Movement Disorders (revue)

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Nicotine reduces established L-dopa-induced dyskinesias in a monkey model of Parkinson’s disease

Identifieur interne : 000885 ( Main/Exploration ); précédent : 000884; suivant : 000886

Nicotine reduces established L-dopa-induced dyskinesias in a monkey model of Parkinson’s disease

Auteurs : Maryka Quik ; Archana Mallela ; Jason Ly ; Danhui Zhang

Source :

RBID : PMC:3787977

English descriptors

Abstract

Background

Although 3,4-dihydroxyphenylalanine (L-dopa) is the gold-standard treatment for Parkinson’s disease, it can lead to disabling dyskinesias. Previous work showed that nicotine reduces L-dopa-induced dyskinesias (LIDs) in several parkinsonian animal models. The goal of this study was to determine if the time of nicotine administration affected its ability to reduce LIDs in L-dopa-primed and L-dopa naïve monkeys, and also to test if tolerance developed to nicotine’s beneficial effects.

Methods

Monkeys were injected with MPTP (1.9–2.0 mg/kg sc) over 3–5 months until parkinsonian. Nicotine (300 μg/ml) was administered in drinking water (4–6 months) to L-dopa-primed or L-dopa-naïve monkeys, with L-dopa/carbidopa (10/2.5 mg/kg) gavaged twice daily.

Results

One set of MPTP-lesioned monkeys (n=23) was first gavaged with L-dopa and subsequently given nicotine 4 wk later when dyskinesias have plateaud or 8 wk later when dyskinesias are established. A 60–70% decrease in LIDs was observed after several weeks of nicotine treatment in both groups. A second set of monkeys (n=26) was given nicotine 8 or 2 weeks before L-dopa. In the 8 week nicotine pretreatment group, there was an immediate reduction in LIDs, which plateaud at 60–70%. In the 2 week nicotine pretreatment group, there were initial small decreases in LIDs, which plateaud at 60–70% several weeks later. Thus, nicotine pre- and post-treatment was similarly efficacious in reducing LIDs. The beneficial effect of nicotine persisted throughout the study (17–23 weeks). Nicotine did not worsen parkinsonism.

Conclusion

These data suggest that nicotine treatment has potential as a successful antidyskinetic therapy for Parkinson’s disease patients.


Url:
DOI: 10.1002/mds.25594
PubMed: 23836409
PubMed Central: 3787977


Affiliations:


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<name sortKey="Zhang, Danhui" sort="Zhang, Danhui" uniqKey="Zhang D" first="Danhui" last="Zhang">Danhui Zhang</name>
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<term>Cotinine (blood)</term>
<term>Data Interpretation, Statistical</term>
<term>Dyskinesia, Drug-Induced (drug therapy)</term>
<term>Female</term>
<term>Levodopa</term>
<term>MPTP Poisoning (drug therapy)</term>
<term>Male</term>
<term>Nicotine (therapeutic use)</term>
<term>Nicotinic Agonists (therapeutic use)</term>
<term>Parkinson Disease, Secondary (chemically induced)</term>
<term>Parkinson Disease, Secondary (drug therapy)</term>
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<term>Nicotine</term>
<term>Nicotinic Agonists</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Anti-Dyskinesia Agents</term>
<term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en">
<term>Parkinson Disease, Secondary</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Dyskinesia, Drug-Induced</term>
<term>MPTP Poisoning</term>
<term>Parkinson Disease, Secondary</term>
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<title>Background</title>
<p id="P1">Although 3,4-dihydroxyphenylalanine (L-dopa) is the gold-standard treatment for Parkinson’s disease, it can lead to disabling dyskinesias. Previous work showed that nicotine reduces L-dopa-induced dyskinesias (LIDs) in several parkinsonian animal models. The goal of this study was to determine if the time of nicotine administration affected its ability to reduce LIDs in L-dopa-primed and L-dopa naïve monkeys, and also to test if tolerance developed to nicotine’s beneficial effects.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Monkeys were injected with MPTP (1.9–2.0 mg/kg sc) over 3–5 months until parkinsonian. Nicotine (300 μg/ml) was administered in drinking water (4–6 months) to L-dopa-primed or L-dopa-naïve monkeys, with L-dopa/carbidopa (10/2.5 mg/kg) gavaged twice daily.</p>
</sec>
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<title>Results</title>
<p id="P3">One set of MPTP-lesioned monkeys (n=23) was first gavaged with L-dopa and subsequently given nicotine 4 wk later when dyskinesias have plateaud or 8 wk later when dyskinesias are established. A 60–70% decrease in LIDs was observed after several weeks of nicotine treatment in both groups. A second set of monkeys (n=26) was given nicotine 8 or 2 weeks before L-dopa. In the 8 week nicotine pretreatment group, there was an immediate reduction in LIDs, which plateaud at 60–70%. In the 2 week nicotine pretreatment group, there were initial small decreases in LIDs, which plateaud at 60–70% several weeks later. Thus, nicotine pre- and post-treatment was similarly efficacious in reducing LIDs. The beneficial effect of nicotine persisted throughout the study (17–23 weeks). Nicotine did not worsen parkinsonism.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">These data suggest that nicotine treatment has potential as a successful antidyskinetic therapy for Parkinson’s disease patients.</p>
</sec>
</div>
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