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Department of Geriatric Medicine, Tohoku University School of Medicine, Sendai 980, Japan
To determine whether dopamine D1
receptor antagonist impairs the swallowing reflex and reduces substance
P (SP) in the peripheral organs, the swallowing reflex in terms of the
number of swallows elicited by injections of three different volumes
(0.2, 0.4, and 0.6 ml) of distilled water into the pharynx through a
catheter was examined in anesthetized guinea pigs pretreated with
Sch-23390. Animals were pretreated with either subcutaneous Sch-23390
(200 µg/kg) or a vehicle of Sch-23390 every 12 h for 7 days. The
number of swallows was counted by submental electromyographic activity and visual observation of characteristic laryngeal movement. Injections of distilled water caused a volume-dependent increase in the number of
swallows in animals without Sch-23390 treatment. Sch-23390 significantly decreased and exogenously administered SP increased the
number of swallows elicited by all volumes of distilled water. FK-888
(10
5 M, 1 ml), a specific inhibitor of the
NK1 receptor, reduced the number of swallows to a greater
degree than Sch-23390. Sch-23390 significantly reduced SP content in
the laryngeal and pharyngeal mucosa compared with control. These
results suggest that inhibition of the dopamine D1 receptor
may impair the swallowing reflex and reduce SP content in the
peripheral organs.
substance P; swallowing disorder; Parkinson's disease; aspiration pneumonia
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