Neuroprotective effect of L-DOPA co-administered with the adenosine A2A receptor agonist CGS 21680 in an animal model of Parkinson's disease

Brain Res Bull. 2004 Aug 30;64(2):155-64. doi: 10.1016/j.brainresbull.2004.06.003.

Abstract

Adenosine A2A receptors are a new target for drug development in Parkinson's disease. Some experimental and clinical data suggest that A2A receptor antagonists can provide symptomatic improvement by potentiating the effects of L-DOPA as well as a decrease in secondary effects such as L-DOPA-induced dyskinesia. L-DOPA-induced behavioral sensitization in unilateral 6-hydroxydopamine-lesioned rats is frequently used as an experimental model of L-DOPA-induced dyskinesia. In the present work this model was used to evaluate the effect of the A2A receptor agonist CGS 21680 and the A2A receptor antagonist MSX-3 on L-DOPA-induced behavioral sensitization and 6-hydroxydopamine-induced striatal dopamine denervation. L-DOPA-induced behavioral sensitization was determined as an increase in L-DOPA-induced abnormal involuntary movements and enhancement of apomorphine-induced turning behavior. Striatal dopamine innervation was determined by measuring tyrosine-hydroxylase immunoreactivity. Chronic administration of MSX-3 was not found to be effective at counteracting L-DOPA-induced behavioral sensitization. On the other hand, CGS 21680 completely avoided the development of L-DOPA-induced behavioral sensitization. The analysis of the striatal dopamine innervation showed that L-DOPA-CGS 21680 co-treatment conferred neuroprotection to the toxic effects of 6-hydroxydopamine. This neuroprotective effect was dependent on A2A and D2 receptor stimulation, since it was counteracted by MSX-3 and by the D2 receptor antagonist haloperidol. These results open new therapeutic avenues in early events in Parkinson's disease.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine / administration & dosage
  • Adenosine / analogs & derivatives*
  • Adenosine / therapeutic use*
  • Adenosine A2 Receptor Agonists*
  • Analysis of Variance
  • Animals
  • Antiparkinson Agents / administration & dosage
  • Antiparkinson Agents / therapeutic use*
  • Apomorphine / toxicity
  • Cell Count / methods
  • Corpus Striatum / cytology
  • Corpus Striatum / drug effects
  • Corpus Striatum / metabolism
  • Disease Models, Animal
  • Dopamine Agonists
  • Drug Therapy, Combination
  • Dyskinesias / etiology
  • Dyskinesias / prevention & control
  • Immunohistochemistry / methods
  • Levodopa / administration & dosage
  • Levodopa / therapeutic use*
  • Male
  • Oxidopamine / toxicity
  • Parkinson Disease / etiology
  • Parkinson Disease / prevention & control*
  • Phenethylamines / administration & dosage
  • Phenethylamines / therapeutic use*
  • Rats
  • Rats, Sprague-Dawley
  • Stereotyped Behavior / drug effects
  • Stereotyped Behavior / physiology
  • Sympatholytics / toxicity
  • Time Factors
  • Tyrosine 3-Monooxygenase / metabolism

Substances

  • Adenosine A2 Receptor Agonists
  • Antiparkinson Agents
  • Dopamine Agonists
  • Phenethylamines
  • Sympatholytics
  • 2-(4-(2-carboxyethyl)phenethylamino)-5'-N-ethylcarboxamidoadenosine
  • Levodopa
  • Oxidopamine
  • Tyrosine 3-Monooxygenase
  • Adenosine
  • Apomorphine