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Printable Handouts
Navigable Slide Index
- Introduction
- Characteristics of Parkinson´s disease (PD)
- Dopamine (DA) depletion & motor info processing
- Dopamine replacement therapy for PD
- L-DOPA is the most effective drug for PD
- L-DOPA-induced dyskinesias in PD
- Motor response to L-DOPA changes over the time
- Mechanisms of levodopa induced dyskinesia (LID)
- Pre- & post-synaptic mechanisms of LID
- Unilateral 6-OHDA lesions cause contralateral LID
- L-DOPA induces larger peak levels of dopamine
- L-DOPA-induced DA release in serotonin neurons
- Serotonin receptor agonists blunt DA efflux
- Serotonin axon terminal density and LID severity
- Imaging supports role for serotonin neurons in LID
- Presynaptic mechanisms, interim summary
- Post-synaptic mechanisms of LID: striatal neurons
- Genes linked to involuntary movements
- ΔFosB upregulation and ERK1/2 signaling
- pERK1/2 & ΔFosB upregulation by L-DOPA
- mGluR5 antagonists attenuates ERK1/2 and LID
- mGluR5 antagonists create anti-dyskinetic effects
- Molecular & structural changes may be linked
- Spiny projection neurons (SPNs) in PD and LID
- SPNs show dendritic atrophy & functional changes
- Post-synaptic mechanisms involved in LID
- Key mechanisms of L-DOPA-induced dyskinesia
- Acknowledgments
Topics Covered
- Characteristics of Parkinson´s disease (PD)
- Dysregulation of dopamine release and re-uptake in the striatum
- L-DOPA as a drug for PD
- L-DOPA-induced dyskinesia (LID)
- Pre- and post-synaptic mechanisms of LID
- Serotonin neurons, dopamine and LID
- Genes linked to involuntary movements (ΔFosB, ERK1/2, mGluR5)
- Spiny projection neurons (SPNs) in PD and LID
Links
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Talk Citation
Cenci, A. (2014, June 2). Mechanisms of L-DOPA-induced dyskinesia in Parkinson's disease [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 3, 2024, from https://doi.org/10.69645/TMOJ6172.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Angela Cenci has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
Hello, my name is Angela Cenci.
I am a professor of
experimental medical research
at Lund University in Sweden.
This talk is about the mechanisms
of levodopa-induced dyskinesia
in Parkinson's disease.
0:15
Parkinson's disease, as
illustrated in slide number two,
is a neurodegenerative disorder
characterized by some typical motor
symptoms such as slow movements,
loss of spontaneous movements,
muscle rigidity, and resting tremor.
These symptoms are due to
the degeneration of neurons
in the substantia nigra that produce
the neurotransmitter dopamine
as illustrated in
drawing to the left.
The dopaminergic neurons
project their axons
to the large, subcortical
nucleus, which
is shaded in red in the
drawing to the right.
This nucleus is called the striatum.
And it is the part of the striatum
called the putamen that processes
motor information from
the cortex and requires
a normal dopaminergic input for
its physiological functions.
1:10
Dopamine depletion impairs the
processing of motor information
in neural pathways that connect
the cortex and the basal ganglia.
In brief, these neural pathways
are indicated in the drawing
to the right.
The cerebral cortex
sends glutamatergic axons
to the striatum.
The striatum uses the information
coming from the cortex
to elaborate well-coordinated
signals used to select or supress
movements and then
sends these signals
to other parts of the basal
ganglia, to the globus pallidus
in particular from
which messages are then
sent out to the rest of the brain.