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Systems pharmacology and blood-brain barrier functionality in Parkinson's disease Ravenstijn, P.G.M.

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Systems pharmacology and blood-brain barrier functionality in Parkinson's disease

Ravenstijn, P.G.M.

Citation

Ravenstijn, P. G. M. (2009, December 16). Systems pharmacology and blood- brain barrier functionality in Parkinson's disease. Retrieved from

https://hdl.handle.net/1887/14514

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/14514

Note: To cite this publication please use the final published version (if

applicable).

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Systems Pharmacology and Blood-Brain Barrier Functionality

in Parkinson's Disease

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Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit van Leiden, op gezag van Rector Magnificus prof. mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op woensdag 16 december 2009

klokke 10.00 uur

door

Paulien Gerarda Maria Ravenstijn geboren te Terneuzen

in 1977

Systems Pharmacology and Blood-Brain Barrier Functionality

in Parkinson's Disease

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Promotiecommissie

Promotor : Prof. dr. M. Danhof Co-promotor : Dr. E.C.M. de Lange

Overige Leden : Prof. dr. Y. Michotte Prof. dr. J.J. van Hilten Prof. dr. J. Bouwstra Prof. dr. T. Hankemeier Prof. dr. M.S. Oitzl

The research described in this thesis was sponsored by Lilly and conducted at the Division of Pharmacology of the Leiden/Amsterdam Center for Drug Research, Leiden University, the Neurodegeneration Drug Hunting Team of Eli Lilly & Co Ltd. in Windlesham, United Kingdom and the Department of Drug Disposition of Lilly Development Centre S.A. in Mont- Saint-Guibert, Belgium.

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The only true wisdom is in knowing you know nothing Socrates (470 B.C. - 399 B.C.)

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The printing of this thesis was financially supported by:

Leiden/Amsterdam Center for Drug Research, Leiden, The Netherlands

Johnson & Johnson Pharmaceutical Research and Development, Beerse, Belgium Aurora Borealis Control BV, Schoonebeek, The Netherlands

ISBN 978-90-8570-424-9

Printed by : Wöhrmann Print Service

© Paulien Ravenstijn

No part of this thesis may be reproduced or transmitted in any form or by any means without written permission from the author.

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Section I

Chapter 1 Chapter 2

Chapter 3

General Introduction

Scope and Outline of the Investigations Understanding Drug Response in Parkinson's Disease -

the Role of the Blood-Brain Barrier

1. Introduction 2. Parkinson's disease

3. Current drug treatments for Parkinson's disease

4. Mechanisms involved in target site ditribution of CNS drugs 5. Sources of variation in mechanisms contributing to the

response profile

6. The BBB in neurodegeneration: implications for PK-PD relationships of antiparkinson drugs

7. Summary and concluding remarks 8. References

Animal Models as a Tool in Systems Pharmacology Research on Parkinson's Disease

1. Introduction

2. Animal models of Parkinson's disease

3. Measuring target site distribution and BBB functionality in animal models of Parkinson's disease

4. Measuring behaviour and drug effects in animal models of Parkinson's disease

5. Mechanism-based PK-PD modelling techniques 6. Conclusions

7. References

9 11 19

20 21 29 34 46

56

59 60

91

92 95 107

109

112 115 118

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Section II Chapter 4

Chapter 5

Section III Chapter 6

The Rotenone Rat Model of Parkinson's Disease The Exploration of Rotenone as a Toxin for

Inducing Parkinson's Disease in Rats -

Application in BBB Transport and PK-PD Experiments 1. Introduction

2. Materials and methods 3. Results

4. Discussion 5. References

The Intracerebral Rotenone Model of Parkinson's Disease in Rats -

Altered Conversion of L-DOPA into DOPAC and HVA Without Changes in BBB Transport 1. Introduction

2. Materials and methods 3. Results

4. Discussion 5. References

Conclusions and General Discussions Summary, Conclusions and Perspectives

137 139

140 144 151 164 168 173

174 175 183 190 195 199 201

213 225 229 231

Nederlandse Samenvatting

Nawoord

Curriculum Vitae

List of Publications

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License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden. Downloaded

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