Abstract
In the majority of Parkinson's disease patients, chronic dopamine replacement therapy leads to involuntary aimless movements known as l-dopa-induced dyskinesia. While mechanisms involved in dyskinesia occurrence are still unclear, dopamine receptors undoubtedly have a central role in their pathophysiology. Here we review current knowledge and evidence for their involvement in dyskinesia genesis and manifestation. We propose that an anti-dyskinetic strategy should target the D1/D3 signalling cascade, as targeting D2 receptor signalling seems to inherently convey anti-therapeutic effects deleterious to patients. As more molecular tools are made available, we will better understand the role of each receptor and its associated signalling cascade in Parkinson's disease and L-dopa-induced dyskinesia, hopefully in a way amenable to patients.
TY - JOUR
T1 - Dopamine receptors and L-dopa-induced dyskinesia.
AU - Berthet,Amandine,
AU - Bezard,Erwan,
PY - 2010/2/4/entrez
PY - 2010/2/4/pubmed
PY - 2010/10/1/medline
SP - S8
EP - 12
JF - Parkinsonism & related disorders
JO - Parkinsonism Relat Disord
VL - 15 Suppl 4
N2 - In the majority of Parkinson's disease patients, chronic dopamine replacement therapy leads to involuntary aimless movements known as l-dopa-induced dyskinesia. While mechanisms involved in dyskinesia occurrence are still unclear, dopamine receptors undoubtedly have a central role in their pathophysiology. Here we review current knowledge and evidence for their involvement in dyskinesia genesis and manifestation. We propose that an anti-dyskinetic strategy should target the D1/D3 signalling cascade, as targeting D2 receptor signalling seems to inherently convey anti-therapeutic effects deleterious to patients. As more molecular tools are made available, we will better understand the role of each receptor and its associated signalling cascade in Parkinson's disease and L-dopa-induced dyskinesia, hopefully in a way amenable to patients.
SN - 1873-5126
UR - https://www.unboundmedicine.com/medline/citation/20123563/Dopamine_receptors_and_L_dopa_induced_dyskinesia_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S1353-8020(09)70827-2
DB - PRIME
DP - Unbound Medicine
ER -