Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia

Parkinson’s Disease (PD) is a neurodegenerative disorder characterized by motor symptoms that result from loss of nigrostriatal dopamine (DA) cells. While L-DOPA provides symptom alleviation, its chronic use often results in the development of L-DOPA-induced dyskinesia (LID). Evidence suggests that...

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Main Authors: Carla Budrow, Kayla Elder, Michael Coyle, Ashley Centner, Natalie Lipari, Sophie Cohen, John Glinski, N’Senga Kinzonzi, Emily Wheelis, Grace McManus, Fredric Manfredsson, Christopher Bishop
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/12/6/837
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author Carla Budrow
Kayla Elder
Michael Coyle
Ashley Centner
Natalie Lipari
Sophie Cohen
John Glinski
N’Senga Kinzonzi
Emily Wheelis
Grace McManus
Fredric Manfredsson
Christopher Bishop
author_facet Carla Budrow
Kayla Elder
Michael Coyle
Ashley Centner
Natalie Lipari
Sophie Cohen
John Glinski
N’Senga Kinzonzi
Emily Wheelis
Grace McManus
Fredric Manfredsson
Christopher Bishop
author_sort Carla Budrow
collection DOAJ
description Parkinson’s Disease (PD) is a neurodegenerative disorder characterized by motor symptoms that result from loss of nigrostriatal dopamine (DA) cells. While L-DOPA provides symptom alleviation, its chronic use often results in the development of L-DOPA-induced dyskinesia (LID). Evidence suggests that neuroplasticity within the serotonin (5-HT) system contributes to LID onset, persistence, and severity. This has been supported by research showing 5-HT compounds targeting 5-HT<sub>1A/1B</sub> receptors and/or the 5-HT transporter (SERT) can reduce LID. Recently, vortioxetine, a multimodal 5-HT compound developed for depression, demonstrated acute anti-dyskinetic effects. However, the durability and underlying pharmacology of vortioxetine’s anti-dyskinetic actions have yet to be delineated. To address these gaps, we used hemiparkinsonian rats in Experiment 1, examining the effects of sub-chronic vortioxetine on established LID and motor performance. In Experiment 2, we applied the 5-HT<sub>1A</sub> antagonist WAY-100635 or 5-HT<sub>1B</sub> antagonist SB-224289 in conjunction with L-DOPA and vortioxetine to determine the contributions of each receptor to vortioxetine’s effects. The results revealed that vortioxetine consistently and dose-dependently attenuated LID while independently, 5-HT<sub>1A</sub> and 5-HT<sub>1B</sub> receptors each partially reversed vortioxetine’s effects. Such findings further support the promise of pharmacological strategies, such as vortioxetine, and indicate that broad 5-HT actions may provide durable responses without significant side effects.
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spelling doaj.art-874e04ed7cf0486c9e0cdb0bba160b352023-11-17T10:12:33ZengMDPI AGCells2073-44092023-03-0112683710.3390/cells12060837Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced DyskinesiaCarla Budrow0Kayla Elder1Michael Coyle2Ashley Centner3Natalie Lipari4Sophie Cohen5John Glinski6N’Senga Kinzonzi7Emily Wheelis8Grace McManus9Fredric Manfredsson10Christopher Bishop11Behavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USADepartment of Neurobiology, Barrow Neurological Institute, Phoenix, AZ 85013, USABehavioral Neuroscience Program, Department of Psychology, Binghamton University, Binghamton, NY 13902, USAParkinson’s Disease (PD) is a neurodegenerative disorder characterized by motor symptoms that result from loss of nigrostriatal dopamine (DA) cells. While L-DOPA provides symptom alleviation, its chronic use often results in the development of L-DOPA-induced dyskinesia (LID). Evidence suggests that neuroplasticity within the serotonin (5-HT) system contributes to LID onset, persistence, and severity. This has been supported by research showing 5-HT compounds targeting 5-HT<sub>1A/1B</sub> receptors and/or the 5-HT transporter (SERT) can reduce LID. Recently, vortioxetine, a multimodal 5-HT compound developed for depression, demonstrated acute anti-dyskinetic effects. However, the durability and underlying pharmacology of vortioxetine’s anti-dyskinetic actions have yet to be delineated. To address these gaps, we used hemiparkinsonian rats in Experiment 1, examining the effects of sub-chronic vortioxetine on established LID and motor performance. In Experiment 2, we applied the 5-HT<sub>1A</sub> antagonist WAY-100635 or 5-HT<sub>1B</sub> antagonist SB-224289 in conjunction with L-DOPA and vortioxetine to determine the contributions of each receptor to vortioxetine’s effects. The results revealed that vortioxetine consistently and dose-dependently attenuated LID while independently, 5-HT<sub>1A</sub> and 5-HT<sub>1B</sub> receptors each partially reversed vortioxetine’s effects. Such findings further support the promise of pharmacological strategies, such as vortioxetine, and indicate that broad 5-HT actions may provide durable responses without significant side effects.https://www.mdpi.com/2073-4409/12/6/837levodopa-induced dyskinesiaParkinson’s diseaseserotonindopamineserotonin transporter5-HT<sub>1A</sub> receptor
spellingShingle Carla Budrow
Kayla Elder
Michael Coyle
Ashley Centner
Natalie Lipari
Sophie Cohen
John Glinski
N’Senga Kinzonzi
Emily Wheelis
Grace McManus
Fredric Manfredsson
Christopher Bishop
Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia
Cells
levodopa-induced dyskinesia
Parkinson’s disease
serotonin
dopamine
serotonin transporter
5-HT<sub>1A</sub> receptor
title Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia
title_full Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia
title_fullStr Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia
title_full_unstemmed Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia
title_short Broad Serotonergic Actions of Vortioxetine as a Promising Avenue for the Treatment of L-DOPA-Induced Dyskinesia
title_sort broad serotonergic actions of vortioxetine as a promising avenue for the treatment of l dopa induced dyskinesia
topic levodopa-induced dyskinesia
Parkinson’s disease
serotonin
dopamine
serotonin transporter
5-HT<sub>1A</sub> receptor
url https://www.mdpi.com/2073-4409/12/6/837
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