The use of pramipexole in Parkinson's disease:: are its actions D3 mediated?

被引:27
作者
Guttman, M [1 ]
Jaskolka, J
机构
[1] Univ Toronto, Natl Parkinson Fdn Ctr Excellence, Div Neurol, Dept Med, Toronto, ON, Canada
[2] Univ Toronto, Natl Parkinson Fdn Ctr Excellence, Dept Psychiat, Toronto, ON, Canada
[3] Ctr Addict & Mental Hlth, Toronto, ON, Canada
关键词
pramipexole; Parkinson's disease; D-3 dopamine receptor;
D O I
10.1016/S1353-8020(00)00062-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pramipexole is a non-ergot dopamine agonist recently approved for the treatment of early and advanced Parkinson's disease (PD). It has preferential affinity for the D-3 dopamine receptor, compared to previous dopamine agonists that have higher affinity for D-2 dopamine receptors. The ultimate question is whether its efficacy is linked to its action at the D-3 dopamine site or due to its binding to D-2 dopamine receptors. There is no direct experimental evidence available to answer this question. Based on a review of the pharmacological literature, it is likely that the motor benefits of pramipexole in PD patients are due to D-2 stimulation, whereas its putative effects on mood and apathy may be related to its D3 agonist properties. (C) 2001 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:231 / 234
页数:4
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