Review Article

Imbalanced Dopaminergic Transmission Mediated by Serotonergic Neurons in L-DOPA-Induced Dyskinesia

Table 1

Changes in biochemical, morphological, and molecular 5-HT indexes in response to L-DOPA treatment.

Animal modelL-DOPA treatmentBiochemical 5-HT indexes% of changeReference

[3H]-5-HT preloaded rat10 μM[3H]-5-HT release+60%[25, 29, 30]
midbrain slices
naive ratsintra-SNr 5 μMext 5-HT: STR and SNr+55% in STR [71]
+102% in SNr
6-OHDA rats3, 6, 12, 100 mg/kg/d ipext 5-HT: STR, SNr, HIPP, PFC3:
6: STR/PFC , SNr −22%, [31] + unpublished observations
HIPP −27%
12: STR/HIPP , SNr −17%,
PFC −27%
100: STR/SNr/HIPP , PFC −28%
tiss 5-HT: STR3–12: [31]
100:−73%
6-OHDA rats12 mg/kg/d ip 14 dext 5-HT and 5-HIAA: STR, SNr, HIPP,5-HT: STR −39%, SNr −45%,[45]
PFCHIPP −29%, PFC –47%
5-HIAA: STR −32%, SNr −58%,
HIPP −44%, PFC −51%
tiss 5-HT and 5-HIAA: STR and CX5-HT: STR −48%, CX −63%,
5-HIAA: STR −67%,
CX −73%
6-OHDA rats6 mg/kg/d ip 14 dext 5-HT and 5-HIAA: STR and SNr5-HT: STR-LID +125%,
STR-LND +75%; SNr-LID +104%,
SNr-LND +108%
5-HIAA: STR-LID −30%,
STR-LND −73%; SNr-LID −28%, SNr-LND −37%
[48]
tiss 5-HT and 5-HIAA: STR and SNr5-HT: STR-LID −32%,
STR-LND −78%
5-HIAA: STR-LND −76%
6-OHDA rats6 mg/kg/d ip 14 dtiss 5-HT: STR−48% [61]
6-OHDA rats6 mg/kg/d ip 21 dtiss 5-HT: STR+150% [72]

Animal modelL-DOPA treatmentMorphological 5-HT indexes% of changeReference

6-OHDA rats5 mg/kg/d ip 14 dSERT immunoreactivity: STR+266% [73]
6-OHDA rats6 mg/kg/d ip 21 d5-HT immunoreactivity: STR+70% in STR-LID
in STR-LND [74]
6-OHDA rats6 and 50 mg/kg/d ip 14–21 dSERT-binding density: STR and CX6: STR +37.5%, CX +75%
50: STR +87.5%, CX +125%
5-HT immunoreactivity: number of6: +125%
varicosities, STR50: +200%[55]
5-HT immunoreactivity: synapse6: +155%
incidence in STR
MPTP monkeysModopar (4 : 1) 15–20 mg/kg poSERT-binding density: PUT and GPPUT-LID +72%, GP-LID +400%, LND
6–8 m [55]
MPTP monkeys12.5 mg/kg/d po 1 mTPH immunoreactivity: STR and GPSTR: increased number and size of varicosities and
enlargement
GP: enlargement in GPi/e + increased number of varicosities and length of fibres in GPe [56]

Animal modelL-DOPA treatmentMolecular 5-HT indexes% of changeReference

6-OHDA mice and rats(1) mice: 50 mg/kg/d ip 28 d5-HT1BR binding: STR, GP and SNr(1) STR +20%, GP , SNr +30%
(2) rat: 100 mg/kg 2×d ip 5 d
(3) rat: 10 mg/kg/d ip 28 d
(2) STR +17%, GP +38%, SNr + 61%
(3) STR +25%, GP , SNr +55%
[75]
6-OHDA rats100 mg/kg 2×d ip 5 d5-HT1BR protein: STR+33% [75]
6-OHDA rats100 mg/kg 2×d ip 5 d5-HT2AR mRNA: STR−57%
5-HT2CR mRNA: STR and STN[76]
MPTP monkeysModopar5-HT1AR-binding: STR, premotor-motoracute:
acute: 14.6 mg/kg poCX, HIPPchronic: +140% in Caud matrix [77]
chronic: 14.6 mg/kg 2×d po 120 d
MPTP monkeysProlopa 100/25 mg/kg po 1 m5-HT2AR binding: STR and PFC+58% in DM Caud[78]
PD patients (LIDs)5-HT2CR binding: SNr+108% [79, 80]

6-OHDA: 6-hydroxydopamine; MPTP: 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine; ip: intraperitoneal; sc: subcutaneous; po: oral; d: day; m: month; 2×d: twice a day; tiss: tissue; ext: extracellular; 5-HT: serotonin; 5-HIAA: 5-hydroxyindolacetic acid; AADC: amino acid decarboxylase; SERT: serotonergic transporter; 5-HT1AR: serotonin 1A receptor; 5-HT1BR: serotonin 1B receptor; 5-HT2AR: serotonin 2A receptor; 5-HT2CR: serotonin 2C receptor; STR: striatum; CX: cortex; PFC: prefrontal cortex; HIPP: hippocampus; SNr: substantia nigra pars reticulata; PUT: putamen; PFC: prefrontal cortex; STN: subthalamic nucleus; GPi/e: globus pallidus, internal/external part; DM Caud: dorsomedial caudate nucleus; LID: L-DOPA-treated dyskinetic animals; LND: L-DOPA-treated nondyskinetic animals; LIDs: L-DOPA-induced dyskinesias.