Abstract |
Essential tremor is the most common movement disorder and has an unknown etiology. Here we report that gamma-aminobutyric acidA ( GABA(A)) receptor alpha1-/- mice exhibit postural and kinetic tremor and motor incoordination that is characteristic of essential tremor disease. We tested mice with essential-like tremor using current drug therapies that alleviate symptoms in essential tremor patients ( primidone, propranolol, and gabapentin) and several candidates hypothesized to reduce tremor, including ethanol; the noncompetitive N-methyl-D-aspartate receptor antagonist MK-801; the adenosine A1 receptor agonist 2-chloro-N6-cyclopentyladenosine (CCPA); the GABA(A) receptor modulators diazepam, allopregnanolone, and Ro15-4513; and the L-type Ca2+ channel antagonist nitrendipine. Primidone, propranolol, and gabapentin reduced the amplitude (power) of the pathologic tremor. Nonsedative doses of ethanol eliminated tremor in mice. Diazepam, allopregnanolone, Ro15-4513, and nitrendipine had no effect or enhanced tremor, whereas MK-801 and CCPA reduced tremor. To understand the etiology of tremor in these mice, we studied the electrophysiological properties of cerebellar Purkinje cells. Cerebellar Purkinje cells in GABA(A) receptor alpha1-/- mice exhibited a profound loss of all responses to synaptic or exogenous GABA, but no differences in abundance, gross morphology, or spontaneous synaptic activity were observed. This genetic animal model elucidates a mechanism of GABAergic dysfunction in the major motor pathway and potential targets for pharmacotherapy of essential tremor.
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Authors | Jason E Kralic, Hugh E Criswell, Jessica L Osterman, Todd K O'Buckley, Mary E Wilkie, Douglas B Matthews, Kristin Hamre, George R Breese, Gregg E Homanics, A Leslie Morrow |
Journal | The Journal of clinical investigation
(J Clin Invest)
Vol. 115
Issue 3
Pg. 774-9
(Mar 2005)
ISSN: 0021-9738 [Print] United States |
PMID | 15765150
(Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Adrenergic beta-Antagonists
- Anticonvulsants
- Excitatory Amino Acid Antagonists
- Protein Subunits
- Receptors, GABA-A
- Primidone
- Ethanol
- Dizocilpine Maleate
- Propranolol
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Topics |
- Adrenergic beta-Antagonists
(pharmacology)
- Animals
- Anticonvulsants
(pharmacology)
- Disease Models, Animal
- Dizocilpine Maleate
(pharmacology)
- Essential Tremor
(drug therapy, genetics, metabolism)
- Ethanol
(therapeutic use)
- Excitatory Amino Acid Antagonists
(pharmacology)
- Humans
- Mice
- Mice, Knockout
- Motor Activity
(physiology)
- Patch-Clamp Techniques
- Primidone
(pharmacology)
- Propranolol
(pharmacology)
- Protein Subunits
(genetics, metabolism)
- Receptors, GABA-A
(genetics, metabolism)
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