2000
DOI: 10.1002/1531-8257(200001)15:1<3::aid-mds1003>3.0.co;2-e
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Pathophysiology of motor response complications in Parkinson's disease: Hypotheses on the why, where, and what

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Cited by 89 publications
(46 citation statements)
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References 58 publications
(57 reference statements)
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“…However, with the progression of PD, presynaptic and postsynaptic derangements in nigrostriatal DA transmission preclude this restoration (40), and L-DOPA pharmacotherapy now elicits both involuntary movements and motor fluctuations (41). The essential underlying mechanism would be an excessive and pulsatile stimulation of both D1 and D2 receptors (42), conceivably causing overactivity of dSPNs and underactivity of iSPNs (4). Studies in both rodent and nonhuman primate models of LID have prompted the hypothesis that overactivity of dSPNs is the actual culprit in LID (33-35).…”
Section: Discussionmentioning
confidence: 99%
“…However, with the progression of PD, presynaptic and postsynaptic derangements in nigrostriatal DA transmission preclude this restoration (40), and L-DOPA pharmacotherapy now elicits both involuntary movements and motor fluctuations (41). The essential underlying mechanism would be an excessive and pulsatile stimulation of both D1 and D2 receptors (42), conceivably causing overactivity of dSPNs and underactivity of iSPNs (4). Studies in both rodent and nonhuman primate models of LID have prompted the hypothesis that overactivity of dSPNs is the actual culprit in LID (33-35).…”
Section: Discussionmentioning
confidence: 99%
“…We assumed that this difference might be because movement controlling circuitry contains various neurotransmitters and neuromodulators from both dopaminergic neurons and non-dopaminergic neurons, presenting motor response complications. 17,18) Reports have suggested that acute heat stress upregulates dopamine in several brain regions 3,19) and the excess dopamine must be metabolized. 20) Dopamine forms DOPAC and HVA via the action of catechol-O-methyltransferase and monoamine oxidase.…”
Section: Discussionmentioning
confidence: 99%
“…NMDA receptor hyperactivity has been associated with a variety of central nervous system disorders (Rothman and Olney, 1986;Lipton and Rosenberg, 1994;Metman et al, 2000). Despite efforts to design effective NMDA receptor antagonists, these often failed in clinical trials due to intolerable psychotic effects of completely blocking NMDA receptor signaling (Albers et al, 1999;Morris et al, 1999;Davis et al, 2000).…”
Section: Discussionmentioning
confidence: 99%
“…Ca 21 entry through NMDA receptors is required during neuronal development for synapse formation and throughout life for synaptic maintenance and plasticity (Bliss et al, 2003). NMDA receptors are key mediators of glutamate excitotoxicity, and NMDA receptor hyperactivity has been associated with many neurologic conditions, including ischemic stroke, epilepsy, and neurodegenerative disorders (Rothman and Olney, 1986;Lipton and Rosenberg, 1994;Metman et al, 2000).…”
Section: Introductionmentioning
confidence: 99%