Serotonin 2A receptor antagonist treatment reduces dopamine D1 receptor-mediated rotational behavior but not l-DOPA-induced abnormal involuntary movements in the unilateral dopamine-depleted rat
Introduction
Dopamine (DA) replacement therapy with l-DOPA is the common treatment for the alleviation of motor impairments associated with Parkinson's Disease (PD). Unfortunately, prolonged l-DOPA treatment leads to l-DOPA-induced dyskinesia (LID) characterized by abnormal and excessive movements in 40% of patients within 4–6 years of treatment and as much as 90% by 9–15 years (Ahlskog and Muenter, 2001). One factor hypothesized to underlie LID is the development of supersensitive DA D1 receptors – a mechanism suggested to contribute to the problem of LID in PD patients, MPTP-treated primates, and 6-hydroxydopamine-lesioned rats (Pifl et al., 1992, Cai et al., 2002, Gerfen et al., 2002, Corvol et al., 2004, Aubert et al., 2005, Taylor et al., 2005). As such, methods for reducing abnormal D1 signaling may also decrease the problem of LID and enhance the therapeutic efficacy of l-DOPA treatment.
Recent studies suggest that 5-HT2A receptor-mediated signaling may contribute to hyperkinetic behaviors and abnormal striatal gene expression patterns observed in DA-depleted rats treated with D1 agonists. D1 and 5-HT2 agonist treatments produce a synergistic induction of striatonigral gene expression in the DA-lesioned rat while no such effect is observed in the intact animal (Gresch and Walker, 1999b, Campbell et al., 2001). This observation is consistent with behavioral studies showing hyperlocomotion following combined D1 and 5-HT2 agonist infusion into the DA-depleted striatum at low doses that had no effect on behavior when administered separately (Bishop and Walker, 2003). More recently, the selective 5-HT2A receptor antagonist M100907 was found to suppress hyperactive locomotor behaviors induced by intrastriatal infusion of the D1 agonist SKF82958 (Bishop et al., 2005). Interestingly, both experimental and clinical studies suggest that LID is reduced by atypical antipsychotics with 5-HT2A receptor antagonist abilities (Meco et al., 1998, Grondin et al., 1999, Oh et al., 2002, Durif et al., 2004), as well as the 5-HT2 receptor antagonist ritanserin (Maertens de Noordhout and Delwaide, 1986, Meco et al., 1988). Thus, it is possible that 5-HT2A receptor antagonist treatment may also have LID suppressing effects in l-DOPA-treated rats since LID behaviors have been shown to be dependent, at least in part, upon D1 receptor activation (Taylor et al., 2005). To address this question, the present studies examined the effects of 5-HT2A antagonist treatment with M100907 on l-DOPA-induced abnormal involuntary movements (AIMs) in adult rats with unilateral DA lesions. In addition, experiments also measured the effects of M100907 on contralateral rotational behavior induced by selective D1- and D2-receptor agonists to determine if 5-HT2A antagonist treatment was differentially effective in blocking supersensitive effects at one or both receptors.
Section snippets
Animals
Adult male Sprague–Dawley rats were used (225–250 g upon arrival; Charles River Laboratories, Wilmington, MA). Animals were housed in plastic cages (22 cm high, 45 cm deep, and 23 cm wide) and had free access to standard lab chow (Rodent Diet 5001; LabDiet, Brentwood, MO) and water. The colony room was maintained on a 12-h light/dark cycle (lights on at 0700 hrs) at a temperature of 22–23 °C. Animals were maintained in strict accordance with the guidelines of the Institutional Animal Care and Use
DOPAC and DA levels
Unilateral 6-OHDA injections into the medial forebrain bundle caused a 96% reduction in DA levels in the ipsilateral lesioned (0.45 ± 0.31 ng DA per mg protein) versus contralateral intact (10.95 ± 1.94 ng DA per mg protein) striatum (t18 = −5.64, p < 0.05). Additionally, DOPAC levels were 93% lower in the ipsilateral (0.11 ± 0.02 ng DOPAC per mg protein) compared to the contralateral (1.51 ± 0.22 ng DOPAC per mg protein) striatum (t18 = −6.66, p < 0.05).
l-DOPA-induced AIMs
l-DOPA (6 mg/kg) + benserazide (15 mg/kg) induced the expression
Discussion
Experimental destruction of nigrostriatal DA neurons in a model of PD leads to significant plasticity of striatal function. One such alteration is the emergence of D1 receptor supersensitivity, which refers to greater D1 agonist-induced molecular and behavioral responses in DA-depleted versus intact animals (Kostrzewa, 1995). This plasticity is evidenced by larger increases in DA-stimulated adenylate cyclase activity (Cai et al., 2002), D1 agonist-induced MAPK phosphorylation (Gerfen et al.,
Acknowledgements
This work was supported by NIH NS39013 (PDW). The authors wish to thank Drs. Michael Bannon, Donald Kuhn, and Thomas Fischer for their comments and suggestions that have been contributed to this study.
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