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Fig. 2. Proposed mechanism of action for the neuroprotective effect of naloxone. By
inhibiting the LPS-stimulated release of neurotoxic factors such as cytokines TNF-
and IL-1
and free radicals such as NO and superoxide, naloxone affords protection to
dopaminergic neurons against infl ammation-mediated degeneration.
true that inhibition of neutrophil activation alone may not be suffi cient to reverse
the course of the catastrophic cascade of the multiorgan failures (23 , 81) .
In animal studies and clinical trials, (-)-naloxone has a relatively large safety
margin. (+)-Naloxone, devoid of opioid activity, would be a better choice as a
candidate agent for potential use in the treatment of neurodegenerative diseases
such as PD and infl ammation-related disorders in general.
References
1. Smith, A. P. and Lee, N. M. (1988) Pharmacology of dynorphin. Annu. Rev.
Pharmacol. Toxicol. 28, 123-140.
2. Herz, A. (1993) Opioids , Vol. 1. Springer-Verlag, Berlin.
3. Barron, B. A. (2000) Cardiac opioids. Proc. Soc. Exp. Biol. Med. 224, 1-7.
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