Continuous dopaminergic stimulation reduces risk of motor complications in parkinsonian primates.

Abstract:

:Levodopa or short-acting dopamine (DA) agonist treatment of advanced parkinsonian patients exposes striatal DA receptors to non-physiologic intermittent stimulation that contributes to the development of dyskinesias and other motor complications. To determine whether continuous dopaminergic stimulation can delay or prevent onset of motor complications, four MPTP-lesioned, levodopa-naive cynomolgus monkeys were implanted subcutaneously with apomorphine containing ethylene vinyl acetate rods. Three other MPTP-lesioned monkeys received daily injections of apomorphine. Animals receiving apomorphine rods showed improved motor function ('ON' state) within 1 day of implantation, and remained continually 'ON' for the duration of treatment (up to 6 months) without developing dyskinesias. Injected animals also showed similar improvement in motor function after each apomorphine injection. However, these primates remained 'ON' for only 90 min and within 7-10 days all developed severe dyskinesias. Implanted monkeys evidenced local irritation, which was alleviated by steroid co-therapy.

journal_name

Exp Neurol

journal_title

Experimental neurology

authors

Bibbiani F,Costantini LC,Patel R,Chase TN

doi

10.1016/j.expneurol.2004.11.013

keywords:

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

73-8

issue

1

eissn

0014-4886

issn

1090-2430

pii

S0014-4886(04)00447-9

journal_volume

192

pub_type

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