Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 14 de 14
Filtrar
1.
Purinergic Signal ; 14(4): 331-344, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30362042

RESUMEN

Etiology of the Alzheimer's disease (AD) is not fully understood. Different pathological processes are considered, such as amyloid deposition, tau protein phosphorylation, oxidative stress (OS), metal ion disregulation, or chronic neuroinflammation. Purinergic signaling is involved in all these processes, suggesting the importance of nucleotide receptors (P2X and P2Y) and adenosine receptors (A1, A2A, A2B, A3) present on the CNS cells. Ecto-purines, ecto-pyrimidines, and enzymes participating in their metabolism are present in the inter-cellular spaces. Accumulation of amyloid-ß (Aß) in brain induces the ATP release into the extra-cellular space, which in turn stimulates the P2X7 receptors. Activation of P2X7 results in the increased synthesis and release of many pro-inflammatory mediators such as cytokines and chemokines. Furthermore, activation of P2X7 leads to the decreased activity of α-secretase, while activation of P2Y2 receptor has an opposite effect. Simultaneous inhibition of P2X7 and stimulation of P2Y2 would therefore be the efficient way of the α-secretase activation. Activation of P2Y2 receptors present in neurons, glia cells, and endothelial cells may have a positive neuroprotective effect in AD. The OS may also be counteracted via the purinergic signaling. ADP and its non-hydrolysable analogs activate P2Y13 receptors, leading to the increased activity of heme oxygenase, which has a cytoprotective activity. Adenosine, via A1 and A2A receptors, affects the dopaminergic and glutaminergic signaling, the brain-derived neurotrophic factor (BNDF), and also changes the synaptic plasticity (e.g., causing a prolonged excitation or inhibition) in brain regions responsible for learning and memory. Such activity may be advantageous in the Alzheimer's disease.


Asunto(s)
Enfermedad de Alzheimer/metabolismo , Encéfalo/metabolismo , Receptores Purinérgicos P1/metabolismo , Receptores Purinérgicos/metabolismo , Animales , Humanos , Neuroglía/metabolismo , Neuronas/metabolismo
2.
Purinergic Signal ; 11(3): 307-16, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25957584

RESUMEN

Etiopathogenesis of migraine involves different structures of the central nervous system: the trigeminal nerve with nuclei located in the brain stem, vascular system, and the cerebral cortex as well as diverse mechanisms and pathological processes. The multidirectional action of purines in different cell types (blood vessels, neurons, and satellite glial cells) and through different types of purinergic receptors contributes to the etiopathogenesis of migraine pain. Adenosine triphosphate (ATP) and its derivatives are involved in initiation and propagation of migrenogenic signals in several ways: they participate in vasomotor mechanism, cortical spreading depression, and in fast transmission or cross-excitation based on the satellite glial cells in trigeminal ganglion. Contribution of purinergic signaling in the conduction of pain is realized through the activation of P1 and P2 receptors expressed widely in the central nervous system: on the neurons and glial cells as well as on the smooth muscles and endothelium in the vascular system. Therefore, the purinergic receptors can be an excellent target for pharmacologists constructing new antimigraine therapeutics. Moreover, the mechanisms facilitating ATP and adenosine degradation may prevent vasodilatation and thus avoid a secondary central sensitization during a migraine attack. Thus, agonists and antagonists of P receptors as well as ecto-enzymes metabolizing nucleotides/nucleosides could gain the growing attention as therapeutic agents.


Asunto(s)
Trastornos Migrañosos/tratamiento farmacológico , Trastornos Migrañosos/fisiopatología , Receptores Purinérgicos/fisiología , Transducción de Señal/fisiología , Adenosina Trifosfato/metabolismo , Animales , Depresión de Propagación Cortical/efectos de los fármacos , Humanos , Receptores Purinérgicos/efectos de los fármacos , Transducción de Señal/genética
3.
Insects ; 13(11)2022 Nov 17.
Artículo en Inglés | MEDLINE | ID: mdl-36421966

RESUMEN

The pine-tree lappet moth, D. pini, is a harmful defoliator of pine forests in Europe and Asia and a potentially invasive species in North America. The lures for trapping D. pini males based on two known components of its sex pheromone appeared weakly attractive to male moths. Identification of all components of the sex pheromone might allow for the development of more effective lures. The pheromone was sampled from virgin females using SPME and analyzed using gas chromatography coupled with mass spectrometry. Four new likely components ((Z5)-dodecenal, (Z5)-dodecen-1-ol, (Z5)-decen-1-yl acetate, (Z5)-tetradecen-1-yl acetate) and two known components ((Z5,E7)-dodecadienal, (Z5,E7)-dodecadien-1-ol) were identified based on comparison against authentic standards, Kováts indices and spectra libraries. The samples also contained several sesquiterpenes. Wind tunnel and field experiments showed that some blends of synthetic pheromone components alone or enriched with Scots pine essential oil (SPEO) were attractive to D. pini males. One component-(Z5)-decen-1-yl acetate-had a repelling effect. The presented knowledge of D. pini sex pheromone provides a basis for developing optimal lures for monitoring or controlling insect populations.

4.
Purinergic Signal ; 7(4): 393-402, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21792574

RESUMEN

Extracellular nucleotides and adenosine play important roles in inflammation. These signaling molecules interact with the cell-surface-located P2 and P1 receptors, respectively, that are widely distributed in the central nervous system and generally exert opposite effects on immune responses. Indeed, extracellular ATP, ADP, UTP, and UDP serve as alarmins or damage-associated molecular patterns that activate mainly proinflammatory mechanisms, whereas adenosine has potent anti-inflammatory and immunosuppressive effects. This review discusses the actual and potential role of extracellular nucleotides and adenosine in multiple sclerosis (MS).

5.
Neurol Neurochir Pol ; 45(5): 489-99, 2011.
Artículo en Polaco | MEDLINE | ID: mdl-22127945

RESUMEN

Nucleotides released from activated and/or injured cells activate P2 receptors. Extracellular nucleotides serve as danger signals or damage-associated molecular patterns (DAMPs) that trigger various immune responses. Indeed, P2 receptors are highly expressed in the astrocytes, microglia and other immune cells such as T and B lymphocytes that migrate to the central nervous system. The activation of P2 receptors triggers the secretion of proinflammatory cytokines and chemokines as well as immune cell migration and proliferation that contribute to demyelination and axonal damage. The activation of P2 receptors is controlled by the ectonucleotidases which hydrolyze extracellular nucleotides. Ecto-NTPDases and ecto-5'-nucleotidase are expressed in the astrocytes, oligodendrocytes, microglia, endothelial cells and activated T cells. The hydrolysis of extracellular ATP and ADP by enzymes results in the generation of extracellular adenosine. This nucleoside interacts with P1 receptors and activates anti-inflammatory and immunosuppressive responses in the cells involved in MS.


Asunto(s)
Encéfalo/metabolismo , Esclerosis Múltiple/inmunología , Esclerosis Múltiple/terapia , Fibras Nerviosas Mielínicas/patología , Receptores Purinérgicos P1/metabolismo , Receptores Purinérgicos P2/metabolismo , Adenosina Trifosfato/metabolismo , Humanos , Esclerosis Múltiple/patología
6.
Pharmacol Rep ; 69(1): 130-138, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-27915186

RESUMEN

Adenine nucleotides and adenosine are signaling molecules that activate purinergic receptors P1 and P2. Activation of A1 adenosine receptors has an anticonvulsant action, whereas activation of A2A receptors might initiate seizures. Therefore, a significant limitation to the use of A1 receptor agonists as drugs in the CNS might be their peripheral side effects. The anti-epileptic activity of adenosine is related to its increased concentration outside the cell. This increase might result from the inhibition of the equilibrative nucleoside transporters (ENTs). Moreover, the implantation of implants or stem cells into the brain might cause slow and persistent increases in adenosine concentrations in the extracellular spaces of the brain. The role of adenosine in seizure inhibition has been confirmed by results demonstrating that in patients with epilepsy, the adenosine kinase (ADK) present in astrocytes is the only purine-metabolizing enzyme that exhibits increased expression. Increased ADK activity causes intensified phosphorylation of adenosine to 5'-AMP, which therefore lowers the adenosine level in the extracellular spaces. These changes might initiate astrogliosis and epileptogenesis, which are the manifestations of epilepsy. Seizures might induce inflammatory processes and vice versa. Activation of P2X7 receptors causes intensified release of pro-inflammatory cytokines (IL-1ß and TNF-α) and activates metabolic pathways that induce inflammatory processes in the CNS. Therefore, antagonists of P2X7 and the interleukin 1ß receptor might be efficient drugs for recurring seizures and prolonged status epilepticus. Inhibitors of ADK would simultaneously inhibit the seizures, prevent the astrogliosis and epileptogenesis processes and prevent the formation of new epileptogenic foci. Therefore, these drugs might become beneficial seizure-suppressing drugs.


Asunto(s)
Epilepsia/metabolismo , Receptor de Adenosina A2A/metabolismo , Receptores Purinérgicos P2X7/metabolismo , Transducción de Señal/fisiología , Adenosina/metabolismo , Adenosina/farmacología , Adenosina Quinasa/antagonistas & inhibidores , Adenosina Quinasa/metabolismo , Animales , Epilepsia/tratamiento farmacológico , Humanos , Antagonistas del Receptor Purinérgico P2X/metabolismo , Antagonistas del Receptor Purinérgico P2X/farmacología , Antagonistas del Receptor Purinérgico P2X/uso terapéutico , Receptores Purinérgicos/metabolismo , Transducción de Señal/efectos de los fármacos
7.
Acta Biochim Pol ; 63(1): 1-9, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26495439

RESUMEN

Ecto-purines and ecto-pyrimidines are present in the extracellular space of the central nervous system (CNS). Together with P1 and P2 receptors and nucleotides metabolizing ecto-enzymes, they make signaling system involved in neurotransmission, the modulation of sensory signals, including pain stimuli conduction, and the induction of apoptosis and necrosis of the cells. Purines and pyrimidines have a dual effect: positive (neuroprotective) of nucleosides, and negative (pro-inflammatory and pro-apoptotic) of nucleotides. Adenosine-5'-triphosphate (ATP) in the CNS triggers the pro-inflammatory reactions, predominantly by activation of the P2X7 receptor, which results in production and release of pro-inflammatory cytokines. In contrast to ATP, adenosine acts generally as an anti-inflammatory agent and plays an important role in neuroprotection. Currently, it is believed that the initiation of CNS diseases, including mental disorders, is caused by any imbalance between the concentration of ATP and adenosine in the extracellular space. Genetic tests provide also the evidence for the participation of purinergic signaling in psychiatric disorders. It is believed that any action leading to the effective increase of adenosine concentration: activation of nucleotide metabolizing ecto-enzymes (mainly NTPDases - nucleoside triphosphate diphosphohydrolases), inhibition of adenosine deaminase and/or adenosine kinase activity as well as therapies using P1 receptor agonists (adenosine or its analogues) might be beneficial in therapy of psychiatric disorders.


Asunto(s)
Trastornos Mentales/metabolismo , Receptores Purinérgicos/metabolismo , Transducción de Señal , Humanos
8.
J Chromatogr B Analyt Technol Biomed Life Sci ; 822(1-2): 85-90, 2005 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-15993662

RESUMEN

New method of qualitative and quantitative analysis of nucleotides in human cerebrospinal fluid (CSF), based on the combination of extraction of purines and pyrimidines to the solid phase (SPE) and high-performance liquid chromatography (HPLC), was proposed. Use of SPE and lyophilization of samples allowed for the first time to detect the presence of di- and triphosphonucleotides in human CSF. Concentration of those compounds varied from 0.003 to 5.0 microM. Differences in the nucleotide mixture composition in human CSF detected with the new method are coupled with the neurological disorders and might be a basis for an efficient diagnostic tool.


Asunto(s)
Cromatografía Líquida de Alta Presión/métodos , Nucleósidos/líquido cefalorraquídeo , Nucleótidos/líquido cefalorraquídeo , Epilepsia/líquido cefalorraquídeo , Humanos , Infecciones/líquido cefalorraquídeo , Enfermedades del Sistema Nervioso/líquido cefalorraquídeo , Nucleósidos/aislamiento & purificación , Nucleótidos/aislamiento & purificación , Dolor/líquido cefalorraquídeo , Purinas/líquido cefalorraquídeo , Pirimidinas/líquido cefalorraquídeo , Enfermedades de la Columna Vertebral/líquido cefalorraquídeo , Accidente Cerebrovascular/líquido cefalorraquídeo , Hemorragia Subaracnoidea/líquido cefalorraquídeo
9.
Acta Biochim Pol ; 62(1): 15-21, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25781159

RESUMEN

Several relations between cytokines and pathogenesis of diabetes are reviewed. In type 1 and type 2 diabetes an increased synthesis is observed and as well as the release of pro-inflammatory cytokines, which cause the damage of pancreatic islet cells and, in type 2 diabetes, the development of the insulin resistance. That process results in the disturbed balance between pro-inflammatory and protective cytokines. Pro-inflammatory cytokines such as interleukin 1ß (IL-1ß), tumor necrosis factor-α (TNF-α) and interferon-γ (IFN-γ), as well as recently discovered pancreatic derived factor PANDER are involved in the apoptosis of pancreatic ß-cells. Inside ß-cells, cytokines activate different metabolic pathways leading to the cell death. IL-1ß activates the mitogen-activated protein kinases (MAPK), affects the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) and activates the inducible nitric oxide synthase (iNOS). TNF-α and IFN-γ in a synergic way activate calcium channels, what leads to the mitochondrial dysfunction and activation of caspases. Neutralization of pro-inflammatory cytokines, especially interleukin 1ß with the IL-1 receptor antagonist (IL-1Ra) and/or IL-1ß antibodies might cause the extinction of the inflammatory process of pancreatic islets, and consequently normalize concentration of glucose in blood and decrease the insulin resistance. In type 1 diabetes interleukin-6 participates in regulation of balance between Th17 and regulatory T cells. In type 2 diabetes and obesity, the long-duration increase of IL-6 concentration in blood above 5 pg/ml leads to the chronic and permanent increase in expression of SOCS3, contributing to the increase in the insulin resistance in cells of the skeletal muscles, liver and adipose tissue.


Asunto(s)
Citocinas/fisiología , Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/terapia , Mediadores de Inflamación/fisiología , Islotes Pancreáticos/metabolismo , Humanos , Islotes Pancreáticos/fisiopatología
10.
J Econ Entomol ; 97(5): 1619-23, 2004 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-15568351

RESUMEN

Attract and kill technology was tested for management of European pine shoot moth, Rhyacionia buoliana (Denis & Schiffermüller), in 4-6-yr-old Scots pine, Pinus sylvestris L., plantations managed by Jablonna and Pultusk Forest Districts, Poland. In 2001, two formulations based on ricinoleic acid and hydrocarbon fraction (petroleum jelly) in combination with (E)-9-dodecenyl acetate, the sex pheromone of the pine shoot moth; permethrin as a contact insecticide; and Tinuvin UV absorber were used. In 2002, different formulations and application rates of the attracticide based on petroleum jelly were tested. Significantly reduced trap catches occurred in plots treated with three attracticide formulations [Rhykil-1 (with Tinuvin UV absorber), Rhykil-2 (with a new UV absorber, 3,3'-dihydroxy-2,2'-bipyridyl), and Rhykil-3 (without the insecticide)] at 3,000 droplets per hectare in comparison with those in control plots, suggesting that all formulations were highly effective. Significantly lower catches than in control plots also were observed when Rhykil-1 was applied at 1000, 2,000, and 3,000 droplets per hectare. However, only slight reduction of shoot damage in treated plots was observed in both experiments. The formulation without the insecticide had similar efficacy to that of the formulation combined with the insecticide. In 2003, the Rhykil-2 attracticide was tested at 250, 500, and 1000 droplets per hectare. Although there were no significant differences in trap catches between treated and control plots, shoot damage level was reduced substantially in all treated plots. These results suggest that attract and kill technology may be used at rates lower than 1000 droplets per hectare for management of R. buoliana; however, its "kill" effect should be confirmed in further studies.


Asunto(s)
Insecticidas/farmacología , Mariposas Nocturnas , Control Biológico de Vectores/métodos , Pinus/parasitología , Atractivos Sexuales/farmacología , Agricultura/métodos , Animales , Plantones/parasitología , Factores de Tiempo
11.
Acta Biochim Pol ; 61(4): 655-62, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25522227

RESUMEN

It is widely accepted that purinergic signaling is involved in the regulation of functions of all known tissues and organs. Extracellular purines activate two classes of receptors, P1-adenosine receptors and P2-nucleotide receptors, in a concentration-dependent manner. Ecto-enzymes metabolizing nucleotides outside the cell are involved in the termination of the nucleotide signaling pathway through the release of ligands from their receptors. The pancreas is a central organ in nutrient and energy homeostasis with endocrine, exocrine and immunoreactive functions. The disturbances in cellular metabolism in diabetes mellitus lead also to changes in concentrations of intra- and extracellular nucleotides. Purinergic receptors P1 and P2 are present on the pancreatic islet cells as well as on hepatocytes, adipocytes, pancreatic blood vessels and nerves. The ATP-dependent P2X receptor activation on pancreatic ß-cells results in a positive autocrine signal and subsequent insulin secretion. Ecto-NTPDases play the key role in regulation of extracellular ATP concentration. These enzymes, in cooperation with 5'-nucleotidase can significantly increase ecto-adenosine concentration. It has been demonstrated that adenosine, through activation of P1 receptors present on adipocytes and pancreatic islets cells, inhibits the release of insulin. Even though we know for 50 years about the regulatory role of nucleotides in the secretion of insulin, an integrated understanding of the involvement of purinergic signaling in pancreas function is still required. This comprehensive review presents our current knowledge about purinergic signaling in physiology and pathology of the pancreas as well as its potential therapeutic relevance in diabetes.


Asunto(s)
Adenosina Trifosfatasas/metabolismo , Diabetes Mellitus/metabolismo , 5'-Nucleotidasa/metabolismo , Adenosina/metabolismo , Animales , Humanos , Células Secretoras de Insulina/metabolismo , Páncreas/metabolismo
12.
Acta Biochim Pol ; 60(3): 345-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24046817

RESUMEN

Pro-inflammatory cytokines participate in the induction of ischemic stroke. So far, their participation in the cerebral ischemia was proven for the tumor necrosis factor TNF-α, interleukin-1 (IL-1), and interleukin-6 (IL-6). The release of the pro-inflammatory cytokines into the extracellular space causes the enlargement of the brain damage region, and consequently increases the neurological deficit and negatively affects the survival rate prognoses. That is confirmed by the increased concentration of pro-inflammatory cytokines in blood and the cerebrospinal fluid of patients with brain stroke, as well as by the research on the induced/experimental cerebral ischemia in animals. The pro-inflammatory cytokines participate in the migration of the reactive T lymphocytes to the regions of brain ischemia where they enhance the nerve tissue damage by down-regulation of microcirculation, induce the pro-thrombotic processes and release other neurotoxic cytokines. Also, in the early stage of cerebral ischemia, cytokines activate the axis hypothalamus-pituitary gland-adrenal cortex and increase the cortisol concentration in blood, what results in the decreased resistance to infectious diseases. Administration of the inhibitor of the interleukin-1 receptor (IL-1Ra) inhibits the inflammatory processes in the region of brain ischemia, and subsequently improves the prognosis for the size of the neurological deficit and the survival rate, as well as resistance to infectious diseases.


Asunto(s)
Isquemia Encefálica/inmunología , Enfermedades Transmisibles/inmunología , Interleucina-1/inmunología , Interleucina-6/inmunología , Accidente Cerebrovascular/inmunología , Factor de Necrosis Tumoral alfa/inmunología , Antiinflamatorios/uso terapéutico , Isquemia Encefálica/complicaciones , Isquemia Encefálica/tratamiento farmacológico , Isquemia Encefálica/microbiología , Movimiento Celular , Enfermedades Transmisibles/complicaciones , Enfermedades Transmisibles/tratamiento farmacológico , Enfermedades Transmisibles/microbiología , Humanos , Hidrocortisona/inmunología , Sistema Hipotálamo-Hipofisario/inmunología , Sistema Hipotálamo-Hipofisario/microbiología , Factores Inmunológicos/uso terapéutico , Inflamación , Sistema Hipófiso-Suprarrenal/inmunología , Sistema Hipófiso-Suprarrenal/microbiología , Receptores de Interleucina-1/antagonistas & inhibidores , Receptores de Interleucina-1/genética , Receptores de Interleucina-1/inmunología , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/tratamiento farmacológico , Accidente Cerebrovascular/microbiología , Linfocitos T/efectos de los fármacos , Linfocitos T/inmunología , Linfocitos T/microbiología
13.
Environ Sci Pollut Res Int ; 19(7): 2860-9, 2011 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22322293

RESUMEN

INTRODUCTION: A myriad of volatile organic compounds (VOCs) released by terrestrial vegetation plays an important role in environmental sciences. A thorough chemical identification of these species at the molecular level is essential in various fields, ranging from atmospheric chemistry to ecology of forest ecosystems. In particular, the recognition of VOCs profiles in a context of plant-insect communication is a key issue for the development of forest protection tools. PURPOSE: This work was aimed at the development of a simple, robust and reliable method for the identification of volatiles emitted from plant materials, which can attract or deter pest insects. Specifically, volatiles emitted from the bark of Pinus sylvestris were studied, which might attract the black pine sawyer beetle Monochamus galloprovincialis-a serious pest of the tree and a vector of a parasitic nematode Bursaphelenchus xylophius. METHOD: The volatiles from bark samples were collected using a solid-phase micro-extraction technique, and subsequently analysed by gas-chromatography/mass-spectrometry (GC/MS). The characterisation of the volatile fraction was based on the comparison with data in mass spectral libraries, and in most cases, with the available authentic standards. The identified compounds were screened against the available entomological data to select insect attractors. RESULTS: The identified components included terpenes (α-pinene, ∆-3-carene, and para-cymenene), oxygenated terpenes (α-terpineol and verbenone), sesquiterpenes (α-longipinene, longifolene, E-ß-farnesene, γ-cadinene and pentadecane), and diterpenes (manoyl oxide and (+)-pimaral). Of these, longifolene and (+)-pimaral are of particular interest as plausible attractors for the M. galloprovincialis beetle that might find application in the construction of insect bait traps.


Asunto(s)
Escarabajos/efectos de los fármacos , Pinus sylvestris/química , Corteza de la Planta/química , Extractos Vegetales/farmacología , Compuestos Orgánicos Volátiles/química , Compuestos Orgánicos Volátiles/farmacología , Animales , Conducta Animal/efectos de los fármacos , Fraccionamiento Químico/métodos , Cromatografía de Gases y Espectrometría de Masas , Estructura Molecular , Extractos Vegetales/química
14.
Purinergic Signal ; 4(4): 305-12, 2008 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18438720

RESUMEN

Latest results on the action of adenosine A(2A) receptor antagonists indicate their potential therapeutic usefulness in the treatment of Parkinson's disease. Basal ganglia possess high levels of adenosine A(2A) receptors, mainly on the external surfaces of neurons located at the indirect tracts between the striatum, globus pallidus, and substantia nigra. Experiments with animal models of Parkinson's disease indicate that adenosine A(2A) receptors are strongly involved in the regulation of the central nervous system. Co-localization of adenosine A(2A) and dopaminergic D2 receptors in striatum creates a milieu for antagonistic interaction between adenosine and dopamine. The experimental data prove that the best improvement of mobility in patients with Parkinson's disease could be achieved with simultaneous activation of dopaminergic D2 receptors and inhibition of adenosine A(2A) receptors. In animal models of Parkinson's disease, the use of selective antagonists of adenosine A(2A) receptors, such as istradefylline, led to the reversibility of movement dysfunction. These compounds might improve mobility during both monotherapy and co-administration with L-DOPA and dopamine receptor agonists. The use of adenosine A(2A) receptor antagonists in combination therapy enables the reduction of the L-DOPA doses, as well as a reduction of side effects. In combination therapy, the adenosine A(2A) receptor antagonists might be used in both moderate and advanced stages of Parkinson's disease. The long-lasting administration of adenosine A(2A) receptor antagonists does not decrease the patient response and does not cause side effects typical of L-DOPA therapy. It was demonstrated in various animal models that inhibition of adenosine A(2A) receptors not only decreases the movement disturbance, but also reveals a neuroprotective activity, which might impede or stop the progression of the disease. Recently, clinical trials were completed on the use of istradefylline (KW-6002), an inhibitor of adenosine A(2A) receptors, as an anti-Parkinson drug.

SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA