Accumulating evidence supports the idea that drugs acting at
nicotinic acetylcholine receptors (nAChRs) may be beneficial for
Parkinson's disease, a neurodegenerative
movement disorder characterized by a loss of nigrostriatal dopaminergic neurons.
Nicotine administration to parkinsonian animals protects against nigrostriatal damage. In addition,
nicotine and nAChR drugs improve
L-dopa-induced
dyskinesias, a debilitating side effect of
L-dopa therapy which remains the gold-standard treatment for
Parkinson's disease.
Nicotine exerts its antidyskinetic effect by interacting with multiple nAChRs. One approach to identify the subtypes specifically involved in
L-dopa-induced
dyskinesias is through the use of nAChR subunit null mutant mice. Previous work with β2 and α6 nAChR knockout mice has shown that α6β2* nAChRs were necessary for the development/maintenance of
L-dopa-induced abnormal
involuntary movements (AIMs). The present results in parkinsonian α4 nAChR knockout mice indicate that α4β2* nAChRs also play an essential role since
nicotine did not reduce
L-dopa-induced AIMs in such mice. Combined analyses of the data from α4 and α6 knockout mice suggest that the α6α4β2β3 subtype may be critical. In contrast to the studies with α4 and α6 knockout mice,
nicotine treatment did reduce
L-dopa-induced AIMs in parkinsonian α7 nAChR knockout mice. However, α7 nAChR subunit deletion alone increased baseline AIMs, suggesting that α7 receptors exert an inhibitory influence on
L-dopa-induced AIMs. In conclusion, α6β2*, α4β2* and α7 nAChRs all modulate
L-dopa-induced AIMs, although their mode of regulation varies. Thus drugs targeting one or multiple nAChRs may be optimal for reducing
L-dopa-induced
dyskinesias in
Parkinson's disease.