1. Monoamine oxidase A inhibition with moclobemide enhances the anti-parkinsonian effect of L-DOPA in the MPTP-lesioned marmoset.
- Author
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Hamadjida A, Nuara SG, Kwan C, Frouni I, Bédard D, Gourdon JC, and Huot P
- Subjects
- 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine, Animals, Antiparkinson Agents toxicity, Basal Ganglia enzymology, Basal Ganglia physiopathology, Behavior, Animal drug effects, Callithrix, Disease Models, Animal, Drug Synergism, Drug Therapy, Combination, Dyskinesia, Drug-Induced etiology, Dyskinesia, Drug-Induced physiopathology, Female, Levodopa toxicity, Male, Motor Activity drug effects, Parkinsonian Disorders chemically induced, Parkinsonian Disorders enzymology, Parkinsonian Disorders physiopathology, Psychoses, Substance-Induced etiology, Psychoses, Substance-Induced psychology, Antiparkinson Agents pharmacology, Basal Ganglia drug effects, Levodopa pharmacology, Moclobemide pharmacology, Monoamine Oxidase metabolism, Monoamine Oxidase Inhibitors pharmacology, Parkinsonian Disorders drug therapy
- Abstract
Whereas monoamine oxidase (MAO) type B inhibitors are used as adjunct to L-3,4-dihydroxyphenylalanine (L-DOPA) in the treatment of Parkinson's disease (PD), the enzyme MAO type A (MAO-A) also participates in the metabolism of dopamine in the human and primate striatum. Here, we sought to assess the effect of the selective reversible MAO-A inhibitor moclobemide on L-DOPA anti-parkinsonian in the gold standard animal model of PD, the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-lesioned primate. We also assessed the effect of moclobemide on L-DOPA-induced dyskinesia and psychosis-like behaviours (PLBs). Experiments were performed in six MPTP-lesioned marmosets chronically treated with L-DOPA and exhibiting stable dyskinesia and PLBs upon each administration. In a randomised within-subject design, animals were administered a therapeutic dose of L-DOPA in combination with moclobemide (0.1, 1 and 10 mg/kg) or its vehicle, after which the severity of parkinsonism, dyskinesia, and PLBs was rated by an experienced blinded rater. Moclobemide significantly reduced the global parkinsonian disability (- 36% with 0.1 mg/kg, P < 0.05; - 38% with 1 mg/kg, P < 0.01; - 47% with 10 mg/kg, P < 0.01), when compared with its vehicle. This reduction of parkinsonism was not accompanied by an exacerbation of dyskinesia or PLBs. Reversible MAO-A inhibition with moclobemide appears as an effective way to increase the anti-parkinsonian action of L-DOPA, without negatively affecting dyskinesia or dopaminergic psychosis.
- Published
- 2020
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