Adenosine A(2a) receptor antagonists may represent a novel non-dopaminergic approach to the treatment of
Parkinson's disease. However, there is little information available on their ability to reverse motor deficits in 1-methyl-4-phenyl-1, 2, 3, 6-tetrahydropyridine hydrochloride (
MPTP)-treated primates. We have studied the effects of the novel A(2a) receptor antagonist 2-butyl-9-methyl-8-(2H-1,2,3-triazol 2-yl)-9 H-purin-6-ylamine (
ST1535) alone and in combination with
l-3, 4-dihydroxyphenylalanine (
L-DOPA) in
MPTP-treated common marmosets.
ST1535 (10, 20 and 40 mg/kg, p.o.) when administered alone to
MPTP-treated common marmosets produced a dose related increase in locomotor motor activity and tended to reverse motor disability. Treatment with a threshold dose of
L-DOPA (2.5 mg/kg, p.o.) produced an increase in locomotor activity and again tended to reverse motor disability. When
L-DOPA (2.5 mg/kg, p.o.) was administered in combination with
ST1535 (20 mg/kg, p.o.), there was an enhancement in the intensity and duration of the effect of
L-DOPA (2.5 mg/kg, p.o.) in reversing motor deficits as shown by both a further increase in locomotor activity and reversal of motor disability. The combination of
L-DOPA (2.5 mg/kg, p.o.) plus
ST1535 (20 mg/kg, p.o.) significantly increased "on time" in these animals. These data substantiate the evidence that
adenosine A(2a) receptor antagonists are able to reverse motor deficits in a highly predictive model of clinical efficacy in
Parkinson's disease. The data suggests that
ST1535 will be an effective anti-parkinsonian agent in combination with
L-DOPA and allow a reduction in
l-DOPA usage in the treatment of
Parkinson's disease.