Clozapine reduces
L-3,4-dihydroxyphenylalanine (
L-Dopa)-induced
dyskinesias in parkinsonian patients. To test if the antidyskinetic effect of
clozapine is related to antagonism at the
dopamine D(4) receptor, we investigated the effect of 8-methyl-6-(4-methyl-1-piperazinyl)-11H-pyrido[2,3-b][1, 4]
benzodiazepine (JL-18), a structural analog of
clozapine which is more selective for this receptor. Four 1-methyl-4-phenyl-1,2,3, 6-tetrahydropyridine (
MPTP)-treated cynomolgus monkeys with a stable
parkinsonian syndrome and reproducible
dyskinesias to
L-Dopa were used in this study. They were injected subcutaneously (s.c.) with
L-Dopa methyl ester (125 mg per animal) plus
benserazide (50 mg per animal;
L-Dopa/
benserazide) alone or in combination with
JL-18 (at the doses of 0.1, 0.3, or 0.9 mg/kg, s.c.).
Subcutaneous injection of sterile saline was used as control.
L-Dopa/
benserazide increased locomotion and improved
parkinsonism but also induced
dyskinesias. Co-administration of
JL-18, at low doses (0.1, 0.3 mg/kg) with
L-Dopa/
benserazide, produced a dose-dependent reduction in
L-Dopa-induced
dyskinesias without a parallel return to
parkinsonism. The present results suggest that novel selective
dopamine D(4) receptor antagonists may represent a useful tool to reduce
L-Dopa-induced
dyskinesias.