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Vol. 288, Issue 3, 1093-1100, March 1999
prah,
ivin and
an
Sket
University of Ljubljana, School of Medicine, Institute of Pathophysiology, Ljubljana, Slovenia
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Abstract |
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LEK-8829 [9,10-didehydro-N-methyl-(2-propynyl)-6-methyl-8-aminomethylergoline bimaleinate] is an antagonist of dopamine D2 receptors and serotonin (5-HT)2 and 5-HT1A receptors in intact animals and a D1 receptor agonist in dopamine-depleted animals. In the present study, we used rats with unilateral striatal lesions with ibotenic acid (IA) to investigate the dopamine receptor activities of LEK-8829 in a model with innervated dopamine receptors. The IA-lesioned rats circled ipsilaterally when challenged with apomorphine, the mixed agonist on D1/D2 receptors. LEK-8829 induced a dose-dependent contralateral turning that was blocked by D1 receptor antagonist SCH-23390. The treatment with D1 receptor agonist SKF-82958 induced ipsilateral turning, whereas the treatment with D2 receptor antagonist haloperidol induced contralateral posture. The combined treatment with SKF-82958 and haloperidol resulted in a weak contralateral turning, indicating the possible receptor mechanism of contralateral turning induced by LEK-8829. Bromocriptine induced a weak ipsilateral turning that was blocked by haloperidol. The ipsilateral turning induced by bromocriptine was significantly potentiated by the coadministration of a low dose but not by a high dose of LEK-8829. The potentiation of turning was blocked either by SCH-23390 or by haloperidol. The potentiation of ipsilateral turning suggests the costimulation of D2 and D1 receptors by bromocriptine and LEK-8829, respectively, whereas the lack of potentiation by the highest dose of LEK-8829 may be explained by the opposing activity of LEK-8829 and bromocriptine at D2 receptors. We propose that the D2 and 5HT2 receptor-blocking and D1 receptor-stimulating profile of LEK-8829 is promising for the treatment of negative symptoms of schizophrenia.
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Introduction |
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The
ergoline derivative LEK-8829
[9,10-didehydro-N-methyl-(2-propynyl)-6-methyl-8-aminomethylergoline
bimaleinate] is an antagonist on dopamine D2
receptors and on serotonin (5-HT)2 and
5-HT1A receptors and was designed as a potential
atypical antipsychotic drug (Krisch et al., 1994
, 1996
). In vitro
experiments have shown that LEK-8829 stimulates adenylate cyclase
(Panlabs) and binds to dopamine D1 receptors with
moderate affinity (Krisch et al., 1994
). On the other hand, the
drug has been tested in vivo for its effects on dopamine
D1 receptors only in dopamine-depleted animals,
using the rats with unilateral lesions of striatonigral neurons with 6-hydroxydopamine (6-OHDA). In this turning model, LEK-8829 induced a
dose-dependent contralateral turning and the expression of
c-fos mRNA in dopamine-depleted striatum that were both
blocked by SCH-23390 [(R)-(+)-7-chloro-8-hydroxy-3-methyl-1-phenyl-2,3,4,5-tetrahydro-1H-3-benzazepine hydrochloride], a dopamine D1 receptor
antagonist, but not by haloperidol (dopamine D2
receptor antagonist) or pindolol (5-HT1A receptor
antagonist). It was therefore proposed that LEK-8829 may be an agonist
on dopamine D1 receptors (
ivin et al.,
1996
). The interaction of LEK-8829 and bromocriptine has also been
analyzed in a 6-OHDA model (
ivin et al., 1998
). It was found
that contralateral turning that was initiated with bromocriptine was
not inhibited by the treatment with either LEK-8829 or SCH-23390,
whereas the combined treatment with both drugs inhibited the turning.
It was concluded that LEK-8829 has a dual action on the dopamine
receptors in dopamine-depleted striatum, as an agonist on dopamine
D1 receptors and as an antagonist on dopamine
D2 receptors (
ivin et al., 1998
).
Drugs with a D2 and 5HT2
receptor-blocking and D1 receptor-stimulating
profile are promising for the treatment of the negative symptoms of
schizophrenia (Kahn and Davis, 1995
; Okubo et al., 1997
; Lidow et al.,
1998
). Because the dopamine depletion does not seem to be involved in
the pathogenesis of schizophrenia, it is appropriate to study the
effects of such drugs in animals with normosensitive dopamine
receptors. The rats with unilateral striatal lesion with excitotoxic
glutamate analogs (kainic, ibotenic, or quinolinic acid) may be used
for this purpose. In the striatum injected with an excitotoxin, a
degeneration and death of intrinsic neurons occur, whereas the afferent
neurons and fibers on passage are relatively spared (McGeer and McGeer,
1976
; Christensen-Nylander et al., 1986
). Striatal degeneration on the
lesioned side leads to the functional imbalance of the basal ganglia
(Fields et al., 1978
; Mayer et al., 1990
), which results in the turning
behavior in response to directly or indirectly acting dopamine
agonists. In this model, the effects of dopamine drugs are
preferentially mediated by the dopamine-innervated dopamine receptors
of the intact striatum. The rats with unilateral striatal lesion with excitotoxins respond with the ipsilateral turning behavior after application of mixed dopamine
D2/D1 receptor agonists,
such as apomorphine (Schwarcz et al., 1979
; Herrera-Marschitz and
Ungerstedt, 1984
; Barone et al., 1986
; Fricker et al., 1996
). Only a
low-intensity ipsilateral turning develops after the application of
more selective dopamine D2 receptor agonists such
as bromocriptine (Schwarcz et al., 1979
) or LY-171555
[(+)-3-(3-hydroxyphenyl)-N-n-propylpiperidine] (Barone et al., 1986
). The induction of ipsilateral turning by D2 receptor agonist depends on the costimulation
of dopamine D1 receptors by endogenous dopamine
or by exogenously applied D1 receptor agonists
(Dziewczapolski et al., 1997
). The concept of requisite synergism
of dopamine innervated dopamine receptors (LaHoste and Marshall, 1996
)
could be used to explain some aspects of dopamine receptor interactions
involved in the mediation of ipsilateral turning in rats with
excitotoxic striatal lesion.
The aim of the present study was to investigate the effects of LEK-8829 on normosensitive dopamine receptors. We hypothesized the blockade of dopamine D2 receptors and concomitant stimulation of dopamine D1 receptors by LEK-8829. The rats with unilateral striatal lesions induced with ibotenic acid (IA) were used to resolve this issue. The properties of LEK-8829 were analyzed using SCH-23390, a selective dopamine D1 receptor antagonist; haloperidol, a D2 receptor antagonist; SKF-82958, a selective dopamine D1 receptor agonist; and bromocriptine, a clinically used D2 receptor agonist.
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Materials and Methods |
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Animals. We used male Wistar rats (250-300 g). The animals were maintained on a 12-h light/dark cycle (light on, 7:00 am to 7:00 pm) in a temperature-controlled colony room at 22-24°C with free access to rodent pellets and tap water. Groups of four animals were housed in standard plastic cages with sawdust cover on the floor throughout the experiment.
Drugs.
Apomorphine hydrochloride (Sigma, St. Louis, MO) was
dissolved in 0.9% saline containing 0.02% ascorbic acid. LEK-8829
(LEK, Ljubljana, Slovenia) and
(±)-6-chloro-7,8-dihydroxy-3-allyl-1-phenyl-2,3,4,5-tetrahydro-1H-3-benzazepine hydrobromide (SKF-82958; RBI, Natick, MA) were dissolved in 0.9% saline. Haloperidol (Haldol ampules, 5 mg/ml; Krka-Jenssen, Novo Mesto,
Slovenia) was diluted with 0.9% saline. SCH-23390 (RBI) and
2-bromo-
-ergocryptine mesylate (bromocriptine; LEK) were dissolved
in dimethyl sulfoxide, with the final solution being made up with 0.9%
saline and dimethyl sulfoxide (2:1). The doses given refer to the form
indicated above except for LEK-8829, which was calculated as the base.
The drugs were administered in a volume of 2 ml/kg s.c., except for
bromocriptine, which was injected i.p..
IA-Induced Striatal Lesions.
The stereotaxic lesions were
performed on experimentally naive rats. The animals were anesthetized
with the i.p. injection of xylazine (8 mg/kg; Rompun, Bayer,
Leverkusen, Germany), ketamine (60 mg/kg; Ketanest, Parke-Davis, Wien,
Austria), and atropine (0.6 mg/kg; Belupo, Koprivnica, Croatia) and
placed in a stereotaxic frame (TrentWells, South Gate, CA). IA (RBI)
was infused at a rate of 0.15 µl/min at three different injection
sites (each site, 0.5 µl of 0.06 M ibotenic acid dissolved in 0.1 M
phosphate buffer, pH 7.4) into the right neostriatum at the following
coordinates: A = 0.2, L = 3.0, V = 4.0, and V = 5.5 and A = 1.5, L = 2.5, and V = 4.6 (all coordinates are
given in millimeters, anterior coordinate from bregma, lateral
coordinate from the midline, and ventral coordinate from the surface of
the skull at bregma; stereotaxic coordinates according Paxinos and
Watson, 1982
). The incisor bar was set 2.3 mm below the interaural
line. The infusion was delivered via a 30-gauge stainless steel cannula
connected by polyethylene tubing to a 10-µl Hamilton syringe mounted
on a microdrive pump (Harvard Apparatus, South Natick, MA). At each
injection site, the cannula was left in place for 2 min before
retraction. After surgery, the lesioned animals were left for 14 days
to recover and to allow for neuronal degeneration.
Recording of Turning Behavior.
Each rat was placed in a
plastic cylindrical chamber (40-cm diameter) of the Lablinc automated
rotometer system (Colbourn Instruments, Allentown, PA) designed for the
simultaneous electromechanical recording (Ungerstedt and Arbuthnott,
1970
) of the turning behavior of eight animals. The data files of the
turning profiles of each animal (i.e., the full left/right turns per
minute) recorded by the L2T2S data acquisition software (Colbourn
Instruments) were graphically represented and analyzed using standard
Lotus 1-2-3 spreadsheet, running on a PC.
Apomorphine Test. To determine the development of striatal degeneration and to stabilize the turning response, the IA-lesioned animals were primed to the stimulation of dopamine D1 and D2 receptors by the treatment with apomorphine hydrochloride (5 mg/kg) in the third and fourth postoperative weeks. Only the apomorphine-primed IA-lesioned rats responding with at least 300 contralateral turns during the second apomorphine session were used in subsequent experiments. The animals were then randomly divided into experimental groups for experiments with drugs. The experiments with drugs started 1 week after the second priming session with apomorphine.
Dose-Response of LEK-8829-Induced Contralateral Turning. The dose-response of LEK-8829-induced turning (i.e., the cumulative number of contralateral turns, duration of turning behavior, peak turning frequency, mean turning frequency, and onset of turning) was assessed using five groups of IA-lesioned animals. Each group received one of the following doses of LEK-8829: 0.5, 1, 3, or 15 mg/kg or saline.
Effect of SCH-23390 on Contralateral Turning Behavior Induced by LEK-8829. A group of four animals was treated in three experimental sessions as follows: 1) saline + LEK-8829 (3 mg/kg), 2) SCH-23390 (0.5 mg/kg) + LEK-8829 (3 mg/kg), and 3) SCH-23390 (1 mg/kg) + LEK-8829 (3 mg/kg). The saline + SCH-23390 pretreatment was given 20 min before the administration of LEK-8829. Experimental sessions were performed in weekly intervals.
Effect of Haloperidol on Ipsilateral Turning Behavior Induced by SKF-82958. A group of five animals was treated in four experimental sessions as follows: 1) saline + SKF-82958 (3 mg/kg), 2) haloperidol (0.25 mg/kg) + SKF-82958 (3 mg/kg), 3) haloperidol (0.25 mg/kg) + saline, and 4) saline + saline. The saline + haloperidol pretreatment was given 20 min before the administration of SKF-82958 or saline. There was a drug-free interval of 1 week between each experimental session. The cumulative number of contralateral and ipsilateral turns and the maximal turning frequency (peak turning frequency) were registered during a 240-min period. The average number of cumulative ipsilateral turns was compared with the average number of cumulative contralateral turns using a two-tailed paired Student's t test (p < .05) to verify the statistical significance of the direction of turning.
Dose Dependence of Bromocriptine/LEK-8829 Interaction. In the first experiment, a group of four animals received injections of bromocriptine at 0 min and saline + LEK-8829 at 120 min in seven experimental sessions as follows: 1) bromocriptine (30 mg/kg) + saline, 2) bromocriptine (30 mg/kg) + LEK-8829 (0.5 mg/kg), 3) bromocriptine (30 mg/kg) + LEK-8829 (1 mg/kg), 4) bromocriptine (30 mg/kg) + LEK-8829 (3 mg/kg), 5) bromocriptine (30 mg/kg) + LEK-8829 (10 mg/kg), 6) bromocriptine (30 mg/kg) + LEK-8829 (30 mg/kg), and 7) bromocriptine (30 mg/kg) + saline. There was a drug-free interval of 1 week between each experimental session. The cumulative number of ipsilateral turns recorded in 2 h after the injection of LEK-8829 was calculated and used for statistical evaluation.
In the second experiment, four groups of four animals received injections of either bromocriptine or saline at 0 min and LEK-8829 at 120 min as follows: 1) saline + LEK-8829 (3 mg/kg), 2) bromocriptine (3 mg/kg) + LEK-8829 (3 mg/kg), 3) bromocriptine (10 mg/kg) + LEK-8829 (3 mg/kg), and 4) bromocriptine (30 mg/kg) + LEK-8829 (3 mg/kg). The cumulative number of turns recorded in 2 h after the injection of LEK-8829 was calculated to perform statistical evaluation of the effects of bromocriptine on contralateral turning induced by LEK-8829.Effect of SCH-23390 or Haloperidol on Bromocriptine/LEK-8829 Interaction. Five groups of four animals received injections of bromocriptine at 0 min, followed by drug/saline injections at 100 and 120 min as follows: 1) bromocriptine (30 mg/kg) + saline + saline, 2) bromocriptine (30 mg/kg) + saline + LEK-8829 (3 mg/kg), 3) bromocriptine (30 mg/kg) + SCH-23390 (1 mg/kg) + LEK-8829 (3 mg/kg), 4) bromocriptine (30 mg/kg) + haloperidol (5 mg/kg) + LEK-8829 (3 mg/kg), and 5) bromocriptine (30 mg/kg) + haloperidol (5 mg/kg) + saline. The cumulative number of ipsilateral turns recorded in 2 h after the third injection was calculated for each experimental group and used for statistical evaluation.
Histochemical Visualization of IA Lesions.
At the completion
of behavioral experiment, eight representative animals
(apomorphine-induced ipsilateral rotations, 472 ± 94) were
decapitated while under CO2 anesthesia, and the
brains were rapidly frozen on dry ice, wrapped in a Parafilm, and
stored at
70°C until further processing. Six evenly spaced striatal cryostat sections (10 µm) were cut between anteroposterior
coordinates + 2.2 mm and
1.3 mm relative to bregma and thaw-mounted
onto gelatinized slides. The sections were fixed in 4%
paraformaldehide for 5 min and processed for acetylcholinesterase
(AChE) staining using 0.02 mM iso-OMPA (tetraisopropyl
pyrophosphoramide; Koch-Light, Colnbrook, Buch, England) as inhibitor
of nonspecific esterase activity (Koelle and Friedenwald, 1949
).
AChE-stained sections were coverslipped with Canada balsam.
1.3 mm
relative to bregma were evaluated from eight representative animals.
The total area of the spared portion on the lesioned side was measured
(mm2) and compared with the total striatal area
of intact side.
Statistical Analysis. All values are expressed as mean ± S.E.M. number of turns during the observation period, where n represents the number of animals. Statistical evaluation of the effect of treatments between experimental sessions performed on the same group of animals and for the statistical evaluation of the effect of treatments between different groups of animals was evaluated using one-way ANOVA followed with Scheffe's multiple-comparison test. A two-tailed paired Student's t test was used to verify the statistical significance of the direction of turning in the haloperidol/SKF experiment because the animals did not turn exclusively in one direction.
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Results |
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Dose-Response of LEK-8829-Induced Contralateral Turning in IA Model. The result of the dose-response experiment showing the total number of turns and the duration of turning behavior induced by LEK-8829 is shown in Table 1. With lower doses of LEK-8829 (i.e., 0.5 and 1 mg/kg), the animals adopted contralateral posture, with a few contralateral turns that were observed for 2 h after the injection of the drug. With higher doses of LEK-8829 (3 and 15 mg/kg), the contralateral turning become more vigorous, with significantly increased number of cumulative number of turns, duration of turning behavior, and turning frequency (p < .05; ANOVA followed with Scheffe's multiple-comparison test).
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Effect of SCH-23390 on Contralateral Turning Behavior Induced by LEK-8829. The pretreatment with SCH-23390 resulted in a dose-dependent inhibition of LEK-8829-induced contralateral turning. After the pretreatment with SCH-23390 at the dose of 0.5 mg/kg, the total number of contralateral turns induced by LEK-8829 (3 mg/kg) was nonsignificantly reduced, whereas the pretreatment with SCH-23390 with the dose of 1 mg/kg resulted in almost complete inhibition of contralateral turning induced by LEK-8829 (3 mg/kg) (by 70%, n = 4, p > .05, and by 90%, n = 4, p < .05, respectively, compared with the cumulative number of contralateral turns recorded in a control, saline-pretreatment session; one-way ANOVA with Scheffe's multiple-comparison test) (Fig. 1).
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Effect of Haloperidol on SKF-82958-Induced Turning Behavior. The treatment of saline-pretreated animals (n = 5) with SKF-82958 has induced a weak, although significant, turning toward the side of the lesion. During the saline treatment, the animals did not exhibit turning behavior or recognizable postural bias. During the haloperidol treatment, all the animals adopted contralateral posture. The administration of SKF-82958 to haloperidol-pretreated animals induced a significant contralateral turning of low intensity (Table 2).
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Dose Dependence of Bromocriptine/LEK-8829 Interaction. In the first experiment, a long-lasting ipsilateral turning behavior (greater than 12 h) of low rotational speed with a long latency to the onset of turning was recorded in the first bromocriptine/saline session. Saline injection did not significantly affect the bromocriptine-induced turning (see Fig. 5A). In five experimental sessions that followed, the interaction of bromocriptine (30 mg/kg, injected at 0 min) with LEK-8829 (0.5, 1, 3, 10, or 30 mg/kg, injected at 120 min) was investigated. Statistical analysis has shown a significant, dose-dependent potentiation of bromocriptine-induced ipsilateral turning by LEK-8829 (1, 3, and 10 mg/kg) (n = 4, p < .05, one-way ANOVA with Scheffe's multiple-comparison test). The potentiation was most effective with the dose of 3 mg/kg of LEK-8829 (Fig. 2). On the other hand, the interaction of bromocriptine (30 mg/kg)/LEK-8829 (30 mg/kg) resulted in a very distinctive, polyphasic turning profile. The cumulative number of ipsilateral turns recorded in a 2-h period after the injection of LEK-8829 was not significantly different from the control value (n = 4, p > .05, one-way ANOVA with Scheffe's multiple-comparison test) (Fig. 2). Shortly after the injection of LEK-8829, there was a potentiation of ipsilateral turning (see Fig. 5C). The initial potentiation was then replaced by the inhibition of turning, which lasted for about 1 h. The inhibition of turning was followed by a gradual reappearance of ipsilateral turning (Fig. 3B and see Fig. 5C). At about 4 h after the injection of LEK-8829, the animals changed the direction of turning to the contralateral side (Fig. 3B). The cumulative number of turns and the turning profiles recorded in the last bromocriptine/saline session were not significantly different from the control value obtained in the first bromocriptine/saline session (n = 4, p > .05, one-way ANOVA with Scheffe's multiple-comparison test) (Fig. 2).
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Effect of SCH-23390 and Haloperidol on Bromocriptine/LEK-8829 Interaction. The experiment with specific antagonists of dopamine receptors D1 and D2 (1 mg/kg SCH-23390 and 5 mg/kg haloperidol, respectively) has shown that both antagonists almost completely inhibited the ipsilateral turning response mediated by the bromocriptine (30 mg/kg)/LEK-8829 (3 mg/kg) combination (by 99% and 93%, respectively, compared with the effect of saline in the control bromocriptine/LEK-8829 group, n = 4, p < .05, one-way ANOVA with Scheffe's multiple-comparison test). The experiment also revealed a significant inhibition of bromocriptine-induced turning in response to haloperidol (by 90%, n = 4, p < .05, one-way ANOVA with Scheffe's multiple-comparison test) (Fig. 6).
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Visualization of Position and Extent of Striatal Lesions. The AChE histochemistry performed on eight representative animals has shown extensive excitotoxic lesions positioned in the central striatum as shown in Fig. 7. Histometrical analysis revealed that the IA-injection destroyed 50 to 70% of the striatal tissue (Table 3). This resulted in the shrinkage of the striatum and enlargement of lateral ventricle on the lesioned side. Less intense AChE staining was found in the frontoparietal cortex overlying the lesioned striatum. Other extrastriatal regions were not visibly affected.
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Discussion |
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Induction of Contralateral Turning in Response to LEK-8829.
In
rats with excitotoxic striatal lesions, the dopamine receptor agonists
induce ipsilateral turning (Schwarcz et al., 1979
; Herrera-Marschitz
and Ungerstedt, 1984
; Dunnett et al., 1988
; Norman et al., 1990
). The
ipsilateral turning is generally less intense than the contralateral
turning induced in rats with unilateral dopaminergic striatal
deafferentation with 6-OHDA, which are supersensitive to dopamine
receptor agonists (Schwarcz et al., 1979
, Herrera-Marschitz and
Ungerstedt, 1984
). Few reports of turning induced with apomorphine or
amphetamine have shown the dependence of the direction of turning on
the localization of the excitotoxic lesion in the striatum (Kafetzopoulos et al., 1988
; Norman et al., 1992
; Fricker et al., 1996
).
Interaction of LEK-8829 with Bromocriptine.
The treatment with
a high dose of bromocriptine induced a prolonged ipsilateral turning of
low frequency that was blocked by haloperidol. Low doses of LEK-8829
significantly potentiated the ipsilateral turning induced by a high
dose of bromocriptine. The potentiation of bromocriptine-induced
turning by LEK-8829 suggests the synergistic effects of bromocriptine
and LEK-8829 on dopamine D2 and
D1 receptors, respectively. The synergism of LEK-8829 with bromocriptine was prevented either by SCH-23390 or by
haloperidol. It was described previously that dopamine
D1 receptor agonists act synergistically with
bromocriptine (Robertson and Robertson, 1986
; Weick and Walters, 1987
;
Robertson et al., 1992
). The ipsilateral turning mediated by dopamine
D2 receptor agonists, such as bromocriptine, may
therefore depend on the coactivation of dopamine
D1 receptors by endogenous dopamine
(Dziewczapolski et al., 1997
). By analogy, the blocking effect of
haloperidol on the potentiation of bromocriptine-induced ipsilateral
turning in response to LEK-8829 may also be explained by the necessity of the costimulation of dopamine D2 receptors for
the induction of significant ipsilateral turning by the drugs acting on
dopamine D1 receptors in this model.
ivin et al., 1996| |
Acknowledgments |
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We gratefully acknowledge the expert technical assistance of
Helena Kup
ek.
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Footnotes |
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Accepted for publication October 1, 1998.
Received for publication April 7, 1998.
1 This work was supported by a grant from the Ministry of Science and Technology, Republic of Slovenia (Grant 7885-0381) and by a grant from LEK, Pharmaceutical and Chemical Co., Ljubljana, Slovenia.
Send reprint requests to: Dr. Du
an Sket, Institute
of Pathophysiology, Zalo
ka 4, 1000 Ljubljana, Slovenia. E-mail:
sket{at}ibmi.mf.uni-lj.si
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Abbreviations |
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IA, ibotenic acid; AChE, acetylcholinesterase; 5-HT, serotonin; iso-OMPA, tetraisopropyl pyrophosphoramide; 6-OHDA, 6-hydroxydopamine; LEK-8829, 9,10-didehydro-N-methyl-(2-propynyl)-6-methyl-8-aminomethylergoline bimaleinate; LY-171555, (+)-3-(3-hydroxyphenyl)-N-n-propylpiperidine; SCH-23390, (R)-(+)-7-chloro-8-hydroxy-3-methyl-1-phenyl-2,3,4,5-tetrahydro-1H-3-benzazepine hydrochloride, SKF-82958, (±)-6-chloro-7,8-dihydroxy-3-allyl-1-phenyl-2,3,4,5-tetrahydro-1H-3-benzazepine hydrobromide.
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References |
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ivin M,
prah L and
Sket D
(1996)
The D1 receptor-mediated effects of the ergoline derivative LEK-8829 in rats with unilateral 6-hydroxydopamine lesions.
Br J Pharmacol
119:
1187-96[Medline].
ivin M,
prah L and
Sket D
(1998)
Antiparkinsonian potential of interaction of LEK-8829 with bromocriptine.
Eur J Pharmacol
349:
151-157[Medline].
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