Sarre S, Ebinger G, Michotte Y
Department of Pharmaceutical Chemistry and Drug Analysis, Pharmaceutical Institute, Vrije Universiteit Brussel, Belgium.
Eur J Pharmacol. 1996 Feb 5;296(3):247-60. doi: 10.1016/0014-2999(95)00715-6.
We investigated the effects of continuous perfusion of dopamine D1 and D2 receptor agonists and antagonists on the biotransformation of locally applied levodopa (L-DOPA) to dopamine in the striatum of freely moving hemi-Parkinson rats by means of in vivo microdialysis. The extent of the lesion was shown to influence dopamine formation after L-DOPA administration. In partially denervated striatum there was a more 'physiological' conversion, whereas in extensively denervated striatum extracellular dopamine increased to excessively high levels after L-DOPA. The dopamine D2 receptor agonist quinpirole (10 mu M) attenuated the L-DOPA-induced (2 mu M) dopamine release in intact, partially denervated and extensively denervated striatum. The dopamine D1 receptor antagonist SCH 23390 (R(+)-7-chloro-8-hydroxy-3-methyl-1-phenyl-2,3,4,5-tetrahydro-(1H)-3- benzazepine hydrochloride) (10 mu M) caused effects similar to those of quinpirole. However, in intact striatum it acted as the dopamine D2 receptor antagonist (-)-sulpiride and the dopamine D1 receptor agonist CY 208243 (((-),4,6,6a,7,8,12b-hexahydro-7-methyl-indolo-(4,3-ab) phenanthoridine), showing no effect on L-DOPA biotransformation. The data suggest that dopamine D2 receptor agonists and possibly dopamine D1 receptor antagonists will be beneficial in the treatment of Parkinson's disease, probably by keeping extracellular levels of dopamine at more 'physiological' levels. This may enable a reduction of L-DOPA doses and therefore may prevent dyskinesias at a later stage of the disease.
我们通过体内微透析研究了持续灌注多巴胺D1和D2受体激动剂及拮抗剂对自由活动的半帕金森大鼠纹状体中局部应用的左旋多巴(L-DOPA)向多巴胺生物转化的影响。结果显示,损伤程度会影响L-DOPA给药后的多巴胺生成。在部分去神经支配的纹状体中,存在更“生理性”的转化,而在广泛去神经支配的纹状体中,L-DOPA给药后细胞外多巴胺水平会过度升高。多巴胺D2受体激动剂喹吡罗(10 μM)可减弱L-DOPA(2 μM)在完整、部分去神经支配和广泛去神经支配的纹状体中诱导的多巴胺释放。多巴胺D1受体拮抗剂SCH 23390(R(+)-7-氯-8-羟基-3-甲基-1-苯基-2,3,4,5-四氢-(1H)-3-苯并氮杂卓盐酸盐)(10 μM)产生了与喹吡罗类似的作用。然而,在完整纹状体中,它的作用类似于多巴胺D2受体拮抗剂(-)-舒必利和多巴胺D1受体激动剂CY 208243((-),4,6,6a,7,8,12b-六氢-7-甲基-吲哚并-(4,3-ab)菲啶),对L-DOPA生物转化无影响。数据表明,多巴胺D2受体激动剂以及可能的多巴胺D1受体拮抗剂在帕金森病治疗中可能有益,可能是通过使细胞外多巴胺水平保持在更“生理性”的水平。这可能使得L-DOPA剂量得以减少,从而可能预防疾病后期的运动障碍。