Naloxone reduces levodopa-induced dyskinesias and apomorphine-induced rotations in primate models of parkinsonism

J Neural Transm (Vienna). 2002 Oct;109(10):1295-307. doi: 10.1007/s00702-002-0715-6.

Abstract

Using in situ hybridization, it was found that subchronic treatment with levodopa/benserazide increased preproenkephalin-A and preproenkephalin-B mRNAs in the dopamine-depleted striatum. In order to examine whether dysfunction of the endogenous opioid system may underlie the development of levodopa-induced dyskinesias, the effect of naloxone, an opioid antagonist, on dyskinesias was investigated in two models of parkinsonism in the common marmoset. MPTP-treated monkeys were administered a daily oral dose of levodopa/benserazide which relieved the parkinsonian symptoms but induced severe and reproducible dyskinetic movements. Naloxone (0.1, 0.2 or 0.5 mg/kg) was given subcutaneously (s.c.) during peak-dose dyskinesia, which reduced the dyskinesias significantly using the highest dose, normalized the motor activity, but did not modify the antiparkinson effect. Unilaterally 6-OHDA -lesioned marmosets received apomorphine s.c., which caused a contralateral turning behavior that could be reduced up to 35 percent by concomitant administration of naloxone. Taken together the present results suggest a possible role for the endogenous opioid system in the pathogenesis of levodopa-induced dyskinesia in primates.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine
  • Animals
  • Benserazide / pharmacology
  • Callithrix
  • Dopamine / physiology
  • Dopamine Agents / pharmacology
  • Dopamine Antagonists / toxicity*
  • Dyskinesia, Drug-Induced / prevention & control*
  • Dyskinesia, Drug-Induced / psychology
  • Enkephalins / biosynthesis
  • Female
  • In Situ Hybridization
  • Levodopa / antagonists & inhibitors
  • Levodopa / toxicity*
  • Male
  • Motor Activity / drug effects
  • Naloxone / pharmacology*
  • Narcotic Antagonists / pharmacology*
  • Oxidopamine
  • Parkinson Disease, Secondary / chemically induced
  • Parkinson Disease, Secondary / physiopathology*
  • Parkinson Disease, Secondary / psychology
  • Protein Precursors / biosynthesis
  • RNA / biosynthesis
  • Rotation
  • Stereotyped Behavior / drug effects*
  • Sympathectomy, Chemical

Substances

  • Dopamine Agents
  • Dopamine Antagonists
  • Enkephalins
  • Narcotic Antagonists
  • Protein Precursors
  • Naloxone
  • Levodopa
  • RNA
  • Benserazide
  • Oxidopamine
  • preproenkephalin
  • 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine
  • Dopamine