Are cyclooxygenase-2 and nitric oxide involved in the dyskinesia of Parkinson's disease induced by L-DOPA?

Philos Trans R Soc Lond B Biol Sci. 2015 Jul 5;370(1672):20140190. doi: 10.1098/rstb.2014.0190.

Abstract

Inflammatory mechanisms are proposed to play a role in L-DOPA-induced dyskinesia. Cyclooxygenase-2 (COX2) contributes to inflammation pathways in the periphery and is constitutively expressed in the central nervous system. Considering that inhibition of nitric oxide (NO) formation attenuates L-DOPA-induced dyskinesia, this study aimed at investigating if a NO synthase (NOS) inhibitor would change COX2 brain expression in animals with L-DOPA-induced dyskinesia. To this aim, male Wistar rats received unilateral 6-hydroxydopamine microinjection into the medial forebrain bundle were treated daily with L-DOPA (21 days) combined with 7-nitroindazole or vehicle. All hemi-Parkinsonian rats receiving l-DOPA showed dyskinesia. They also presented increased neuronal COX2 immunoreactivity in the dopamine-depleted dorsal striatum that was directly correlated with dyskinesia severity. Striatal COX2 co-localized with choline-acetyltransferase, calbindin and DARPP-32 (dopamine-cAMP-regulated phosphoprotein-32), neuronal markers of GABAergic neurons. NOS inhibition prevented L-DOPA-induced dyskinesia and COX2 increased expression in the dorsal striatum. These results suggest that increased COX2 expression after L-DOPA long-term treatment in Parkinsonian-like rats could contribute to the development of dyskinesia.

Keywords: COX2; extrasynaptic signalling; neuroinflammation; prostaglandin H-synthase; striatum interneurons; volume transmission.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calbindins / metabolism
  • Cyclooxygenase 2 / metabolism*
  • Dopamine and cAMP-Regulated Phosphoprotein 32 / metabolism
  • Dyskinesia, Drug-Induced / metabolism*
  • Immunohistochemistry
  • Levodopa / adverse effects*
  • Levodopa / pharmacology
  • Male
  • Nitric Oxide / metabolism*
  • Nitric Oxide Synthase / antagonists & inhibitors
  • Oxidopamine / administration & dosage
  • Oxidopamine / pharmacology*
  • Parkinsonian Disorders / drug therapy*
  • Rats
  • Rats, Wistar

Substances

  • Calbindins
  • Dopamine and cAMP-Regulated Phosphoprotein 32
  • Ppp1r1b protein, rat
  • Nitric Oxide
  • Levodopa
  • Oxidopamine
  • Nitric Oxide Synthase
  • Cyclooxygenase 2