Prolonged kynurenine 3-hydroxylase inhibition reduces development of levodopa-induced dyskinesias in parkinsonian monkeys

Behav Brain Res. 2008 Jan 25;186(2):161-7. doi: 10.1016/j.bbr.2007.08.007. Epub 2007 Aug 10.

Abstract

Increased glutamatergic activity is believed to play a significant role in the development of levodopa-induced dyskinesias (LID). LID may therefore be attenuated by a reduction in glutamatergic function. This was tested pharmacologically in MPTP monkeys by increasing the formation of kynurenic acid (KYNA), a tryptophan metabolite that inhibits glutamate release and also blocks NMDA receptors directly. KYNA synthesis was stimulated by prolonged systemic administration of the kynurenine 3-hydroxylase inhibitor Ro 61-8048. Four MPTP cynomolgus monkeys received l-dopa (LD; 100mg) with benserazide (25 mg) for one month. Progressively, all these animals developed LID. Four other MPTP monkeys received Ro 61-8048 (50mg/kg) daily 3 h before administration of LD/benserazide for one month. The addition of Ro 61-8048 reduced the development of LID but did not affect the antiparkinsonian efficacy of LD. Moreover, Ro 61-8048 administration caused sustained increases in serum kynurenine and KYNA concentrations, which reverted to basal values 24 h after the last treatment. This effect of Ro 61-8048 was less pronounced in the CSF. These results demonstrate that long-lasting elevation of KYNA levels caused by prolonged inhibition of kynurenine 3-hydroxylase is associated with a significant reduction in LID but does not compromise the benefits of chronic LD therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antiparkinson Agents / adverse effects*
  • Behavior, Animal / drug effects
  • Disease Models, Animal
  • Drug Interactions
  • Dyskinesia, Drug-Induced / enzymology*
  • Dyskinesia, Drug-Induced / etiology*
  • Dyskinesia, Drug-Induced / prevention & control
  • Enzyme Inhibitors / therapeutic use
  • Female
  • Kynurenic Acid / blood
  • Kynurenine / blood
  • Kynurenine 3-Monooxygenase / antagonists & inhibitors
  • Kynurenine 3-Monooxygenase / metabolism*
  • Levodopa / adverse effects*
  • Macaca fascicularis
  • Motor Activity / drug effects
  • Parkinsonian Disorders / drug therapy
  • Quinolinic Acid / blood
  • Quinolinic Acid / cerebrospinal fluid
  • Sulfonamides / therapeutic use
  • Thiazoles / therapeutic use
  • Time Factors

Substances

  • Antiparkinson Agents
  • Enzyme Inhibitors
  • Ro 61-8048
  • Sulfonamides
  • Thiazoles
  • Kynurenine
  • Levodopa
  • Kynurenine 3-Monooxygenase
  • Quinolinic Acid
  • Kynurenic Acid