The expression of the human adenosine AZA receptor was examined by reverse
transcription polymerase chain reaction in post-mortem human brain tissue t
hat was obtained from normal subjects and patients who died with Parkinson'
s disease. Adenosine APA receptor mRNA was detected in both striatal (nucle
us accumbens, caudate nucleus and putamen) and extrastriatal (globus pallid
us and substantia nigra) brain regions. A significant decrease in the level
of adenosine APA receptor mRNA was found in the anterior and posterior cau
date nucleus and anterior dorsal putamen, whereas a significant increase wa
s observed in the substantia nigra pars reticulata of Parkinsonian brain wh
en compared to agematched controls. No change in adenosine APA receptor mRN
A levels was seen in any other brain region examined. This study demonstrat
es that APA receptor mRNA expression is altered in the basal ganglia of pat
ients who died with Parkinson's disease and who were receiving treatment wi
th dopaminergic drugs. The adenosine APA receptor appears subject to regula
tion by dopaminergic systems in human brain, though these data do not permi
t a distinction to be made between the effects of neuronal degeneration or
drug treatment. The adenosine AZA receptor may therefore form a target for
the treatment of basal ganglia disease. (C) 2000 Published by Elsevier Scie
nce Ireland Ltd.