Striatal and nigral muscarinic type 1 and type 4 receptors modulate
levodopa-induced dyskinesia and striato-nigral pathway activation
Abstract
Background and purpose: Muscarinic receptors contribute to both the
facilitation and inhibition of levodopa-induced dyskinesia operated by
striatal cholinergic interneurons, although the receptor subtypes and
the mechanisms involved have not been clearly identified. Also
muscarinic receptors in substantia nigra reticulata, activated by
cholinergic midbrain afferents, regulate striatal functions although
their role in levodopa-induced dyskinesia remains to be proven. Here, we
investigate whether striatal and nigral muscarinic M1 and/or M4
receptors modulate dyskinesia expression and the underlying
striato-nigral GABAergic pathway activation in 6-hydroxydopamine
hemilesioned rats. Experimental approach: Reverse microdialysis allowed
to deliver the M1 and M4 preferential antagonists telenzepine,
PD-102807, tropicamide and the selective M4 positive allosteric
modulator VU0152100 in striatum or substantia nigra, while levodopa was
administered systemically. Dyskinetic movements were monitored along
with nigral GABA (and glutamate) and striatal glutamate levels, taken as
neurochemical markers of striato-nigral pathway activation. Key results:
Intrastriatal telenzepine, PD-102807 and tropicamide alleviated
dyskinesia and inhibited nigral GABA and striatal glutamate release.
This was partially replicated by intrastriatal VU0152100 that, however,
failed to inhibit striatal glutamate. The M2 preferential antagonist
AFDX-116, used to elevate striatal acetylcholine levels, blocked the
behavioral and neurochemical effects of PD-102807. Intranigral VU0152100
prevented levodopa-induced dyskinesia and its neurochemical correlates
whereas PD-102807 was ineffective. Conclusions and Implications:
Striatal M1 and M4, likely postsynaptic, receptors facilitate dyskinesia
and striato-nigral pathway activation. Striatal M4 receptors, possibly
located presynaptically, also inhibit dyskinesia. Potentiation of
striatal and nigral M4 transmission leads to powerful multilevel
inhibition of striato-nigral pathway providing a new strategy to tackle
dyskinesia.