive N-methyl-D-aspartate receptor antagonist MK-801 (0.1 mg/kg, i.v.), which had little effect on cerebral metabolism by itself, reduced the effect of SKF 38393 in entopeduncular nucleus and substantia nigra pars reticulata and prevented the effect of quinpirole in nucleus accumbens. MK-801 did not alter the SKF 38393-induced reduction in glucose utilization in lateral habenula, but did reduce the effect of quinpirole in this structure. When these drugs were administered in the same manner to a separate group of lesioned animals, MK-801 did not affect rotational behavior elicited by SKF 38393, but completely eliminated contralateral rotation and actually caused some ipsilateral rotation in response to quinpirole. These findings indicate that D1 and D2 receptor-associated brain mechanisms are differentially influenced by N-methyl-D-aspartate receptor stimulation. D2-mediated behavioral and cerebral metabolic responses appear to require concurrent N-methyl-D-aspartate receptor stimulation. On the other hand, the preservation of D1-mediated rotational behavior and reduced lateral habenula glucose metabolism in the presence of MK-801 despite attenuation of the effects of the D1 agonist in entopeduncular nucleus and substantia nigra pars reticulata suggests that D1 receptor-regulated neuronal pathways exhibit varying degrees of sensitivity to N-methyl-D-aspartate receptor blockade.
多巴胺和兴奋性氨基酸在基底神经节对运动行为的控制中发挥着重要作用;阐明这些递质系统相互作用的方式可能为治疗帕金森病等运动障碍提供新的治疗方法。采用2-脱氧葡萄糖放射自显影技术,研究了N-甲基-D-天冬氨酸受体阻断对单侧黑质纹状体通路6-羟基多巴胺损伤大鼠D1和D2多巴胺受体刺激后脑局部代谢反应的影响。D1激动剂SKF 38393(5mg/kg,静脉注射)显著增加了损伤同侧内苍白球和黑质网状部的葡萄糖利用,而D2激动剂喹吡罗(1mg/kg,静脉注射)对这些纹状体输出区域没有影响。SKF 38393和喹吡罗在外侧缰核(一个接受内苍白球传入输入的区域)降低2-脱氧葡萄糖摄取的程度相似;喹吡罗还双侧降低伏隔核的葡萄糖利用。用非竞争性N-甲基-D-天冬氨酸受体拮抗剂MK-801(0.1mg/kg,静脉注射)预处理,其本身对脑代谢影响很小,降低了SKF 38393对内苍白球和黑质网状部的作用,并阻止了喹吡罗对伏隔核的作用。MK-801没有改变SKF 38393诱导的外侧缰核葡萄糖利用减少,但确实降低了喹吡罗对该结构的作用。当以相同方式对另一组损伤动物给药时,MK-801不影响SKF 38393引起的旋转行为,但完全消除了对侧旋转,实际上对喹吡罗产生了一些同侧旋转。这些发现表明,D1和D2受体相关的脑机制受N-甲基-D-天冬氨酸受体刺激的影响不同。D2介导的行为和脑代谢反应似乎需要同时存在N-甲基-D-天冬氨酸受体刺激。另一方面,尽管D1激动剂对内苍白球和黑质网状部的作用减弱,但在存在MK-801的情况下,D1介导的旋转行为得以保留,外侧缰核葡萄糖代谢降低,这表明D1受体调节的神经元通路对N-甲基-D-天冬氨酸受体阻断表现出不同程度的敏感性。