Abstract
Currently, L-3,4-dihydroxyphenylalanine (L-DOPA) is the most effective treatment for the motor symptoms in Parkinson's disease (PD). However, long term treatment with L-DOPA is associated with several motor complications such as dyskinesia. Clinical improvement of this chronic treatment is therefore needed. Lesions or high frequency stimulation of the subthalamic nucleus (STN), a glutamatergic (GLU) nucleus which has been demonstrated to be hyperactive in PD, alleviate the motor symptoms and reduce dyskinesia, either directly and/or by allowing the reduction of the L-DOPA dose. It has been hypothesized that N-methyl-D-aspartate (NMDA) receptor antagonists might have similar actions by reducing the STN output and/or by altering the GLU-ergic input to the STN. However, little is known about the neurochemical changes in the STN induced by co-administration of L-DOPA with a NMDA receptor antagonist.
By means of in vivo microdialysis, the effect of dizocilpine (MK801), an NMDA receptor antagonist, on the extracellular DA and GLU levels after systemic administration of L-DOPA was investigated in the STN of intact and 6-hydroxydopamine-lesioned rats.
Extracellular DA levels in the STN increased after L-DOPA (25 mg/kg i.p. after benserazide 10 mg/kg i.p.) administration in intact and DA-depleted rats. There was a tendency to a higher DA-increase in hemi-parkinson rats compared to controls. MK801 (0.1 mg/kg i.p.) did not influence the L-DOPA induced DA release in intact animals. In contrast, MK801 enhanced the L-DOPA induced DA release in hemi-parkinson rats. The extracellular GLU levels in the STN did not alter in both intact and lesioned rats after L-DOPA or L-DOPA/MK801 administration.
The present study does not support the hypothesis that MK801 alters the GLU levels in the STN. However, NMDA receptor antagonists could be used as a beneficial adjuvant treatment of PD by enhancing the therapeutic efficacy of L-DOPA.
By means of in vivo microdialysis, the effect of dizocilpine (MK801), an NMDA receptor antagonist, on the extracellular DA and GLU levels after systemic administration of L-DOPA was investigated in the STN of intact and 6-hydroxydopamine-lesioned rats.
Extracellular DA levels in the STN increased after L-DOPA (25 mg/kg i.p. after benserazide 10 mg/kg i.p.) administration in intact and DA-depleted rats. There was a tendency to a higher DA-increase in hemi-parkinson rats compared to controls. MK801 (0.1 mg/kg i.p.) did not influence the L-DOPA induced DA release in intact animals. In contrast, MK801 enhanced the L-DOPA induced DA release in hemi-parkinson rats. The extracellular GLU levels in the STN did not alter in both intact and lesioned rats after L-DOPA or L-DOPA/MK801 administration.
The present study does not support the hypothesis that MK801 alters the GLU levels in the STN. However, NMDA receptor antagonists could be used as a beneficial adjuvant treatment of PD by enhancing the therapeutic efficacy of L-DOPA.
Original language | English |
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Title of host publication | The Autumn Meeting 2012 of the Belgian Society of Physiology and Pharmacology |
Publication status | Published - 26 Oct 2012 |
Keywords
- Parkinson's disease
- 6-OHDA rat model
- Subthalamic nucleus
- L-DOPA
- NMDA receptor antagonist
- Intracerebral microdialysis
- Glutamate
- Dopamine