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Radioligand binding assays to rat striatal dopamine D
1
receptors showed that brain lateralization of the dopaminergic system were not due to changes in expression but in agonist affinity. D
1
receptor-mediated striatal imbalance resulted from a significantly higher agonist affinity in the left striatum. D
1
receptors heteromerize with dopamine D
3
receptors, which are considered therapeutic targets for dyskinesia in parkinsonian patients. Expression of both D
3
and D
1
–D
3
receptor heteromers were increased in samples from 6-hydroxy-dopamine-hemilesioned rats rendered dyskinetic by treatment with 3, 4-dihydroxyphenyl-
l
-alanine (
l
-DOPA). Similar findings were obtained using striatal samples from primates. Radioligand binding studies in the presence of a D
3
agonist led in dyskinetic, but not in lesioned or
l
-DOPA-treated rats, to a higher dopamine sensitivity. Upon D
3
-receptor activation, the affinity of agonists for binding to the right striatal D
1
receptor increased. Excess dopamine coming from
l
-DOPA medication likely activates D
3
receptors thus making right and left striatal D
1
receptors equally responsive to dopamine. These results show that dyskinesia occurs concurrently with a right/left striatal balance in D
1
receptor-mediated neurotransmission.