Pramipexole combined with levodopa improves motor function but reduces dyskinesia in MPTP‐treated common marmosets
Identifieur interne : 001161 ( Istex/Corpus ); précédent : 001160; suivant : 001162Pramipexole combined with levodopa improves motor function but reduces dyskinesia in MPTP‐treated common marmosets
Auteurs : Kayhan A. Tayarani-Binazir ; Michael J. Jackson ; Sarah Rose ; C. Warren Olanow ; Peter JennerSource :
- Movement Disorders [ 0885-3185 ] ; 2010-02-15.
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- KwdEn :
Abstract
Reduced expression of dyskinesia is observed in levodopa‐primed MPTP‐treated common marmosets when dopamine agonists are used to replace levodopa. We now investigate whether a combination of the D‐2/D‐3 agonist pramipexole and levodopa also reduces dyskinesia intensity while maintaining the reversal of motor disability. Drug naïve, non‐dyskinetic MPTP‐treated common marmosets were treated daily for up to 62 days with levodopa (12.5 mg/kg plus carbidopa 12.5 mg/kg p.o. BID) or pramipexole (0.04–0.3 mg/kg BID) producing equivalent reversal of motor disability and increases in locomotor activity. Levodopa alone resulted in marked dyskinesia induction but little or no dyskinesia resulted from the administration of pramipexole. From day 36, some animals were treated with a combination of levodopa (3.125–6.25 mg/kg plus carbidopa 12.5 mg/kg p.o. BID) and pramipexole (0.1–0.2 mg/kg p.o. SID). This improved motor disability to a greater extent than occurred with levodopa alone. Importantly, while dyskinesia was greater than that produced by pramipexole alone, the combination resulted in less intense dyskinesia than produced by levodopa alone. These results suggest that pramipexole could be administered with a reduced dose of levodopa to minimize dyskinesia in Parkinson's disease while maintaining therapeutic efficacy. © 2010 Movement Disorder Society
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DOI: 10.1002/mds.22960
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<affiliationGroup><affiliation xml:id="af1" countryCode="GB" type="organization"><unparsedAffiliation>Neurodegenerative Diseases Research Centre, School of Health and Biomedical Sciences, King's College London, London, United Kingdom</unparsedAffiliation>
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<affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Department of Neurology, Mount Sinai School of Medicine, New York, New York, USA</unparsedAffiliation>
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‐dopa</keyword>
<keyword xml:id="kwd3">motor disability</keyword>
<keyword xml:id="kwd4">dyskinesia</keyword>
<keyword xml:id="kwd5">MPTP</keyword>
<keyword xml:id="kwd6">primate</keyword>
<keyword xml:id="kwd7">Parkinson's disease</keyword>
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p>Reduced expression of dyskinesia is observed in levodopa‐primed MPTP‐treated common marmosets when dopamine agonists are used to replace levodopa. We now investigate whether a combination of the D‐2/D‐3 agonist pramipexole and levodopa also reduces dyskinesia intensity while maintaining the reversal of motor disability. Drug naïve, non‐dyskinetic MPTP‐treated common marmosets were treated daily for up to 62 days with levodopa (12.5 mg/kg plus carbidopa 12.5 mg/kg p.o. BID) or pramipexole (0.04–0.3 mg/kg BID) producing equivalent reversal of motor disability and increases in locomotor activity. Levodopa alone resulted in marked dyskinesia induction but little or no dyskinesia resulted from the administration of pramipexole. From day 36, some animals were treated with a combination of levodopa (3.125–6.25 mg/kg plus carbidopa 12.5 mg/kg p.o. BID) and pramipexole (0.1–0.2 mg/kg p.o. SID). This improved motor disability to a greater extent than occurred with levodopa alone. Importantly, while dyskinesia was greater than that produced by pramipexole alone, the combination resulted in less intense dyskinesia than produced by levodopa alone. These results suggest that pramipexole could be administered with a reduced dose of levodopa to minimize dyskinesia in Parkinson's disease while maintaining therapeutic efficacy. © 2010 Movement Disorder Society</p>
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<noteGroup><note xml:id="fn1"><p>Potential conflict of interest: None reported.</p>
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<!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Pramipexole combined with levodopa improves motor function but reduces dyskinesia in MPTP‐treated common marmosets</title>
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<titleInfo type="abbreviated" lang="en"><title>Pramipexole Combined with L‐Dopa</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Pramipexole combined with levodopa improves motor function but reduces dyskinesia in MPTP‐treated common marmosets</title>
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<name type="personal"><namePart type="given">Kayhan A.</namePart>
<namePart type="family">Tayarani‐Binazir</namePart>
<namePart type="termsOfAddress">BSc</namePart>
<affiliation>Neurodegenerative Diseases Research Centre, School of Health and Biomedical Sciences, King's College London, London, United Kingdom</affiliation>
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<name type="personal"><namePart type="given">Michael J.</namePart>
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<affiliation>Neurodegenerative Diseases Research Centre, School of Health and Biomedical Sciences, King's College London, London, United Kingdom</affiliation>
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<name type="personal"><namePart type="given">Sarah</namePart>
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<affiliation>Neurodegenerative Diseases Research Centre, School of Health and Biomedical Sciences, King's College London, London, United Kingdom</affiliation>
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<name type="personal"><namePart type="given">C. Warren</namePart>
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<affiliation>Department of Neurology, Mount Sinai School of Medicine, New York, New York, USA</affiliation>
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<name type="personal"><namePart type="given">Peter</namePart>
<namePart type="family">Jenner</namePart>
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<affiliation>Neurodegenerative Diseases Research Centre, School of Health and Biomedical Sciences, King's College London, London, United Kingdom</affiliation>
<description>Correspondence: School of Biomedical Health and Sciences, King's College London, London SE1 1UL, United Kingdom===</description>
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<abstract lang="en">Reduced expression of dyskinesia is observed in levodopa‐primed MPTP‐treated common marmosets when dopamine agonists are used to replace levodopa. We now investigate whether a combination of the D‐2/D‐3 agonist pramipexole and levodopa also reduces dyskinesia intensity while maintaining the reversal of motor disability. Drug naïve, non‐dyskinetic MPTP‐treated common marmosets were treated daily for up to 62 days with levodopa (12.5 mg/kg plus carbidopa 12.5 mg/kg p.o. BID) or pramipexole (0.04–0.3 mg/kg BID) producing equivalent reversal of motor disability and increases in locomotor activity. Levodopa alone resulted in marked dyskinesia induction but little or no dyskinesia resulted from the administration of pramipexole. From day 36, some animals were treated with a combination of levodopa (3.125–6.25 mg/kg plus carbidopa 12.5 mg/kg p.o. BID) and pramipexole (0.1–0.2 mg/kg p.o. SID). This improved motor disability to a greater extent than occurred with levodopa alone. Importantly, while dyskinesia was greater than that produced by pramipexole alone, the combination resulted in less intense dyskinesia than produced by levodopa alone. These results suggest that pramipexole could be administered with a reduced dose of levodopa to minimize dyskinesia in Parkinson's disease while maintaining therapeutic efficacy. © 2010 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: None reported.</note>
<subject lang="en"><genre>Keywords</genre>
<topic>pramipexole</topic>
<topic>L‐dopa</topic>
<topic>motor disability</topic>
<topic>dyskinesia</topic>
<topic>MPTP</topic>
<topic>primate</topic>
<topic>Parkinson's disease</topic>
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<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
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<titleInfo type="abbreviated"><title>Mov. Disord.</title>
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<subject><genre>article category</genre>
<topic>Research Article</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2010</date>
<detail type="volume"><caption>vol.</caption>
<number>25</number>
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<detail type="issue"><caption>no.</caption>
<number>3</number>
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<extent unit="pages"><start>377</start>
<end>384</end>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 Movement Disorder Society</accessCondition>
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