Characterizing the differential roles of striatal 5-HT1A auto- and hetero-receptors in the reduction of L-DOPA-induced dyskinesia

L-DOPA remains the benchmark treatment for Parkinson's disease (PD) motor symptoms, but chronic use leads to L-DOPA-induced dyskinesia (LID). The serotonin (5-HT) system has been established as a key modulator of LID and 5HT(1A)R receptors (5-HT1AR) stimulation has been shown to convey anti-dyskinetic effects. However, 5-HT1AR agonists often compromise clinical efficacy or display intrinsic side effects and their site(s) of actions remain debatable. Recently, highly selective G-protein biased 5-HT1AR agonists, F13714 and F15599, were shown to potently target 5-HT1A auto- or hetero-receptors, respectively. The current investigation sought to identify the signaling mechanisms and neuroanatomical substrates by which 5-HT1AR produce behavioral effects. In experiment 1, hemi-parldnsonian, L-DOPA-primed rats received systemic injections of vehicle, F13714 (0.01 or 0.02 mg/kg), or F15599 (0.06 or 0.12 mg/kg) 5 min prior to L-DOPA (6 mg/kg), after which LID, motor performance and 5-HT syndrome were rated. Both compounds significantly reduced LID, without affecting motor performance, however, acute administration of F13714 significantly induced 5-HT syndrome at anti-dysldnetic doses. In experiment 2, we elucidated the role of striatal 5-HT1AR in the effects of F13714 and F15599. Hemi-parkinsonian, L-DOPA-primed rats received bilateral intra-striatal microinjections of either F13714 (0, 2 or 10 mu g/side) or F15599 (0,10 or 30 mu g/side) 5 min prior to systemic L-DOPA (6 mg/kg). Intra-striatal effects mimicked systemic effects, suggesting that striatal 5-HT1AR sub populations play an important role in the anti-LID and pro-5-HT syndrome profiles of F13714 and F15599. Finally, in experiment 3, we examined the effects of F13714 and F15599 on D-1 receptor (Dill) agonist-induced dyskinesia by administering either compound 5 min prior to SKF 38393 (2 mg/kg). While F13714 resulted in a mild delay in D1R-mediated dysldnesia, F15599 had no effect. Collectively these data suggest that the F-series compounds articulate their anti-LID effects through activation of a diverse set of striatal 5-HT1A hetero-receptor populations. (C) 2017 Elsevier Inc. All rights reserved.