Kaakkola S, Tuomainen P, Wurtman R J, Männistö P T
Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge.
J Neural Transm Park Dis Dement Sect. 1992;4(2):143-54. doi: 10.1007/BF02251477.
Significant concentrations of carbidopa (CD) were found in rat hypothalamus, striatum, and in striatal microdialysis efflux after intraperitoneal administration of the drug. Efflux levels peaked one hour after administration of 100 mg/kg at 0.37 micrograms/ml, or about 2% of serum levels. Concurrent CD levels in hypothalamus and striatum were about 2.5% and 1.5%, respectively, of corresponding serum levels. Levels of dopamine and its principal metabolites in striatal efflux were unaffected. The removal of the brain blood by saline perfusion decreased the striatal and hypothalamic CD concentrations only by 33% and 16%, respectively. In other rats receiving both CD and levodopa (LD), brain L-dopa, dopamine and 3,4-dihydroxyphenylacetic acid (DOPAC) levels after one hour tended to be proportionate to LD dose. When the LD dose remained constant, increasing the CD dose dose-dependently enhanced L-dopa levels in the hypothalamus and striatum. However dopamine levels did not increase but, in contrast, decreased dose-dependently (although significantly only in the hypothalamus). CD also caused dose-dependent decrease in striatal 3-O-methyldopa (3-OMD) and in striatal and hypothalamic homovanillic acid (HVA), when the LD dose was 50 mg/kg. We conclude that, at doses exceeding 50 mg/kg, sufficient quantities of CD enter the brain to inhibit dopamine formation, especially in the hypothalamus. Moreover, high doses of LD/CD, both of which are themselves catechols, can inhibit the O-methylation of brain catecholamines formed from the LD.
腹腔注射卡比多巴(CD)后,在大鼠下丘脑、纹状体以及纹状体微透析流出液中发现了显著浓度的该药物。给予100mg/kg剂量后1小时,流出液水平达到峰值,为0.37微克/毫升,约为血清水平的2%。下丘脑和纹状体中的CD同时水平分别约为相应血清水平的2.5%和1.5%。纹状体流出液中多巴胺及其主要代谢产物的水平未受影响。用生理盐水灌注去除脑血,仅使纹状体和下丘脑的CD浓度分别降低了33%和16%。在其他同时接受CD和左旋多巴(LD)的大鼠中,1小时后脑内左旋多巴、多巴胺和3,4 - 二羟基苯乙酸(DOPAC)水平往往与LD剂量成比例。当LD剂量保持恒定时,增加CD剂量可剂量依赖性地提高下丘脑和纹状体中的左旋多巴水平。然而,多巴胺水平并未增加,反而呈剂量依赖性降低(尽管仅在下丘脑中显著)。当LD剂量为50mg/kg时,CD还导致纹状体中3 - O - 甲基多巴(3 - OMD)以及纹状体和下丘脑中高香草酸(HVA)呈剂量依赖性降低。我们得出结论,在超过50mg/kg的剂量下,有足够量的CD进入大脑以抑制多巴胺形成,尤其是在下丘脑中。此外,高剂量的LD/CD本身都是儿茶酚,可抑制由LD形成的脑儿茶酚胺的O - 甲基化。