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长期给予左旋多巴会在1-甲基-4-苯基-1,2,3,6-四氢吡啶处理的普通狨猴(绢毛猴)中诱发运动障碍。

Chronic L-DOPA administration induces dyskinesias in the 1-methyl-4- phenyl-1,2,3,6-tetrahydropyridine-treated common marmoset (Callithrix Jacchus).

作者信息

Pearce R K, Jackson M, Smith L, Jenner P, Marsden C D

机构信息

Neurodegenerative Diseases Research Centre, King's College London, England.

出版信息

Mov Disord. 1995 Nov;10(6):731-40. doi: 10.1002/mds.870100606.

Abstract

Dyskinesias occur in the majority of patients with Parkinson's disease chronically treated with L-DOPA and also occur in several nonhuman primate species after 1-methyl-4phenyl-1,2,3,6-tetrahydropyridine (MPTP) and L-DOPA treatment. The common marmoset (Callithrix jacchus) shows parkinsonian motor deficits after MPTP administration, and we now report dyskinesias occurring in this species during chronic L-DOPA exposure. Marmosets rendered chronically parkinsonian after MPTP administration were treated orally with L-DOPA plus carbidopa for 3 weeks. After several days the animals began to display chorea, choreoathetosis, and dystonia. The severity of dyskinesias varied between the animals, with the most severely parkinsonian animals displaying the most dyskinetic movements. Each animal showed an idiosyncratic pattern of dyskinesias, which was highly reproducible. These L-DOPA-primed animals also received other D2 D1, and mixed D1/D2 agonist drugs. Quinpirole, bromocriptine, pergolide, apomorphine, and A-77636 all produce dyskinesias that were identical in character to those seen after L-DOPA administration, but the D1 agonist A-77636 gradually abolished dyskinesias while preserving its antiparkinsonian activity. The MPTP-treated marmoset provides a useful model in which to study dyskinesias in Parkinson's disease and to examine new therapeutic strategies aimed at alleviating this common side effect of chronic dopamine replacement therapy.

摘要

运动障碍在大多数长期接受左旋多巴治疗的帕金森病患者中都会出现,并且在给予1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)和左旋多巴治疗后的几种非人类灵长类动物中也会出现。普通狨猴(Callithrix jacchus)在给予MPTP后会出现帕金森运动功能障碍,我们现在报告在慢性左旋多巴暴露期间该物种出现运动障碍。给予MPTP后导致慢性帕金森病的狨猴口服左旋多巴加卡比多巴治疗3周。几天后,动物开始出现舞蹈症、舞蹈手足徐动症和肌张力障碍。运动障碍的严重程度在动物之间有所不同,帕金森病最严重的动物表现出最多的运动障碍性运动。每只动物都表现出独特的运动障碍模式,且具有高度可重复性。这些用左旋多巴预处理的动物还接受了其他D2、D1和混合D1/D2激动剂药物。喹吡罗、溴隐亭、培高利特、阿扑吗啡和A-77636均产生与左旋多巴给药后所见相同类型的运动障碍,但D1激动剂A-77636在保留其抗帕金森病活性的同时逐渐消除了运动障碍。经MPTP处理的狨猴为研究帕金森病中的运动障碍以及研究旨在减轻慢性多巴胺替代疗法这种常见副作用的新治疗策略提供了一个有用的模型。

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