Dopamine (DA)-replacement therapy utilizing L-DOPA is the gold standard symptomatic treatment for Parkinson’s
disease (PD). A critical complication of this therapy is the development of L-DOPA-induced dyskinesia (LID). The endogenous opioid
peptides, including enkephalins and dynorphin, are co-transmitters of dopaminergic, GABAergic, and glutamatergic transmission in
the direct and indirect striatal output pathways disrupted in PD, and alterations in expression levels of these peptides and their
precursors have been implicated in LID genesis and expression. We have previously shown that the opioid glycopeptide drug MMP-2200
(a.k.a. Lactomorphin), a glycosylated derivative of Leu-enkephalin mediates potent behavioral effects in two rodent models of
striatal DA depletion. In this study, the mixed mu-delta agonist MMP- 2200 was investigated in standard preclinical rodent models
of PD and of LID to evaluate its effects on abnormal involuntary movements (AIMs). MMP-2200 showed antiparkinsonian activity,
while increasing L-DOPA-induced limb, axial, and oral (LAO) AIMs by ~10%, and had no effect on dopamine receptor 1 (DiR)-induced
LAO AIMs. In contrast, it markedly reduced dopamine receptor 2 (D2R)-like-induced LAO AIMs. The locomotor AIMs were
reduced by MMP-2200 in all three conditions. The A-methyl-d-aspartate receptor (NMDAR) antagonist MK-801 has previously been shown
to be anti-dyskinetic, but only at doses that induce parkinsonism. When MMP-2200 was co-administered with MK-801, MK-801-induced
proparkinsonian activity was suppressed, while a robust anti-dyskinetic effect remained. In summary, the opioid glycopeptide
MMP-2200 reduced AIMs induced by a D2R-like agonist, and MMP-2200 modified the effect of MK-801 to result in a potent
reduction of L-DOPA-induced AIMs without induction of parkinsonism.