Morissette M, Grondin R, Goulet M, Bédard P J, Di Paolo T
Centre de Recherches en Endocrinologie Moléculaire, Le Centre Hospitalier Universitaire de Québec, and Faculty of Pharmacy, Laval University, Québec, Canada.
J Neurochem. 1999 Feb;72(2):682-92. doi: 10.1046/j.1471-4159.1999.0720682.x.
Studies in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-lesioned monkeys and in parkinsonian patients show elevated preproenkephalin (PPE) mRNA levels, unaltered by chronic L-DOPA therapy, whereas preprotachykinin (PPT) mRNA levels are decreased by the lesion and corrected by L-DOPA. The relative contributions of the dopamine D1 and D2 receptors for PPE mRNA regulation were investigated in the present study and compared with those for PPT mRNA. In situ hybridization was used to measure peptide mRNA levels in the striatum of MPTP cynomolgus monkeys after chronic 1-month treatment with the D1 agonist SKF-82958, administered subcutaneously in pulsatile or continuous mode, compared with the long-acting D2 agonist cabergoline. Normal as well as untreated MPTP animals were also studied. PPE mRNA levels were elevated in the caudate nucleus and putamen of untreated MPTP monkeys compared with control animals with a more pronounced increase in the lateral as compared with the medial part of both structures. PPT mRNA levels showed a rostrocaudal gradient, with higher values in the middle of the caudate-putamen and more so in the medial versus the lateral parts. PPT mRNA levels were decreased in the caudate and putamen of untreated MPTP monkeys compared with control animals, and this was observed in the middle and posterior parts of these brain areas. Elevated PPE and decreased PPT mRNA levels observed after MPTP exposure were corrected after treatment with cabergoline (0.25 mg/kg, every other day), a dose that had antiparkinsonian effects and did not give sustained dyskinesia. In contrast, elevated PPE mRNA levels observed in untreated MPTP monkeys were markedly increased by pulsatile administration of SKF-82958 (1 mg/kg, three times daily) in two monkeys in which the parkinsonian symptoms were improved and dyskinesias developed, whereas it remained close to control values in a third one that did not display dyskinesias despite a sustained improvement in disability; a shorter duration of motor benefit (wearing off) over time was observed in these three animals. By contrast, pulsatile administration of SKF-82958 corrected the decreased PPT level observed in untreated MPTP monkeys. Continuous treatment with SKF-82958 (equivalent daily dose) produced no clear antiparkinsonian and dyskinetic responses and did not alter the denervation-induced elevation of PPE or decrease of PPT mRNA levels. The present data suggest an opposite contribution of the dopamine D1 receptors (stimulatory) as compared with the dopamine D2 receptors (inhibitory) on PPE mRNA, whereas a similar stimulatory contribution of D1 or D2 receptors is observed for PPT mRNA. An increase in PPE expression could be involved in the induction of dyskinesias and wearing off, whereas our data do not support this link for PPT. The antiparkinsonian response was associated with a correction of the lesion-induced decrease of PPT.
对1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)损伤的猴子和帕金森病患者的研究表明,前脑啡肽原(PPE)mRNA水平升高,慢性左旋多巴治疗对此无改变,而前速激肽原(PPT)mRNA水平因损伤而降低,并可被左旋多巴纠正。本研究调查了多巴胺D1和D2受体对PPE mRNA调节的相对作用,并与对PPT mRNA的作用进行比较。采用原位杂交法测量慢性皮下注射1个月的D1激动剂SKF-82958(以脉冲或连续模式给药)后,MPTP食蟹猴纹状体中肽mRNA水平,同时与长效D2激动剂卡麦角林进行比较。还研究了正常以及未经治疗的MPTP动物。与对照动物相比,未经治疗的MPTP猴子的尾状核和壳核中PPE mRNA水平升高,与这两个结构的内侧部分相比,外侧部分的升高更为明显。PPT mRNA水平呈现头尾梯度,在尾壳核中部较高,内侧部分比外侧部分更高。与对照动物相比,未经治疗的MPTP猴子的尾状核和壳核中PPT mRNA水平降低,在这些脑区的中部和后部观察到这种情况。MPTP暴露后观察到的PPE升高和PPT mRNA水平降低在卡麦角林(0.25mg/kg,隔日一次)治疗后得到纠正,该剂量具有抗帕金森病作用且未引起持续性运动障碍。相比之下,在两只帕金森病症状改善且出现运动障碍的猴子中,脉冲给药SKF-82958(1mg/kg,每日三次)使未经治疗的MPTP猴子中观察到的PPE mRNA水平显著升高,而在第三只尽管残疾持续改善但未出现运动障碍的猴子中,其PPE mRNA水平仍接近对照值;随着时间推移,这三只动物的运动益处持续时间较短(药效消退)。相比之下,脉冲给药SKF-82958纠正了未经治疗的MPTP猴子中观察到的PPT水平降低。连续给予SKF-82958(等效日剂量)未产生明显的抗帕金森病和运动障碍反应,也未改变去神经支配诱导的PPE升高或PPT mRNA水平降低。目前的数据表明,与多巴胺D2受体(抑制性)相比,多巴胺D1受体对PPE mRNA有相反的作用(刺激性),而对于PPT mRNA,D1或D2受体有类似的刺激性作用。PPE表达增加可能与运动障碍的诱导和药效消退有关,而我们的数据不支持PPT与这种联系。抗帕金森病反应与损伤诱导的PPT降低的纠正有关。