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The serotonergic system in L-DOPA-induced dyskinesia: pre-clinical evidence and clinical perspective

  • Neurology and Preclinical Neurological Studies - Review Article
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Abstract

During the last decade, the serotonergic system has emerged as a key player in the appearance of L-DOPA-induced dyskinesia in animal models of Parkinson’s disease. Clinical investigations, based on imaging and postmortem analyses, suggest that the serotonin neurons are also involved in the etiology of this complication of long-term L-DOPA treatment in parkinsonian patients. These findings have stimulated efforts to develop new therapies using drugs targeting the malfunctioning serotonin neurons. In this review, we summarize the experimental and clinical data obtained so far and discuss the prospects for further development of this therapeutic strategy.

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Acknowledgements

We thank Bengt Mattsson for preparation of figure. Our work presented in this review has been supported by the Michael J Fox Foundation and the Parkinson’s Disease Foundation. MC has been supported by the Italian Ministry of Education, Universities and Research, Progetto di Ricerca di Interesse Nazionale (PRIN) 2010-AHHP5H. AB is supported by the Swedish Research Council (Grant 04X-3824).

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Carta, M., Björklund, A. The serotonergic system in L-DOPA-induced dyskinesia: pre-clinical evidence and clinical perspective. J Neural Transm 125, 1195–1202 (2018). https://doi.org/10.1007/s00702-018-1865-5

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