RT Journal Article SR Electronic T1 Chronic levodopa or pergolide administration induces down‐regulation of dopamine receptors in denervated striatum JF Neurology JO Neurology FD Lippincott Williams & Wilkins SP 1208 OP 1208 DO 10.1212/WNL.34.9.1208 VO 34 IS 9 A1 Reches, Avinoam A1 Wagner, H. Ryan A1 Jackson-Lewis, Vernice A1 Yablonskaya-Alter, Elena A1 Fahn, Stanley YR 1984 UL http://n.neurology.org/content/34/9/1208.abstract AB Refractory response to dopamine (DA) agonists is a common problem in the treatment of Parkinson's disease. In rats with unilateral lesions of the substantia nigra, denervation induced significant increases in striatal: 3(H)-spiperone binding sites ipsilateral to the lesion. Chronic treatment with levodopa or with pergolide mesylate significantly decreased the number of 3(H)-spiperone striatal binding sites. Agonist-induced decreases were approximately equivalent in intact and denervated striata and did not appear to be affected by lesions. These results suggest that the poor response to DA agonist in certain parkinsonian patients with chronic drug exposure may be mediated by drug-induced DA receptor down-regulation.