Movement Disorders (revue)

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Effects of a NR2B Selective NMDA Glutamate Antagonist, CP-101,606, on Dyskinesia and Parkinsonism

Identifieur interne : 001086 ( PascalFrancis/Corpus ); précédent : 001085; suivant : 001087

Effects of a NR2B Selective NMDA Glutamate Antagonist, CP-101,606, on Dyskinesia and Parkinsonism

Auteurs : John G. Nutt ; Steven A. Gunzler ; Trish Kirchhoff ; Penelope Hogarth ; Jerry L. Weaver ; Michael Krams ; Brenda Jamerson ; Frank S. Menniti ; Jaren W. Landen

Source :

RBID : Pascal:08-0522202

Descripteurs français

English descriptors

Abstract

Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double-blind, placebo-controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP-101,606, on the response to 2-hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP-101,606 reduced the maximum severity of levodopa-induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP-101,606 was associated with a dose-related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 23
A06       @2 13
A08 01  1  ENG  @1 Effects of a NR2B Selective NMDA Glutamate Antagonist, CP-101,606, on Dyskinesia and Parkinsonism
A11 01  1    @1 NUTT (John G.)
A11 02  1    @1 GUNZLER (Steven A.)
A11 03  1    @1 KIRCHHOFF (Trish)
A11 04  1    @1 HOGARTH (Penelope)
A11 05  1    @1 WEAVER (Jerry L.)
A11 06  1    @1 KRAMS (Michael)
A11 07  1    @1 JAMERSON (Brenda)
A11 08  1    @1 MENNITI (Frank S.)
A11 09  1    @1 LANDEN (Jaren W.)
A14 01      @1 Department of Neurology, Oregon Health and Science University @2 Portland, Oregon @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
A14 02      @1 Pfizer Global Research and Development @2 Groton, Connecticut @3 USA @Z 5 aut. @Z 6 aut. @Z 8 aut. @Z 9 aut.
A14 03      @1 VA Medical Center Geriatric Research, Education and Clinical Center and Department of Clinical Research, Campbell University School of Pharmacy @2 Morrisville, NC @3 USA @Z 7 aut.
A20       @1 1860-1866
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000184468160100
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 32 ref.
A47 01  1    @0 08-0522202
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double-blind, placebo-controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP-101,606, on the response to 2-hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP-101,606 reduced the maximum severity of levodopa-induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP-101,606 was associated with a dose-related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects.
C02 01  X    @0 002B17
C02 02  X    @0 002B02U01
C03 01  X  FRE  @0 Dyskinésie @5 01
C03 01  X  ENG  @0 Dyskinesia @5 01
C03 01  X  SPA  @0 Disquinesia @5 01
C03 02  X  FRE  @0 Parkinsonisme @2 NM @5 02
C03 02  X  ENG  @0 Parkinsonism @2 NM @5 02
C03 02  X  SPA  @0 Parkinson síndrome @2 NM @5 02
C03 03  X  FRE  @0 Maladie de Parkinson @2 NM @5 03
C03 03  X  ENG  @0 Parkinson disease @2 NM @5 03
C03 03  X  SPA  @0 Parkinson enfermedad @2 NM @5 03
C03 04  X  FRE  @0 Amnésie @5 04
C03 04  X  ENG  @0 Amnesia @5 04
C03 04  X  SPA  @0 Amnesia @5 04
C03 05  X  FRE  @0 Pathologie du système nerveux @5 05
C03 05  X  ENG  @0 Nervous system diseases @5 05
C03 05  X  SPA  @0 Sistema nervioso patología @5 05
C03 06  X  FRE  @0 NMDA @5 09
C03 06  X  ENG  @0 NMDA @5 09
C03 06  X  SPA  @0 NMDA @5 09
C03 07  X  FRE  @0 Glutamate @2 NK @2 FX @5 10
C03 07  X  ENG  @0 Glutamate @2 NK @2 FX @5 10
C03 07  X  SPA  @0 Glutamato @2 NK @2 FX @5 10
C03 08  X  FRE  @0 Lévodopa @2 NK @2 FR @5 11
C03 08  X  ENG  @0 Levodopa @2 NK @2 FR @5 11
C03 08  X  SPA  @0 Levodopa @2 NK @2 FR @5 11
C03 09  X  FRE  @0 Sousunité NR2B @4 INC @5 86
C07 01  X  FRE  @0 Aminoacide excitateur @5 37
C07 01  X  ENG  @0 Excitatory aminoacid @5 37
C07 01  X  SPA  @0 Aminoácido excitador @5 37
C07 02  X  FRE  @0 Neurotransmetteur @5 38
C07 02  X  ENG  @0 Neurotransmitter @5 38
C07 02  X  SPA  @0 Neurotransmisor @5 38
C07 03  X  FRE  @0 Syndrome extrapyramidal @5 39
C07 03  X  ENG  @0 Extrapyramidal syndrome @5 39
C07 03  X  SPA  @0 Extrapiramidal síndrome @5 39
C07 04  X  FRE  @0 Mouvement involontaire @5 40
C07 04  X  ENG  @0 Involuntary movement @5 40
C07 04  X  SPA  @0 Movimiento involuntario @5 40
C07 05  X  FRE  @0 Trouble neurologique @5 42
C07 05  X  ENG  @0 Neurological disorder @5 42
C07 05  X  SPA  @0 Trastorno neurológico @5 42
C07 06  X  FRE  @0 Pathologie de l'encéphale @5 43
C07 06  X  ENG  @0 Cerebral disorder @5 43
C07 06  X  SPA  @0 Encéfalo patología @5 43
C07 07  X  FRE  @0 Maladie dégénérative @5 44
C07 07  X  ENG  @0 Degenerative disease @5 44
C07 07  X  SPA  @0 Enfermedad degenerativa @5 44
C07 08  X  FRE  @0 Pathologie du système nerveux central @5 45
C07 08  X  ENG  @0 Central nervous system disease @5 45
C07 08  X  SPA  @0 Sistema nervosio central patología @5 45
C07 09  X  FRE  @0 Trouble de la mémoire @5 46
C07 09  X  ENG  @0 Memory disorder @5 46
C07 09  X  SPA  @0 Trastorno memoria @5 46
C07 10  X  FRE  @0 Trouble cognitif @5 47
C07 10  X  ENG  @0 Cognitive disorder @5 47
C07 10  X  SPA  @0 Trastorno cognitivo @5 47
N21       @1 343
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0522202 INIST
ET : Effects of a NR2B Selective NMDA Glutamate Antagonist, CP-101,606, on Dyskinesia and Parkinsonism
AU : NUTT (John G.); GUNZLER (Steven A.); KIRCHHOFF (Trish); HOGARTH (Penelope); WEAVER (Jerry L.); KRAMS (Michael); JAMERSON (Brenda); MENNITI (Frank S.); LANDEN (Jaren W.)
AF : Department of Neurology, Oregon Health and Science University/Portland, Oregon/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut.); Pfizer Global Research and Development/Groton, Connecticut/Etats-Unis (5 aut., 6 aut., 8 aut., 9 aut.); VA Medical Center Geriatric Research, Education and Clinical Center and Department of Clinical Research, Campbell University School of Pharmacy/Morrisville, NC/Etats-Unis (7 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 13; Pp. 1860-1866; Bibl. 32 ref.
LA : Anglais
EA : Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double-blind, placebo-controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP-101,606, on the response to 2-hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP-101,606 reduced the maximum severity of levodopa-induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP-101,606 was associated with a dose-related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects.
CC : 002B17; 002B02U01
FD : Dyskinésie; Parkinsonisme; Maladie de Parkinson; Amnésie; Pathologie du système nerveux; NMDA; Glutamate; Lévodopa; Sousunité NR2B
FG : Aminoacide excitateur; Neurotransmetteur; Syndrome extrapyramidal; Mouvement involontaire; Trouble neurologique; Pathologie de l'encéphale; Maladie dégénérative; Pathologie du système nerveux central; Trouble de la mémoire; Trouble cognitif
ED : Dyskinesia; Parkinsonism; Parkinson disease; Amnesia; Nervous system diseases; NMDA; Glutamate; Levodopa
EG : Excitatory aminoacid; Neurotransmitter; Extrapyramidal syndrome; Involuntary movement; Neurological disorder; Cerebral disorder; Degenerative disease; Central nervous system disease; Memory disorder; Cognitive disorder
SD : Disquinesia; Parkinson síndrome; Parkinson enfermedad; Amnesia; Sistema nervioso patología; NMDA; Glutamato; Levodopa
LO : INIST-20953.354000184468160100
ID : 08-0522202

Links to Exploration step

Pascal:08-0522202

Le document en format XML

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<div type="abstract" xml:lang="en">Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double-blind, placebo-controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP-101,606, on the response to 2-hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP-101,606 reduced the maximum severity of levodopa-induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP-101,606 was associated with a dose-related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects.</div>
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</fA11>
<fA11 i1="05" i2="1">
<s1>WEAVER (Jerry L.)</s1>
</fA11>
<fA11 i1="06" i2="1">
<s1>KRAMS (Michael)</s1>
</fA11>
<fA11 i1="07" i2="1">
<s1>JAMERSON (Brenda)</s1>
</fA11>
<fA11 i1="08" i2="1">
<s1>MENNITI (Frank S.)</s1>
</fA11>
<fA11 i1="09" i2="1">
<s1>LANDEN (Jaren W.)</s1>
</fA11>
<fA14 i1="01">
<s1>Department of Neurology, Oregon Health and Science University</s1>
<s2>Portland, Oregon</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Pfizer Global Research and Development</s1>
<s2>Groton, Connecticut</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>VA Medical Center Geriatric Research, Education and Clinical Center and Department of Clinical Research, Campbell University School of Pharmacy</s1>
<s2>Morrisville, NC</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA20>
<s1>1860-1866</s1>
</fA20>
<fA21>
<s1>2008</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>20953</s2>
<s5>354000184468160100</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2008 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>32 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>08-0522202</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Movement disorders</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double-blind, placebo-controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP-101,606, on the response to 2-hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP-101,606 reduced the maximum severity of levodopa-induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP-101,606 was associated with a dose-related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B02U01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Dyskinésie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Dyskinesia</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Disquinesia</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Parkinsonisme</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Parkinsonism</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Parkinson síndrome</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Maladie de Parkinson</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Parkinson enfermedad</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Amnésie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Amnesia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Amnesia</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>NMDA</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>NMDA</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>NMDA</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Glutamate</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Glutamate</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Glutamato</s0>
<s2>NK</s2>
<s2>FX</s2>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Lévodopa</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Levodopa</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Levodopa</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Sousunité NR2B</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Aminoacide excitateur</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Excitatory aminoacid</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Aminoácido excitador</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Neurotransmetteur</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Neurotransmitter</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Neurotransmisor</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Trouble de la mémoire</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Memory disorder</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Trastorno memoria</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Trouble cognitif</s0>
<s5>47</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Cognitive disorder</s0>
<s5>47</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Trastorno cognitivo</s0>
<s5>47</s5>
</fC07>
<fN21>
<s1>343</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 08-0522202 INIST</NO>
<ET>Effects of a NR2B Selective NMDA Glutamate Antagonist, CP-101,606, on Dyskinesia and Parkinsonism</ET>
<AU>NUTT (John G.); GUNZLER (Steven A.); KIRCHHOFF (Trish); HOGARTH (Penelope); WEAVER (Jerry L.); KRAMS (Michael); JAMERSON (Brenda); MENNITI (Frank S.); LANDEN (Jaren W.)</AU>
<AF>Department of Neurology, Oregon Health and Science University/Portland, Oregon/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut.); Pfizer Global Research and Development/Groton, Connecticut/Etats-Unis (5 aut., 6 aut., 8 aut., 9 aut.); VA Medical Center Geriatric Research, Education and Clinical Center and Department of Clinical Research, Campbell University School of Pharmacy/Morrisville, NC/Etats-Unis (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 13; Pp. 1860-1866; Bibl. 32 ref.</SO>
<LA>Anglais</LA>
<EA>Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double-blind, placebo-controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP-101,606, on the response to 2-hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP-101,606 reduced the maximum severity of levodopa-induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP-101,606 was associated with a dose-related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects.</EA>
<CC>002B17; 002B02U01</CC>
<FD>Dyskinésie; Parkinsonisme; Maladie de Parkinson; Amnésie; Pathologie du système nerveux; NMDA; Glutamate; Lévodopa; Sousunité NR2B</FD>
<FG>Aminoacide excitateur; Neurotransmetteur; Syndrome extrapyramidal; Mouvement involontaire; Trouble neurologique; Pathologie de l'encéphale; Maladie dégénérative; Pathologie du système nerveux central; Trouble de la mémoire; Trouble cognitif</FG>
<ED>Dyskinesia; Parkinsonism; Parkinson disease; Amnesia; Nervous system diseases; NMDA; Glutamate; Levodopa</ED>
<EG>Excitatory aminoacid; Neurotransmitter; Extrapyramidal syndrome; Involuntary movement; Neurological disorder; Cerebral disorder; Degenerative disease; Central nervous system disease; Memory disorder; Cognitive disorder</EG>
<SD>Disquinesia; Parkinson síndrome; Parkinson enfermedad; Amnesia; Sistema nervioso patología; NMDA; Glutamato; Levodopa</SD>
<LO>INIST-20953.354000184468160100</LO>
<ID>08-0522202</ID>
</server>
</inist>
</record>

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