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Pramipexole, a dopamine D2 autoreceptor agonist, decreases the extracellular concentration of dopamine in vivo

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Abstract

Pramipexole (SND 919) is a dopamine D2 autoreceptor agonist which is structurally related to talipexole (B-HT 920), a potential antipsychotic agent. The aim of this study was to investigate the effects of pramipexole on the extracellular concentration of dopamine in vivo. Dopamine and its metabolites, 3,4-dihydrophenylacetic acid and homovanillic acid, were measured in the anterior striatum of freely moving rats by microdialysis and high-performance liquid chromatography with electrochemical detection. Pramipexole (30 and 100 micrograms/kg) caused long-lasting decreases in the extracellular concentrations of dopamine and its metabolites. Talipexole (30 micrograms/kg) produced similar effects. Sulpiride (5 mg/kg), a selective dopamine D2 antagonist, caused a transient increase in the concentration of dopamine and long-lasting increases in the concentrations of its metabolites; it also reversed the effects of pramipexole. SCH-23390 (100 micrograms/kg), a selective dopamine D1 receptor antagonist, caused a transient increase in the concentration of dopamine but did not affect the concentrations of the metabolites. SCH-23390 failed to reverse the effects of pramipexole. These results indicate that pramipexole reduces the extracellular concentrations of dopamine and its metabolites in vivo through a reversible interaction with the dopamine D2 receptor.
... As shown in Fig. 7p, TH protein level is similar in quinpirole-treated, α-synoverexpressing neurons compared to untreated (0.5 µM for 48 h; n = 3, one-way ANOVA followed by Tukey's HSD, naive vs. α-syn treated with quinpirole p = 0.4288 and α-syn vs. α-syn treated with quinpirole p = 0.6809). The partial rescue of α-syn-induced neuronal dysregulation after D2R activation is consistent with neuroprotective properties of D2Rs described previously 117,[149][150][151][152] . It has been shown that D2 autoreceptors suppress dopamine synthesis through a negative feedback mechanism, and thus reduce oxidative stress caused by a high level of cytoplasmic dopamine [149][150][151] . ...
... The partial rescue of α-syn-induced neuronal dysregulation after D2R activation is consistent with neuroprotective properties of D2Rs described previously 117,[149][150][151][152] . It has been shown that D2 autoreceptors suppress dopamine synthesis through a negative feedback mechanism, and thus reduce oxidative stress caused by a high level of cytoplasmic dopamine [149][150][151] . In addition, consistent with our data, activation of D2 autoreceptors mediates neuroprotection by reducing neuronal excitability, cytoplasmic dopamine, and calcium levels 117,152 that can restore the balance between energy income, expenditure, and its availability 125 . ...
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Alpha synuclein regulation of dopamine neuronal activity
... As shown in Fig. 7p, TH protein level is similar in quinpirole-treated, α-synoverexpressing neurons compared to untreated (0.5 µM for 48 h; n = 3, one-way ANOVA followed by Tukey's HSD, naive vs. α-syn treated with quinpirole p = 0.4288 and α-syn vs. α-syn treated with quinpirole p = 0.6809). The partial rescue of α-syn-induced neuronal dysregulation after D2R activation is consistent with neuroprotective properties of D2Rs described previously 117,[149][150][151][152] . It has been shown that D2 autoreceptors suppress dopamine synthesis through a negative feedback mechanism, and thus reduce oxidative stress caused by a high level of cytoplasmic dopamine [149][150][151] . ...
... The partial rescue of α-syn-induced neuronal dysregulation after D2R activation is consistent with neuroprotective properties of D2Rs described previously 117,[149][150][151][152] . It has been shown that D2 autoreceptors suppress dopamine synthesis through a negative feedback mechanism, and thus reduce oxidative stress caused by a high level of cytoplasmic dopamine [149][150][151] . In addition, consistent with our data, activation of D2 autoreceptors mediates neuroprotection by reducing neuronal excitability, cytoplasmic dopamine, and calcium levels 117,152 that can restore the balance between energy income, expenditure, and its availability 125 . ...
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Pathophysiological damages and loss of function of dopamine neurons precede their demise and contribute to the early phases of Parkinson’s disease. The presence of aberrant intracellular pathological inclusions of the protein α-synuclein within ventral midbrain dopaminergic neurons is one of the cardinal features of Parkinson’s disease. We employed molecular biology, electrophysiology, and live-cell imaging to investigate how excessive α-synuclein expression alters multiple characteristics of dopaminergic neuronal dynamics and dopamine transmission in cultured dopamine neurons conditionally expressing GCaMP6f. We found that overexpression of α-synuclein in mouse (male and female) dopaminergic neurons altered neuronal firing properties, calcium dynamics, dopamine release, protein expression, and morphology. Moreover, prolonged exposure to the D2 receptor agonist, quinpirole, rescues many of the alterations induced by α-synuclein overexpression. These studies demonstrate that α-synuclein dysregulation of neuronal activity contributes to the vulnerability of dopaminergic neurons and that modulation of D2 receptor activity can ameliorate the pathophysiology. These findings provide mechanistic insights into the insidious changes in dopaminergic neuronal activity and neuronal loss that characterize Parkinson’s disease progression with significant therapeutic implications.
... As shown in Figure 7P, TH protein level is decreased in quinpirole-treated, α-syn overexpressing neurons compared to untreated (0.5 µM for 48 hours; n = 3, one-way ANOVA followed by Tukey's HSD, WT vs. α-syn treated with quinpirole p = 0.4288 and α-syn vs. α-syn treated with quinpirole p = 0.6809). The partial rescue of α-syn-induced neuronal dysregulation after D2R activation is consistent with neuroprotective properties of D2 receptors described previously 104,[128][129][130][131] . It has been shown that D2 autoreceptors suppress dopamine synthesis through a negative feedback mechanism, and thus reduce oxidative stress caused by a high level of cytoplasmic dopamine [128][129][130] . ...
... The partial rescue of α-syn-induced neuronal dysregulation after D2R activation is consistent with neuroprotective properties of D2 receptors described previously 104,[128][129][130][131] . It has been shown that D2 autoreceptors suppress dopamine synthesis through a negative feedback mechanism, and thus reduce oxidative stress caused by a high level of cytoplasmic dopamine [128][129][130] . In addition, consistent with our data, activation of D2 autoreceptors mediates neuroprotection by reducing neuronal excitability, cytoplasmic dopamine, and calcium levels 104,131 that can restore the balance between energy income, expenditure, and its availability 112 . ...
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Pathophysiological damages and loss of function of dopamine neurons precedes their demise and contributes to the early phases of Parkinson's disease. The presence of aberrant intercellular pathological inclusions of the protein α-synuclein within ventral midbrain dopaminergic neurons is one of the cardinal features of Parkinson's disease. We employed multiple complementary approaches in molecular biology, electrophysiology, and live-cell imaging to investigate how excessive α-synuclein levels alters multiple characteristics of dopaminergic neuronal dynamics and dopamine transmission prior to neuronal demise. These studies demonstrate that α-synuclein dysregulation of D2 receptor autoinhibition contributes to the vulnerability of dopaminergic neurons, and that modulation thereof can ameliorate the resulting pathophysiology. These novel findings provide mechanistic insights in the insidious loss of dopaminergic function and neurons that characterize Parkinson's disease progression with significant therapeutic implications.
... The pronounced potentiation of NMDA-R after 20 µM NMDA alone and in the presence of 200 nM ropinirole was not expected having briefly mentioned the canonical effects of D2-R activation. This was also seen in experiments by Cepeda et al., (1998) The uncertainty in the responses obtained with in vitro ropinirole may be complicated by the fact that ropinirole might scavenge reactive oxygen species (ROS) released by oxidative dopamine inactivation and so alter mitochondrial physiology and energy supply; thus hypothesised to potentially prevent damage to nigrostriatal tissue (Carter and Müller, 1991). However, in addition, ropinirole is a tertiary amine of highly lipophilic nature which previously suggested its ability to penetrate cell membranes and interact with the mitochondrial permeability transition pore (mtPTP) (Luzardo-Alvarez, et al, 2001). ...
Conference Paper
Dopamine receptor signalling is essential for normal basal ganglia function but in Parkinson’s Disease (PD) substantia nigra (SNc) dopaminergic (DAergic) neurons degenerate with consequent loss of dopamine signalling. SNc DAergic neurons express D2 autoreceptors (D2Rs) that have been shown to mediate inhibition of NMDA responses in both hippocampus and striatum while Gascoupled adenosine A2A receptors (A2ARs) have the potential to counteract the action of Gai -coupled D2Rs. Here I tested whether D2R activation with ropinirole, a D2 receptor agonist currently used in PD therapy, modulates DAergic neuron NMDA responses in the SNc along with other proteins in the cell. Whole-cell patch clamp recordings were made from DAergic neurons in the SNc of acute midbrain slices from young (P7, P21 and P28) rats. DAergic neurons were identified by the presence of a prominent hyperpolarisation-activated inward current (in P7 rats, amplitude, 178 ± 5 pA; activation time constant, 797 ± 77 ms; mean ± SEM, N = 19) in response to a voltage step from -60 to -120 mV. In P7 and P28 rats, upon application of 200 nM ropinirole, the steady state NMDA current was not significantly changed suggesting D2-R activation may not modulate NMDARs in neonatal rat SNc. In addition, an A2AR agonist, CGS21680, and an A2AR antagonist, SCH 58621 were applied in the presence and absence of ropinirole to test for any A2AR – D2R interaction. Upon A2A-R activation, the NMDA-R current increased (P = 0.002, N = 16). Furthermore, to establish the effects of PKA on NMDA-R responses, 2.5µM Forskolin was introduced. It produced a statistically significant increase in NMDA-R current (NMDA: 419 ± 78pA; NMDA+ Forskolin: 515 ± 54pA, N=13). To determine whether the lack of effect of the D2-R agonist on NMDA-R response might be due to a low resting concentration of cAMP in the cell, forskolin was introduced to increase the levels of cAMP prior to introducing ropinirole. However, following addition of D2-R agonist after forskolin treatment, the NMDA-R current changed by only 11% (N=12). Intracellular tyrosine kinases, Src and Fyn have shown modulatory potential on NMDA-Receptors (NMDA-R) that is governed by the balance between kinase and phosphatase activity. Inhibiting Src kinase activity with PP2 and Src-I1 decreased the NMDA-R inward current however no such effect was seen in the presence of the interfering peptides suggesting a lack of direct interaction between Src/Fyn kinase and NMDA-Rs. Furthermore, ERK1/2 inhibitor, Ulixertinib, decreased the NMDA-R current suggesting an involvement in receptor modulation. Similar results were obtained in the presence of a CaMKII inhibitor CN21.
... Because pramipexole is a dopamine receptor agonist and is only expected to increase dopamine receptor signaling and not the dopamine level itself, post-treatment with pramipexole after rotenone insult would be expected to have minimal effect on brain dopamine level. In fact, it is possible that dopamine agonists like pramipexole can act on postsynaptic dopamine receptors to activate nigrostriatal feedback pathways or on somatodendritic receptors, which inhibit the release of dopamine in the extracellular space [43]. This negative feedback effect of pramipexole could be the reason for the decreased dopamine level in group 6. ...
Article
The nose-to-brain drug delivery theory has been verified by numerous studies. Previously, we also demonstrated improved pharmacokinetics and pharmacodynamics of a selegiline thermosensitive gel in rats. Here, we developed a thermosensitive gel formulation of pramipexole and compared its anti-Parkinsonian effects with those of an orally administered pramipexole solution. The gel formulation containing 16% poloxamer 407 and 0.15% guar gum formed a stiff gel at 32–33 °C and released up to 95% of the drug within 8 h across goat nasal mucosa. Rotenone was administered at 3 mg/kg for 11 days to induce motor deficits and pramipexole was administered as a post-treatment at 0.3 or 0.6 mg/kg for 10 days. Intranasally administered pramipexole gel effectively recovered locomotor activity scores, abolished catalepsy, increased the levels of brain glutathione and dopamine, and restored catalase activity to normal levels. The formulated pramipexole gel improved motor performance via its dopamine-agonistic activity and countered rotenone-induced oxidative damage to dopaminergic neurons thereby restoring brain dopamine levels in rats. Intranasally administered low-dose pramipexole could be considered as a first-line therapy for Parkinson’s disease.
... It is also supported by our in vivo spike recording data showing that ropinirole IP injection inhibited the spike firing of putative midbrain DA neurons. Our results are consistent with the following reports: systemic administration of ropinirole was reported to decrease extracellular DA in the striatum and NAc and cerebral cortex and inhibit the spike firing of VTA DA neurons in normal rats (Millan et al., 2004a); systemic administration of pramipexole, another D2-like agonist for PD, was reported to decrease extracellular DA in the striatum in normal rats (Carter and Muller, 1991) and reduce locomotion in normal mice (Maj et al., 1997;Mierau and Schingnitz, 1992). The high affinity D2-like agonist quinpirole (IP injection) decreased the extracellular DA level in both normal and 6OHDA-lesion rats (Maeda et al. 1999). ...
Article
The dopamine (DA) D2-like receptor (D2R) agonist ropinirole is often used for early and middle stage Parkinson's disease (PD). However, this D2-like agonism-based strategy has a complicating problem: D2-like agonism may activate D2 autoreceptors on the residual DA neurons in the PD brain, potentially inhibiting these residual DA neurons and motor function. We have examined this possibility by using systemic and local drug administration in transcription factor Pitx3 null mutant (Pitx3Null) mice that mimic the DA denervation in early and middle stage PD and in DA neuron tyrosine hydroxylase (TH) gene knockout (KO) mice that mimic the severe DA loss in late stage PD. We found that in Pitx3Null mice with residual DA neurons and normal mice with normal DA system, systemically injected ropinirole inhibited locomotion, whereas bilateral dorsal striatal-microinjected ropinirole stimulated movement; bilateral microinjection of ropinirole into the ventral tegmental area also inhibited movement; we further determined that ropinirole inhibited nigral DA neuron spike firing in WT mice. In contrast, both systemically and striatum-locally administered ropinirole increased movements in TH KO mice, but produced relatively more dyskinesia than L-dopa. Although requiring confirmation in non-human primates and PD patients, these data suggest that while activating D2-like receptors in striatal projection neurons and hence stimulating movements, D2-like agonists can inhibit residual DA neurons and cause akinesia when the residual DA neurons and motor functions are still substantial, and this motor-inhibitory effect disappears when almost all DA neurons are lost such as in late stage PD.
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