Pharmacological approaches to
counter the toxicity of Dopa
by
VonVoigtlander PF, Fici GJ, Althaus JS
CNS Diseases Research,
Pharmacia & Upjohn, Inc.,
Kalamazoo, Michigan,
USA.
Amino Acids 1998; 14(1-3):189-96
ABSTRACT
Dopa and related catecholamines and their degradation products have been
demonstrated to have neurotoxic potential in a number of cellular and in vivo
experiments. Several mechanisms have been hypothesized to be involved including
generation of prooxidant products that subsequently oxidize membrane lipids and
exposed macromolecules. We have utilized a neuronal culture of cerebellar
granule cells to study the toxicity of Dopa and the ability of various
neuroprotective and antiparkinsonian compounds to offer protection therefrom.
This model is apparently based on the ability of Dopa to non-enzymatically
induce an oxidative injury to the neuronal cultures. Evidence for this arises
from the equal neurotoxic potency of L- and D-Dopa in these cells and the
ability of catalase, superoxide dismutase and glutathione to protect the neurons
from this toxicity. Further, we found that the neuroprotective antioxidant,
PNU-101033 is more effective and potent than vitamin E and deprenyl in this
regard. Similarly the D2/D3 agonist, pramipexole is also capable of blocking
Dopa toxicity in this model and this effect is independent of dopamine receptor
affinity as both enantiomers are equally potent in this assay but disparate in
receptor affinity. Also the protection by pramipexole is accompanied by the
preservation of reduced glutathione. Thus, this activity seems to be a function
of the oxidation potential of pramipexole and it's consequent antioxidant
property. Potent antioxidants are effective blockers of Dopa toxicity. If the
mechanisms involved in this toxicity have relevance to the progression of
Parkinson's pathology in Dopa treated (or untreated) patients, these compounds
have the potential to alter the course of the illness.
Stalevo
Sinemet
Selegiline
Tolcapone
Pramipexole
Bromocriptine
Levodopa high
Selegiline and cocaine
The dopamine transporter
Advanced Parkinson's disease
Selegiline and Parkinson's disease
L-dopa in the treatment of Parkinson's disease
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