The interplay between dopamine and glutamate in the basal ganglia regulates critical aspects of motor learning and behavior. Metabotropic glutamate receptors (mGluR) are increasingly regarded as key modulators of neuroadaptation in these circuits, in normal and disease conditions. Using PET, we demonstrate a significant upregulation of mGluR type 5 in the striatum of MPTP-lesioned, parkinsonian primates, providing the basis for therapeutic exploration of mGluR5 antagonists in Parkinson disease.
KeywordsPET; dopamine; glutamate; mGluR5; Parkinson disease; MPTP Increasing understanding of receptor function is revealing complex and dynamic interactions between neurotransmitter systems (Zhang and Sulzer, 2003), including heterosynaptic transmission, alternative second messengers and integration of intracellular cascades at different levels. In the basal ganglia, dopamine (DA) regulation of glutamate (Glu) neurotransmission is complex and the loss of DA-mediated inhibition in the striatum in Parkinson disease (PD) results in an imbalance in other neurotransmitters, mostly excitatory. Accordingly, Glu antagonists at ionotropic glutamate receptors (iGluR) (as well as anticholinergic drugs) have demonstrated antiparkinsonian effects, although their side effects are intolerable (Gubellini et al., 2004). In contrast, metabotropic (m)GluRs are activated when there is excess Glu in the synaptic cleft, that spills over to activate perisynaptic receptors -and therefore act as sensors and modulators when or where Glu transmission is enhanced (Gubellini et al., 2004;Konradi et al., 2004). This functional specificity makes them attractive pharmacological targets, although it cannot be excluded that drugs will also interact with mGluRs in other regions, masking or altering the effects (Gubellini et al., 2004). In contrast toCorresponding author: Anna-Liisa Brownell, Address: Bartlett Hall 504R, Radiology, Massachusetts General Hospital, Boston, MA 02114, Phone: 617-726-3807, Fax: 617-726-5123, Email: abrownell@partners.org. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. iGluR antagonists, such side effects may be subtle and not discernible in animal models (Gubellini et al., 2004). The prevalent distribution of mGluR5 in the striatum and limbic system supports their role modulating DA and Glu-dependent signaling and synaptic plasticity within the basal ganglia cortico-subcortical loops (Gubellini et al., 2004). While the role of mGluR5 in cocaine addiction has been firmly established (Chiamulera et al., 2001) using mGluR5 knockout mice, data from Parkinson models are equivocal (A...