Movement Disorders (revue)

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Effect of kynurenine 3‐hydroxylase inhibition on the dyskinetic and antiparkinsonian responses to levodopa in parkinsonian monkeys

Identifieur interne : 000934 ( Istex/Curation ); précédent : 000933; suivant : 000935

Effect of kynurenine 3‐hydroxylase inhibition on the dyskinetic and antiparkinsonian responses to levodopa in parkinsonian monkeys

Auteurs : Pershia Samadi [Canada] ; Laurent Grégoire [Canada] ; Arash Rassoulpour [États-Unis] ; Paolo Guidetti [États-Unis] ; Emanuela Izzo [Italie] ; Robert Schwarcz [États-Unis] ; Paul J. Bédard [Canada]

Source :

RBID : ISTEX:256B7C33FBCE6776065D822ED459000FF7F568DA

English descriptors

Abstract

Homeostatic interactions between dopamine and glutamate are central to the normal physiology of the basal ganglia. This relationship is altered in Parkinsonism and in levodopa‐induced dyskinesias (LID), resulting in an upregulation of corticostriatal glutamatergic function. Kynurenic acid (KYNA), a tryptophan metabolite with antagonist activity at ionotropic glutamate receptors and the capability to inhibit glutamate release presynaptically, might therefore be of therapeutic value in LID. To evaluate this hypothesis, we used a pharmacological tool, the kynurenine 3‐hydroxylase inhibitor Ro 61‐8048, which raises KYNA levels acutely. Ro 61‐8048 was tested in MPTP cynomolgus monkeys with a stable parkinsonian syndrome and reproducible dyskinesias after each dose of levodopa. Serum and CSF concentrations of KYNA and its precursor kynurenine increased dose‐dependently after Ro 61‐8048 administration, alone or in combination with levodopa. Coadministration of Ro 61‐8048 with levodopa produced a moderate but significant reduction in the severity of dyskinesias while maintaining the motor benefit. These results suggest that elevation of KYNA levels through inhibition of kynurenine 3‐hydroxylase constitutes a promising novel approach for managing LID in Parkinson's disease. © 2005 Movement Disorder Society

Url:
DOI: 10.1002/mds.20596

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ISTEX:256B7C33FBCE6776065D822ED459000FF7F568DA

Le document en format XML

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<div type="abstract" xml:lang="en">Homeostatic interactions between dopamine and glutamate are central to the normal physiology of the basal ganglia. This relationship is altered in Parkinsonism and in levodopa‐induced dyskinesias (LID), resulting in an upregulation of corticostriatal glutamatergic function. Kynurenic acid (KYNA), a tryptophan metabolite with antagonist activity at ionotropic glutamate receptors and the capability to inhibit glutamate release presynaptically, might therefore be of therapeutic value in LID. To evaluate this hypothesis, we used a pharmacological tool, the kynurenine 3‐hydroxylase inhibitor Ro 61‐8048, which raises KYNA levels acutely. Ro 61‐8048 was tested in MPTP cynomolgus monkeys with a stable parkinsonian syndrome and reproducible dyskinesias after each dose of levodopa. Serum and CSF concentrations of KYNA and its precursor kynurenine increased dose‐dependently after Ro 61‐8048 administration, alone or in combination with levodopa. Coadministration of Ro 61‐8048 with levodopa produced a moderate but significant reduction in the severity of dyskinesias while maintaining the motor benefit. These results suggest that elevation of KYNA levels through inhibition of kynurenine 3‐hydroxylase constitutes a promising novel approach for managing LID in Parkinson's disease. © 2005 Movement Disorder Society</div>
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