Nicotinic receptor-mediated reduction in L-DOPA-induced dyskinesias may occur via desensitization

J Pharmacol Exp Ther. 2010 Jun;333(3):929-38. doi: 10.1124/jpet.109.162396. Epub 2010 Mar 3.

Abstract

L-DOPA-induced dyskinesias in Parkinson's disease are a significant clinical problem for which few therapies are available. We recently showed that nicotine reduces L-DOPA-induced abnormal involuntary movements (AIMs) in parkinsonian animals, suggesting it may be useful for the treatment of L-DOPA-induced dyskinesias. The present experiments were performed to understand the mechanisms whereby nicotine reduces L-DOPA-induced AIMs. We used a well established model of dyskinesias, L-DOPA-treated unilateral 6-hydroxydopamine-lesioned rats. Dose-ranging studies showed that injection of 0.1 mg/kg nicotine once or twice daily for 4 or 10 days most effectively reduced AIMs, with no worsening of parkinsonism. Importantly, a single nicotine injection did not reduce AIMs, indicating that nicotine's effect is caused by long-term rather than short-term molecular changes. Administration of the metabolite cotinine did not reduce AIMs, suggesting a direct effect of nicotine. Experiments with the nicotinic receptor (nAChR) antagonist mecamylamine were done to determine whether nicotine acted via a receptor-mediated mechanism. Unexpectedly, several days of mecamylamine injection (1.0 mg/kg) alone significantly ameliorated dyskinesias to a comparable extent as nicotine. The decline in AIMs with combined nicotine and mecamylamine treatment was not additive, suggesting that nicotine exerts its effects via a nAChR interaction. This latter finding, combined with data showing that mecamylamine reduced AIMs to a similar extent as nicotine, and that nicotine or mecamylamine treatment both decreased alpha6beta2* and increased alpha4beta2* nAChR expression, suggests that the nicotine-mediated improvement in L-DOPA-induced AIMs may involve a desensitization block. These data have important implications for the treatment of L-DOPA-induced dyskinesias in Parkinson's disease.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Amphetamine / pharmacology
  • Animals
  • Antiparkinson Agents*
  • Autoradiography
  • Behavior, Animal / drug effects
  • Bridged Bicyclo Compounds, Heterocyclic
  • Calcium Channel Blockers
  • Central Nervous System Stimulants / pharmacology
  • Cocaine / analogs & derivatives
  • Conotoxins
  • Dopamine Plasma Membrane Transport Proteins / metabolism
  • Dyskinesia, Drug-Induced / physiopathology*
  • Dyskinesia, Drug-Induced / psychology
  • Functional Laterality / drug effects
  • Levodopa*
  • Male
  • Mecamylamine / pharmacology
  • Neostriatum / drug effects
  • Nicotine / pharmacology
  • Nicotinic Agonists / pharmacology
  • Nicotinic Antagonists / pharmacology
  • Pyridines
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Nicotinic / drug effects
  • Receptors, Nicotinic / physiology*
  • Stereotyped Behavior / drug effects

Substances

  • Antiparkinson Agents
  • Bridged Bicyclo Compounds, Heterocyclic
  • Calcium Channel Blockers
  • Central Nervous System Stimulants
  • Conotoxins
  • Dopamine Plasma Membrane Transport Proteins
  • Nicotinic Agonists
  • Nicotinic Antagonists
  • Pyridines
  • Receptors, Nicotinic
  • alpha-conotoxin MII
  • alpha6beta2 nicotinic acetylcholine receptor
  • nicotinic receptor alpha4beta2
  • RTI 121
  • Levodopa
  • Mecamylamine
  • Nicotine
  • Amphetamine
  • Cocaine
  • epibatidine