Postsynaptic nigrostriatal dopamine receptors and their role in movement regulation

被引:38
作者
Korchounov, Alexei [1 ]
Meyer, Michael F. [1 ]
Krasnianski, Michael [1 ,2 ]
机构
[1] Marienhosp Kevelaer, Parkinson Dept, D-47612 Kevelaer, Germany
[2] Univ Halle Wittenberg, Dept Neurol, Halle, Saale, Germany
关键词
Dopamine; Movement; Parkinson's disease; Dyskinesia; Treatment; ANTICIPATORY POSTURAL ADJUSTMENTS; SUBTHALAMIC NUCLEUS STIMULATION; LEVODOPA-INDUCED DYSKINESIAS; LATENCY AFFERENT INHIBITION; SELECTIVE FINGER MOVEMENT; FOCAL HAND DYSTONIA; HUMAN MOTOR CORTEX; PARKINSONS-DISEASE; BASAL GANGLIA; SUBSTANTIA-NIGRA;
D O I
10.1007/s00702-010-0454-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
The article presents the hypothesis that nigrostriatal dopamine may regulate movement by modulation of tone and contraction in skeletal muscles through a concentration-dependent influence on the postsynaptic D1 and D2 receptors on the follow manner: nigrostriatal axons innervate both receptor types within the striatal locus somatotopically responsible for motor control in agonist/antagonist muscle pair around a given joint. D1 receptors interact with lower and D2 receptors with higher dopamine concentrations. Synaptic dopamine concentration increases immediately before movement starts. We hypothesize that increasing dopamine concentrations stimulate first the D1 receptors and reduce muscle tone in the antagonist muscle and than stimulate D2 receptors and induce contraction in the agonist muscle. The preceded muscle tone reduction in the antagonist muscle eases the efficient contraction of the agonist. Our hypothesis is applicable for an explanation of physiological movement regulation, different forms of movement pathology and therapeutic drug effects. Further, this hypothesis provides a theoretical basis for experimental investigation of dopaminergic motor control and development of new strategies for treatment of movement disorders.
引用
收藏
页码:1359 / 1369
页数:11
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