Drug treatments to reduce excitotoxicity in vivo: a potential for alpha2-adrenoceptor antagonists?

Amino Acids. 2000;19(1):239-52. doi: 10.1007/s007260070055.

Abstract

It is hypothesized that the locus coeruleus-noradrenergic system controls compensatory and repair mechanisms in the CNS, and that its dysfunction is a critical factor in the progression of central neurodegenerative diseases. Pharmacological activation of locus coeruleus neurons can be achieved with alpha2-adrenoceptor antagonists, and such compounds are protective in vivo in some models of brain injury where excitotoxicity is thought to be a causative factor. To further explore this neuroprotective potential, the effects of a 7-day treatment with the alpha2-antagonists, (+)-efaroxan and (+/-)-idazoxan, were evaluated in rats undergoing a unilateral lesioning of the striatum with the excitotoxin, quinolinic acid. The alpha2-antagonist treatments reduced both the ipsiversive circling response to apomorphine and the deficit of choline acetyltransferase in the lesioned animals. To elucidate the mechanisms underlying this neuroprotective effect, a modulation of the extracellular levels of amino acids within the striatum was investigated using in vivo microdialysis. Intrastriatal injection of quinolinic acid increased taurine and tyrosine levels by 2-2.5 fold, while most other amino acids were not significantly altered; the effect of (+)-efaroxan on these changes is being investigated. Further research is required to identify which of several possible mechanisms is involved in the neuroprotective action of alpha2-antagonists in vivo.

MeSH terms

  • Adrenergic alpha-2 Receptor Antagonists*
  • Adrenergic alpha-Antagonists / pharmacology*
  • Animals
  • Behavior, Animal / drug effects
  • Benzofurans / pharmacology
  • Corpus Striatum / drug effects*
  • Corpus Striatum / metabolism
  • Idazoxan / pharmacology
  • Imidazoles / pharmacology
  • Male
  • Microdialysis
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Adrenergic alpha-2 Receptor Antagonists
  • Adrenergic alpha-Antagonists
  • Benzofurans
  • Imidazoles
  • efaroxan
  • Idazoxan