Inhibition of Na+/K+ ATPase by cardiac glycosides has been shown to po
tentiate toxic effects of excitatory amino acids and mitochondrial poi
sons in neurons in vitro. The present study tested the hypothesis that
the systemic administration of the cardiac glycoside, digoxin, potent
iates effects of the dopamine neurotoxin 1-methyl-4-phenyl-1,2,5,6-tet
rahydropyridine (MPTP) in vivo. Mice were injected with digoxin (1 mg/
kg) or vehicle followed by MPTP (20 mg/kg) or saline 1 h later. After
1 or 8 days, mice were euthanized and dopamine levels in the striatum
were measured by high-performance liquid chromatography with electroch
emical detection. MPTP caused a significant 35-45% reduction in striat
al dopamine levels compared to those in control mice. However, pretrea
tment with digoxin completely prevented the MPTP-induced dopamine depl
etion. This result was unexpected and suggests that cardiac glycosides
may protect against MPTP neurotoxicity. (C) 1997 Elsevier Science Inc
.