Pramipexole (PPX[ is currently being evaluated for treatment of schizophrenia and Parkinson's disease. In studies with cloned subtypes of the dopamine (DA[ D 2 receptor subfamily, PPX has higher affinity for the D 3 compared to the D 2 and D 4 subtypes; unlike 7-[ 3H]hydroxy- N,N-di-n-propyl-2-aminotetralin (7-OH-DPAT[, it does not bind to sigma sites. Receptor binding autoradiography with [ 3H]PPX (5 nM, 62 Ci/mmol) was used to evaluate the distribution of PPX binding sites within the rat brain. Consistent with its preference for D 3-binding sites, the highest concentrations of [ 3H]PPX binding sites were found in the islets of Calleja (ICj), previously reported to contain D 3 but not D 2 or D 4 mRNA. [ 3H]PPX binding was also high in other mesolimbic areas such as the nucleus accumbens (N. accum), olfactory tubercle, and amygdala. [ 3H]PPX binding was also high in caudate (Cd), although slightly less than in mesolimbic areas. Less [ 3H]PPX binding sites were found in ventral tegmental area (VTA) and substantia nigra, areas rich in cell bodies for DA neurons. Thus, although PPX most potently stimulates DA autoreceptors, PPX binding sites have their highest concentrations in projection areas containing both DA terminal and postsynaptic receptors. Because of PPX's preferential affinity for the D 3 receptor subtype and its resultant high mesolimbic binding, it could have a unique therapeutic profile for treatment of psychiatric and/or neurological diseases.
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