1. Immunomodulatory drugs alleviate <scp>l</scp> ‐dopa‐induced dyskinesia in a rat model of Parkinson's disease
- Author
-
Sandro Fenu, Saturnino Spiga, Nigel H. Greig, Augusta Pisanu, Ezio Carboni, Giovanna Mulas, Anna R. Carta, David Tweedie, Laura Boi, and Michael T. Scerba
- Subjects
Male ,0301 basic medicine ,Dyskinesia, Drug-Induced ,Parkinson's disease ,Angiogenesis ,Angiogenesis Inhibitors ,Striatum ,Pharmacology ,Antiparkinson Agents ,Levodopa ,Rats, Sprague-Dawley ,03 medical and health sciences ,0302 clinical medicine ,Basal ganglia ,medicine ,Animals ,Immunologic Factors ,Receptors, AMPA ,Oxidopamine ,Neuroinflammation ,Benserazide ,Tumor Necrosis Factor-alpha ,business.industry ,Parkinson Disease ,medicine.disease ,Interleukin-10 ,Rats ,Thalidomide ,nervous system diseases ,Neostriatum ,Substantia Nigra ,030104 developmental biology ,Neurology ,Dyskinesia ,Cytokines ,Neurology (clinical) ,medicine.symptom ,business ,030217 neurology & neurosurgery ,medicine.drug - Abstract
BACKGROUND Thalidomide and closely related analogues are used clinically for their immunomodulatory and antiangiogenic properties mediated by the inhibition of the proinflammatory cytokine tumor necrosis factor α. Neuroinflammation and angiogenesis contribute to classical neuronal mechanisms underpinning the pathophysiology of l-dopa-induced dyskinesia, a motor complication associated with l-dopa therapy in Parkinson's disease. The efficacy of thalidomide and the more potent derivative 3,6'-dithiothalidomide on dyskinesia was tested in the 6-hydroxydopamine Parkinson's disease model. METHODS Three weeks after 6-hydroxydopamine infusion, rats received 10 days of treatment with l-dopa plus benserazide (6 mg/kg each) and thalidomide (70 mg/kg) or 3,6'-dithiothalidomide (56 mg/kg), and dyskinesia and contralateral turning were recorded daily. Rats were euthanized 1 hour after the last l-dopa injection, and levels of tumor necrosis factor-α, interleukin-10, OX-42, vimentin, and vascular endothelial growth factor immunoreactivity were measured in their striatum and substantia nigra reticulata to evaluate neuroinflammation and angiogenesis. Striatal levels of GLUR1 were measured as a l-dopa-induced postsynaptic change that is under tumor necrosis factor-α control. RESULTS Thalidomide and 3,6'-dithiothalidomide significantly attenuated the severity of l-dopa-induced dyskinesia while not affecting contralateral turning. Moreover, both compounds inhibited the l-dopa-induced microgliosis and excessive tumor necrosis factor-α in the striatum and substantia nigra reticulata, while restoring physiological levels of the anti-inflammatory cytokine interleukin-10. l-Dopa-induced angiogenesis was inhibited in both basal ganglia nuclei, and l-dopa-induced GLUR1 overexpression in the dorsolateral striatum was restored to normal levels. CONCLUSIONS These data suggest that decreasing tumor necrosis factor-α levels may be useful to reduce the appearance of dyskinesia, and thalidomide, and more potent derivatives may provide an effective therapeutic approach to dyskinesia. © 2019 International Parkinson and Movement Disorder Society.
- Published
- 2019
- Full Text
- View/download PDF