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用司来吉兰长期治疗后,纹状体酪氨酸羟化酶活性降低,但多巴胺能受体反应性并未改变。

Reduced striatal tyrosine hydroxylase activity is not accompanied by change in responsiveness of dopaminergic receptors following chronic treatment with deprenyl.

作者信息

Lamensdorf I, Finberg J P

机构信息

Pharmacology Unit, Rappaport Family Faculty of Medicine, Technion, Haifa, Israel.

出版信息

Neuropharmacology. 1997 Oct;36(10):1455-61. doi: 10.1016/s0028-3908(97)00114-7.

DOI:10.1016/s0028-3908(97)00114-7
PMID:9423934
Abstract

Deprenyl is the only selective monoamine oxidase B (MAO-B) inhibitor that is in clinical use for the treatment of Parkinson's disease. Our previous studies showed that chronic treatment of rats with low (MAO-B selective) doses of deprenyl inhibited dopamine (DA) re-uptake and enhanced DA release in the striatum. These changes could affect DA synthesis rate by activation of negative feedback loops. Chronic deprenyl treatment has also been suggested to cause down-regulation of release-modulating DA receptors. The effects of chronic and acute treatment with deprenyl on ex vivo striatal tyrosine hydroxylase activity were therefore studied, by determination of steady-state tissue level of DOPA following administration of NSD-1015 (100 mg/kg i.p.). In addition, we assessed changes in the in vivo sensitivity of dopaminergic receptors from the reduction in DOPA extracellular level after systemic apomorphine administration (2.5 mg/kg s.c.), following elevation of microdialysate DOPA by systemic or local aromatic amino acid decarboxylase inhibition with NSD-1015. Chronic treatment with deprenyl (0.25 mg/kg s.c. daily for 21 days) caused a significant reduction in tyrosine hydroxylase activity to 60% of control, with no change in the apomorphine-induced reduction of microdialysate DOPA and DOPAC. The reduction in tyrosine hydroxylase activity is compatible with our previous results showing an increase in striatal DA extracellular level following chronic treatment with deprenyl. The increased extracellular striatal DA level could reduce tyrosine hydroxylase activity through activation of a negative feedback loop, by activation of either presynaptic or postsynaptic DA receptors.

摘要

司来吉兰是唯一一种临床上用于治疗帕金森病的选择性单胺氧化酶B(MAO - B)抑制剂。我们之前的研究表明,用低剂量(MAO - B选择性)的司来吉兰长期治疗大鼠会抑制纹状体中多巴胺(DA)的再摄取并增强DA的释放。这些变化可能通过激活负反馈回路来影响DA的合成速率。长期使用司来吉兰治疗也被认为会导致释放调节性DA受体的下调。因此,通过测定给予NSD - 1015(100 mg/kg腹腔注射)后纹状体中多巴(DOPA)的稳态组织水平,研究了司来吉兰慢性和急性治疗对离体纹状体酪氨酸羟化酶活性的影响。此外,在用NSD - 1015全身或局部抑制芳香族氨基酸脱羧酶使微透析液中DOPA升高后,我们通过全身注射阿扑吗啡(2.5 mg/kg皮下注射)后DOPA细胞外水平的降低来评估多巴胺能受体体内敏感性的变化。用司来吉兰慢性治疗(0.25 mg/kg皮下注射,每日一次,共21天)导致酪氨酸羟化酶活性显著降低至对照的60%,阿扑吗啡诱导的微透析液中DOPA和3,4 - 二羟基苯乙酸(DOPAC)的降低没有变化。酪氨酸羟化酶活性的降低与我们之前的结果一致,即长期用司来吉兰治疗后纹状体中DA细胞外水平升高。纹状体细胞外DA水平的升高可能通过激活负反馈回路,通过激活突触前或突触后DA受体来降低酪氨酸羟化酶活性。

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