La maladie de Parkinson au Canada (serveur d'exploration)

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Changes of GABA receptors and dopamine turnover in the postmortem brains of parkinsonians with levodopa-induced motor complications

Identifieur interne : 002F48 ( Main/Exploration ); précédent : 002F47; suivant : 002F49

Changes of GABA receptors and dopamine turnover in the postmortem brains of parkinsonians with levodopa-induced motor complications

Auteurs : Frédéric Calon [Canada] ; Marc Morissette [Canada] ; Ali H. Rajput [Canada] ; Oleh Hornykiewicz [Canada, Autriche] ; Paul J. Bedard [Canada] ; Thérèse Di Paolo [Canada]

Source :

RBID : Pascal:03-0238134

Descripteurs français

English descriptors

Abstract

Brain samples from 14 Parkinson's disease patients, 10 of whom developed motor complications (dyskinesias and/or wearing-off) on dopaminomimetic therapy, and 11 controls were analyzed. Striatal 3β-(4-125I-iodophenyl)tropane-2β-carboxylic acid isopropyl ester ([125I]RTI-121)-specific binding to dopamine transporter and concentration of dopamine were markedly decreased, but no association between level of denervation and development of motor complications was observed. The homovanillic acid/dopamine ratio of concentrations was higher in putamen of patients with wearing-off compared to those without. Striatal 35S-labeled t-butylbicyclophosphorothionate ([35S]TBPS) and [3H]flunitrazepam binding to GABAA receptors were unchanged in patients with Parkinsons disease, whereas [125I]CGP 64213 -specific binding to GABAB receptors was decreased in the putamen and external segment of the globus pallidus of parkinsonian patients compared with controls. [3H]Flunitrazepam binding was increased in the putamen of patients with wearing-off compared to those without. [35S]TBPS-specific binding was increased in the ventral internal globus pallidus of dyskinetic subjects. These data suggest altered dopamine metabolism and increased GABAA receptors in the putamen related to the pathophysiology of wearing-off. The present results also suggest that an up-regulation of GABAA receptors in the internal globus pallidus is linked to the pathogenesis of levodopa-induced dyskinesias.


Affiliations:


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Le document en format XML

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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Antiparkinson Agents (adverse effects)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Antiparkinson agent</term>
<term>Autoradiography</term>
<term>Biological transport</term>
<term>Brain (metabolism)</term>
<term>Case-Control Studies</term>
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<term>Female</term>
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<term>Human</term>
<term>Humans</term>
<term>Levodopa</term>
<term>Levodopa (adverse effects)</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Mechanism of action</term>
<term>Metabolism</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (metabolism)</term>
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<term>Postmortem Changes</term>
<term>Receptors, GABA (metabolism)</term>
<term>Receptors, GABA-A (metabolism)</term>
<term>Receptors, GABA-B (metabolism)</term>
<term>Toxicity</term>
<term>Treatment</term>
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<term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<term>Dopamine</term>
<term>Receptors, GABA</term>
<term>Receptors, GABA-A</term>
<term>Receptors, GABA-B</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antiparkinson Agents</term>
<term>Levodopa</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Brain</term>
<term>Dyskinesia, Drug-Induced</term>
<term>Globus Pallidus</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Dyskinesia, Drug-Induced</term>
</keywords>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Parkinson maladie</term>
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<term>Autoradiographie</term>
<term>Dopamine</term>
<term>Transport biologique</term>
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<div type="abstract" xml:lang="en">Brain samples from 14 Parkinson's disease patients, 10 of whom developed motor complications (dyskinesias and/or wearing-off) on dopaminomimetic therapy, and 11 controls were analyzed. Striatal 3β-(4-
<sup>125</sup>
I-iodophenyl)tropane-2β-carboxylic acid isopropyl ester ([
<sup>125</sup>
I]RTI-121)-specific binding to dopamine transporter and concentration of dopamine were markedly decreased, but no association between level of denervation and development of motor complications was observed. The homovanillic acid/dopamine ratio of concentrations was higher in putamen of patients with wearing-off compared to those without. Striatal
<sup>35</sup>
S-labeled t-butylbicyclophosphorothionate ([
<sup>35</sup>
S]TBPS) and [
<sup>3</sup>
H]flunitrazepam binding to GABA
<sub>A</sub>
receptors were unchanged in patients with Parkinsons disease, whereas [
<sup>125</sup>
I]CGP 64213 -specific binding to GABA
<sub>B</sub>
receptors was decreased in the putamen and external segment of the globus pallidus of parkinsonian patients compared with controls. [
<sup>3</sup>
H]Flunitrazepam binding was increased in the putamen of patients with wearing-off compared to those without. [
<sup>35</sup>
S]TBPS-specific binding was increased in the ventral internal globus pallidus of dyskinetic subjects. These data suggest altered dopamine metabolism and increased GABA
<sub>A</sub>
receptors in the putamen related to the pathophysiology of wearing-off. The present results also suggest that an up-regulation of GABA
<sub>A</sub>
receptors in the internal globus pallidus is linked to the pathogenesis of levodopa-induced dyskinesias.</div>
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