Selegiline A Calmodulin Antagonist

Dopamine activates adenylate cyclase and phospholipase C (PLC) via a D, receptor and inhibits through a D2 receptor, thereby regulating the production of intracellular second messengers, cAMP, Ca2+, and 1,2-diacylglycerol. D, and D2 receptors are decreased in the striatum of patients with dementia. There is considerable evidence to suggest that intracellular levels of cAMP have a protective role for dopaminergic neurons. Intracellular concentrations of cyclic nucleotides are regulated by cyclic nucleotide phosphodiesterases and CaMPDE, one of the most intensely studied and best-characterized phosphodiesterases. 

The heterogeneity of dopaminergic neurons may also be judged by the fact that the cotransmitter systems involving dopamine and peptides are varied in the central nervous system. For example, in the corpus striatum, in addition to dopamine, acetylcholine, y-aminobutyric acid, serotonin, glutamate, and aspartate, one also finds peptides such as enkephalin, substance P, somatostatin, neuropeptide Y, cholecystokinin, neurotensin, and vasoactive intestinal peptide. Although many neuroleptics block dopamine receptors, they may have selective effects on the peptides and other parts of the brain. A few examples will be cited. 

A high degree of coexistence of cholecystokinin-like and tyrosine hydroxylase-like immu-noreactivities has been observed in the substantia nigra pars compacta. Moreover, ventral mesencephalic cholecystokinin projections encompass the full range of the well-known dopaminergic, mesolimbic, mesostriatal, and mesocortical projections. Therefore, it should not be surprising that the intrastriatally injected cholecystokinin is able to stimulate dopamine-mediated transmission and to elevate the density of brain D2-dopamine receptors. 

The chronic injection of haloperidol, but not clozapine, increases selectively the concentration of enkephalins in the striatum. Protracted blockade of dopamine receptors by haloperidol causes a reduction in nigral content of substance P-like immunoreactivity, and of substance P and substance K mRNAs. Moreover, the effects of haloperidol on substance P is nonuniform in various areas of brain. 

Subchronic oral administration of lithium causes a time-dependent increase in the substance P level in the striatum, which is prevented by coadministration of haloperidol. In PC 12 pheochromocytoma cells, lithium dramatically increases the intracellular levels of the neuropeptide neurotensin and the mRNA encoding it. An extensive overlap between specific and high-affinity neurotensin binding sites and dopamine perikarya and dendrites has been shown to occur in the mesocorticolimbic and nigrostriatal projection systems. Consistent with this observation are the results of observations showing that cocaine, an indirect sympathomimetic agent that enhances the extrapyramidal dopaminergic activity, increases dramatically the striatal content of neurotensin-like immunoreactivity. 

---