Post mortem putamen, nucleus caudatus and medial frontal gyrus samples obtained from PD patients were used for CB<sub>1sub>R and dopamine D<sub>2sub>/D<sub>3sub> receptor autoradiography. [<sup>125sup>I]SD7015, a novel selective CB<sub>1sub>R inverse agonist, developed by a number of the present co-authors, and [<sup>3sup>H]raclopride, a dopamine D<sub>2sub>/D<sub>3sub> antagonist, were used as radioligands. Our results demonstrate unchanged CB<sub>1sub>R density in the putamen and nucleus caudatus of deceased PD patients, treated with levodopa (l-DOPA). At the same time dopamine D<sub>2sub>/D<sub>3sub> receptors displayed significantly decreased density levels in case of PD putamen (control: 47.97 卤 10.00 fmol/g, PD: 3.73 卤 0.07 fmol/g (mean 卤 SEM), p < 0.05) and nucleus caudatus (control: 30.26 卤 2.48 fmol/g, PD: 12.84 卤 5.49 fmol/g, p < 0.0005) samples. In contrast to the putamen and the nucleus caudatus, in the medial frontal gyrus neither receptor densities were affected.
Our data suggest the presence of an unaltered CB<sub>1sub>R population even in late stages of levodopa treated PD. This further supports the presence of an intact CB<sub>1sub>R population which, in line with the conclusion of earlier publications, may be utilized as a pharmacological target in the treatment of PD. Furthermore we found discrepancy between a maintained CB<sub>1sub>R population and a decreased dopamine D<sub>2sub>/D<sub>3sub> receptor population in PD striatum. The precise explanation of this conundrum requires further studies with simultaneous examination of the central cannabinoid and dopaminergic systems in PD using higher sample size.