Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice

Background: Parkinsonism is caused by dopamine (DA) insufficiency and results in a hypokinetic movement disorder. Treatment with L-Dopa can restore DA availability and improve motor function, but patients can develop L-Dopa-induced dyskinesia (LID), a secondary hyperkinetic movement disorder. The me...

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Main Authors: Ziqing Shi, Ian J. Bamford, Jonathan W. McKinley, Suma Priya Sudarsana Devi, Annie Vahedipour, Nigel S. Bamford
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/10/12/903
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author Ziqing Shi
Ian J. Bamford
Jonathan W. McKinley
Suma Priya Sudarsana Devi
Annie Vahedipour
Nigel S. Bamford
author_facet Ziqing Shi
Ian J. Bamford
Jonathan W. McKinley
Suma Priya Sudarsana Devi
Annie Vahedipour
Nigel S. Bamford
author_sort Ziqing Shi
collection DOAJ
description Background: Parkinsonism is caused by dopamine (DA) insufficiency and results in a hypokinetic movement disorder. Treatment with L-Dopa can restore DA availability and improve motor function, but patients can develop L-Dopa-induced dyskinesia (LID), a secondary hyperkinetic movement disorder. The mechanism underlying LID remains unknown, and new treatments are needed. Experiments in mice have shown that DA deficiency promotes an imbalance between striatal acetylcholine (ACh) and DA that contributes to motor dysfunction. While treatment with L-Dopa improves DA availability, it promotes a paradoxical rise in striatal ACh and a further increase in the ACh to DA ratio may promote LID. Methods: We used conditional <i>Slc6a3<sup>DTR/+</sup></i> mice to model progressive DA deficiency and the β-adrenergic receptor (β-AR) antagonist propranolol to limit the activity of striatal cholinergic interneurons (ChIs). DA-deficient mice were treated with L-Dopa and the dopa decarboxylase inhibitor benserazide. LID and motor performance were assessed by rotarod, balance beam, and open field testing. Electrophysiological experiments characterized the effects of β-AR ligands on striatal ChIs. Results: LID was observed in a subset of DA-deficient mice. Treatment with propranolol relieved LID and motor hyperactivity. Electrophysiological experiments showed that β-ARs can effectively modulate ChI firing. Conclusions: The work suggests that pharmacological modulation of ChIs by β-ARs might provide a therapeutic option for managing LID.
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spelling doaj.art-b1f71d16827e40968b79451b7aefede42023-11-20T22:10:24ZengMDPI AGBrain Sciences2076-34252020-11-01101290310.3390/brainsci10120903Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian MiceZiqing Shi0Ian J. Bamford1Jonathan W. McKinley2Suma Priya Sudarsana Devi3Annie Vahedipour4Nigel S. Bamford5Department of Pediatrics, Yale University, New Haven, CT 06510, USADepartment of Pediatrics, Yale University, New Haven, CT 06510, USADepartment of Pediatrics, Yale University, New Haven, CT 06510, USADepartment of Pediatrics, Yale University, New Haven, CT 06510, USADepartment of Pediatrics, Yale University, New Haven, CT 06510, USADepartment of Pediatrics, Yale University, New Haven, CT 06510, USABackground: Parkinsonism is caused by dopamine (DA) insufficiency and results in a hypokinetic movement disorder. Treatment with L-Dopa can restore DA availability and improve motor function, but patients can develop L-Dopa-induced dyskinesia (LID), a secondary hyperkinetic movement disorder. The mechanism underlying LID remains unknown, and new treatments are needed. Experiments in mice have shown that DA deficiency promotes an imbalance between striatal acetylcholine (ACh) and DA that contributes to motor dysfunction. While treatment with L-Dopa improves DA availability, it promotes a paradoxical rise in striatal ACh and a further increase in the ACh to DA ratio may promote LID. Methods: We used conditional <i>Slc6a3<sup>DTR/+</sup></i> mice to model progressive DA deficiency and the β-adrenergic receptor (β-AR) antagonist propranolol to limit the activity of striatal cholinergic interneurons (ChIs). DA-deficient mice were treated with L-Dopa and the dopa decarboxylase inhibitor benserazide. LID and motor performance were assessed by rotarod, balance beam, and open field testing. Electrophysiological experiments characterized the effects of β-AR ligands on striatal ChIs. Results: LID was observed in a subset of DA-deficient mice. Treatment with propranolol relieved LID and motor hyperactivity. Electrophysiological experiments showed that β-ARs can effectively modulate ChI firing. Conclusions: The work suggests that pharmacological modulation of ChIs by β-ARs might provide a therapeutic option for managing LID.https://www.mdpi.com/2076-3425/10/12/903Parkinson’s diseasestriatumacetylcholinecholinergicinterneuronβ-adrenergic
spellingShingle Ziqing Shi
Ian J. Bamford
Jonathan W. McKinley
Suma Priya Sudarsana Devi
Annie Vahedipour
Nigel S. Bamford
Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice
Brain Sciences
Parkinson’s disease
striatum
acetylcholine
cholinergic
interneuron
β-adrenergic
title Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice
title_full Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice
title_fullStr Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice
title_full_unstemmed Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice
title_short Propranolol Relieves L-Dopa-Induced Dyskinesia in Parkinsonian Mice
title_sort propranolol relieves l dopa induced dyskinesia in parkinsonian mice
topic Parkinson’s disease
striatum
acetylcholine
cholinergic
interneuron
β-adrenergic
url https://www.mdpi.com/2076-3425/10/12/903
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