Abstract

l-DOPA-induced dyskinesia is a common side effect developed after chronic treatment with 3,4-dihydroxyphenyl-l-alanine (l-DOPA) in Parkinson's disease. The biological mechanisms behind this side effect are not fully comprehended although involvement of dopaminergic, serotonergic, and glutamatergic systems has been suggested. The present study utilizes in vivo amperometry to investigate the impact from unilateral 6-hydroxydopamine lesions and l-DOPA (4 mg/kg, including benserazide 15 mg/kg) -induced dyskinetic behavior on striatal basal extracellular glutamate concentration and potassium-evoked glutamate release in urethane-anesthetized rats. Recordings were performed before and after local l-DOPA application in the striatum. In addition, effects from the 5-HT1A receptor agonist (2R)-(+)-8-hydroxy-2-(di-n-propylamino)tetralin hydrobromide (8-OHDPAT; 1 mg/kg) was assessed on glutamate release and on dyskinetic behavior. The results revealed a bilateral ∼30% reduction of basal extracellular glutamate concentration and attenuated potassium-evoked glutamate release after a unilateral dopamine-depletion in l-DOPA naïve animals. In dyskinetic subjects, basal glutamate concentration was comparable to normal controls, although potassium-evoked glutamate release was reduced to similar levels as in drug naïve dopamine-lesioned animals. Furthermore, acute striatal l-DOPA administration attenuated glutamate release in all groups, except in the dopamine-lesioned striatum of dyskinetic animals. Co-administration of 8-OHDPAT and l-DOPA decreased dyskinesia in dopamine-lesioned animals, but did not affect potassium-evoked glutamate release, which was seen in normal animals. These findings indicate altered glutamate transmission upon dopamine-depletion and dyskinesia.

Highlights

  • Patients with Parkinson’s disease are treated with 3,4-dihydroxyphenyl-L-alanine (L-DOPA) in order to improve motor function

  • Striatal basal glutamate concentration and release were quantified utilizing in vivo amperometry with focus on effects from a unilateral dopamine lesion and subsequent L-DOPA treatment as well as the impact from 5-HT1A receptor activation

  • Acute administration of L-DOPA reduced striatal glutamate release in normal and dopamine-lesioned drug naıve animals, while no effect was found in the dopamine-lesioned striatum of dyskinetic animals

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Summary

Introduction

Patients with Parkinson’s disease are treated with 3,4-dihydroxyphenyl-L-alanine (L-DOPA) in order to improve motor function. It has further been proposed that dopamine release from 5-HT nerve terminals in the dopamine-lesioned striatum would give rise to fluctuating striatal dopamine levels and result in pulsatile postsynaptic receptor stimulation and the development of LID In line with this hypothesis, it has been demonstrated that lesion of the 5-HT system or decreased 5-HT neuron activity via autoreceptor activation attenuates dyskinetic behavior in animal models of LID [10,11]. Chronic L-DOPA treatment decreases 5-HT and 5-HT metabolite levels in several brain areas [17] These observations raise the question whether it is the dopamine derived from 5-HT neurons that gives rise to LID, or if it might be dysmodulation of the 5-HT system

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