Gossel M, Schmidt W J, Löscher W, Zajaczkowski W, Danysz W
Department of Pharmacology, Merz + Co., Frankfurt/Main, Federal Republic of Germany.
J Neural Transm Park Dis Dement Sect. 1995;10(1):27-39. doi: 10.1007/BF02256627.
Combinations of dopaminergic agonists with glutamate receptor antagonists have been suggested to be a possible alternative treatment of Parkinson's disease. To gain further insights into this possibility, the antagonist of the competitive AMPA-type glutamate receptor NBQX and the ion-channel blocker of the NMDA glutamate receptor (+)-MK-801 in combination with the dopamine D1 receptor agonists: SKF 38393, SKF 82958 and dihydrexidine; the dopamine D2 receptor agonist bromocriptine and the dopamine-precursor L-DOPA were tested in rats pretreated with reserpine and alpha-methyl-p-tyrosine. MK-801 on its own induced locomotor behaviour and potentiated the antiakinetic effects of dihydrexidine and L-DOPA but not of the other dopamine agonists tested. NBQX neither on its own nor coadministered with the dopamine agonists tested had an antiakinetic effect. These results indicate that agents, blocking the ion-channel of the NMDA receptor, might be useful adjuvants to some but not all dopaminomimetics in therapy of Parkinson's disease. The same does not seem to be true for the AMPA-antagonist NBQX.
多巴胺能激动剂与谷氨酸受体拮抗剂的联合使用已被认为可能是帕金森病的一种替代治疗方法。为了进一步深入了解这种可能性,在利血平和α-甲基-p-酪氨酸预处理的大鼠中,测试了竞争性AMPA型谷氨酸受体拮抗剂NBQX和NMDA谷氨酸受体离子通道阻滞剂(+)-MK-801与多巴胺D1受体激动剂:SKF 38393、SKF 82958和二氢麦角隐亭;多巴胺D2受体激动剂溴隐亭以及多巴胺前体L-多巴的联合效果。单独使用MK-801可诱导运动行为,并增强二氢麦角隐亭和L-多巴的抗运动不能作用,但对其他测试的多巴胺激动剂则无此作用。NBQX单独使用或与测试的多巴胺激动剂共同给药均无抗运动不能作用。这些结果表明,阻断NMDA受体离子通道的药物可能是帕金森病治疗中某些但并非所有多巴胺模拟物的有用佐剂。对于AMPA拮抗剂NBQX,情况似乎并非如此。