ObjectiveTo determine the effect of combined allosteric and orthosteric activation of metabotropic glutamate 2 (mGlu2) receptors on L‐3,4‐dihydroxyphenylalanine (L‐DOPA)‐induced psychosis‐like behaviours (PLBs) and dyskinesia in the 1‐methyl‐4‐phenyl‐1,2,3,6‐tetrahydropyridine (MPTP)‐lesioned marmoset model of Parkinson's disease (PD).BackgroundWe have previously demonstrated that activation of mGlu2 receptors via positive allosteric modulation with LY‐487,379 or orthosteric stimulation with LY‐354,740 alleviates PLBs and dyskinesia in experimental parkinsonism. Here, we seek to determine if synergy ensues when mGlu2 positive allosteric modulation and orthosteric stimulation are combined, in the MPTP‐lesioned marmoset.MethodsSix common marmosets were rendered parkinsonian by MPTP injection. Following repeated administration of L‐DOPA/benserazide (L‐DOPA) to elicit stable PLBs and dyskinesia, they were administered acute challenges of LY‐487,379 (1 mg/kg), LY‐354,740 (1 mg/kg), LY‐487,379/LY‐354,740 (each 1 mg/kg) or vehicle, in combination with L‐DOPA, after which the severity of each of PLBs, dyskinesia and parkinsonian disability was rated.ResultsLY‐487,379, LY‐354,740 and LY‐487,379/LY‐354,740 each significantly reduced the severity of the global dyskinesia score, by ≈ 42%, 55% and 64% (each P < 0.001), when compared to L‐DOPA/vehicle. The combination LY‐487,379/LY‐354,740 was significantly more effective than either treatment alone (both P < 0.05). The severity of the global PLB score was also significantly reduced by each of LY‐487,379, LY‐354,740 and LY‐487,379/LY‐354,740, by ≈ 51%, 44% and 56% (each P < 0.001), when compared to L‐DOPA/vehicle. The combination LY‐487,379/LY‐354,740 was significantly more effective than LY‐487,379 (P < 0.01), but not LY‐354,740 (P > 0.05). The benefits on dyskinesia and PLBs were achieved without compromising the therapeutic effect of L‐DOPA on parkinsonism.ConclusionsOur results confirm mGlu2 activation, via both positive allosteric modulation and orthosteric stimulation, is a promising strategy to reduce dyskinesia and psychosis in PD. Moreover, they suggest that the combination of a positive allosteric modulator and an orthosteric agonist may lead to a synergistic effect, thereby providing greater anti‐dyskinetic and anti‐psychotic effects.Support or Funding InformationFonds de Recherche Québec ‐ Santé, Natural Sciences and Engineering Research Council of Canada, Parkinson Canada, Weston Brain Institute, Michael J Fox Foundation for Parkinson's Research, Healthy Brains for Healthy Lives.This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.