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選択的非可逆的monoamine oxidase-type B阻害剤であるdeprenylはパーキンソン病(PD)の進行を防止する可能性のため現在注目を集めている。我々は正常マウス,および1—methyl−4—phenyl−1,2,3,6—tetrahydropyridine(MPTP)を用いて作成したパーキンソン病モデル動物(マウス,モンキー)に対しdeprenylを投与しその効果を経時的に検討した。正常マウス線条体dopamine(DA)レベルはdeprenyl投与終了直後,1週後にそれぞれ31%,24%上昇した。MPTPによりマウス線条体DAレベルはコントロール群の27%に減少したがdeprenyl投与終了直後,1週後に,それぞれ123%,78%上昇した。しかし4週後にはdeprenylの効果はみられなかった。片側パーキンソン病モデルモンキーにおいてL-DOPA誘発回転運動に対するdeprenylの効果は数週間続く傾向を示した。以上よりdeprenylの効果は投与中止後も比較的長期間続くことが示されたが,その投与方法,投与量などについてさらに検討が必要と思われる。
Recent studies have demonstrated that deprenyl can delay the progression of parkinsonian syn-drome. Deprenyl selectively and irreversibly inhibits the activity of monoamine oxidase-type B (MAO-B), and subsequent enzyme activity requires de novo synthesis of MAO-B. In this study we investigated (1) ; the effects of deprenyl on striatal dopamine (DA) levels in MPTP-lesioned and un-damaged mice and (2) ; the effect of deprenyl on L -DOPA induced rotational movements in a hemipar-kinsonian model monkey. In MPTP-lesioned mice, deprenyl increased the striatal DA levels by 123%, 78% immediately and one week after termination of deprenyl treatment respectively, while by 31%, 24% in MPTP-undamaged mice, respectively. Four weeks after termination of deprenyl the increase in striatal DA was not significant. It shows that de-prenyl is effective in elevation of striatal DA at least one week after termination of treatment, and the degree of increase of striatal DA following deprenyl treatment is greater in MPTP-treated mice than in undamaged mice. Deprenyl seemed to be effective longer in a hemiparkinsonian monkey than in rodents. The result suggests that less frequent admisistration of deprenyl may be effective in controlling side effects of L-DOPA without reduc-ing therapeutic efficacy.
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