Abstract
For nearly 20 years, the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) primate model has allowed great strides to be made in our understanding of the maladaptive changes underlying the levodopa-related motor response complications occurring in most parkinsonian patients. Studies indicate that sustained dopamine D2 receptor occupancy can prevent and reverse existing dyskinesias. Recent experiments in levodopa-treated MPTP animals, co-administered either a threshold dose of cabergoline or a glutamate NMDA NR2B-selective antagonist (CI-1041), have afforded protection against dyskinesia, perhaps through presynaptic inhibition of glutamate release and blockade of supersensitive postsynaptic NMDA receptors in the striatum, respectively. Some of the biochemical events that have correlated with dyskinesias, namely upregulated GABAA receptors in the internal pallidum, rise in pre-proenkephalin-A gene expression in the striatum, and upregulated striatal glutamate ionotropic receptors and adenosine A2a receptors, may be counteracted by these preventive strategies.
Original language | English |
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Pages (from-to) | 297-304 |
Number of pages | 8 |
Journal | Parkinsonism and Related Disorders |
Volume | 10 |
Issue number | 5 |
DOIs | |
State | Published - Jul 2004 |
Event | Striatal Plasticity in Health and Disease - Stockholm, Sweden Duration: Nov 28 2003 → Nov 29 2003 |
Bibliographical note
Funding Information:This work was supported by grants from the Canadian Institutes for Health Research (CIHR) to P. Bedard and T. Di Paolo. F. Calon was the recipient of a health professional studentship from Novartis in partnership with CIHR and the Quebec Health Research Fund (FRSQ). The Authors are also grateful to Dr Ali H. Rajput, Royal University Hospital, University of Saskatchewan, for providing human brain tissue. Mrs M.-T. Parent kindly provided assistance in the preparation of the manuscript.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
Keywords
- 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine
- Dyskinesia
- Parkinson's disease
ASJC Scopus subject areas
- Neurology
- Geriatrics and Gerontology
- Clinical Neurology