Malmlöf Torun, Svensson Torgny H, Schilström Björn
Department of Physiology and Pharmacology, Section of Neuropsychopharmacology, Karolinska Institutet, 171 77 Stockholm, USA.
Exp Neurol. 2008 Aug;212(2):538-42. doi: 10.1016/j.expneurol.2008.05.003. Epub 2008 May 16.
In Parkinson's disease patients, a prolonged half-life of dopamine formed from L-DOPA may reduce the risk of developing L-DOPA-induced side-effects. Deuterium substitutions in the L-DOPA molecule are expected to yield dopamine with an altered half-life because C-D bonds are more stable than C-H bonds. Therefore we tested, in the rat, the neurochemical and behavioral effects of different types of L-DOPA with deuterium substitutions at the alpha-carbon and/or the beta-carbon. By means of microdialysis, we found that L-DOPA with 3 deuterium substitutions (D3-L-DOPA) enhanced dopamine output in the striatum more effectively than L-DOPA and all the other deuterium variants. Moreover, D3-L-DOPA produced a more pronounced stimulation of locomotor activity in reserpinized rats compared to conventional L-DOPA. In contrast beta,beta-D2-L-DOPA was less effective than L-DOPA in raising striatal dopamine levels and was ineffective at restoring locomotor activity in reserpinized rats. These results demonstrate that the introduction of deuterium at different positions in the L-DOPA molecule dramatically changes its behavioral and neurochemical profile and suggest that L-DOPA treatment of Parkinson's disease may be improved in this way.
在帕金森病患者中,由左旋多巴形成的多巴胺半衰期延长可能会降低发生左旋多巴诱导的副作用的风险。左旋多巴分子中的氘取代预计会产生半衰期改变的多巴胺,因为碳 - 氘键比碳 - 氢键更稳定。因此,我们在大鼠中测试了α - 碳和/或β - 碳上具有氘取代的不同类型左旋多巴的神经化学和行为效应。通过微透析,我们发现具有3个氘取代的左旋多巴(D3 - 左旋多巴)比左旋多巴和所有其他氘变体更有效地提高纹状体中的多巴胺输出。此外,与传统左旋多巴相比,D3 - 左旋多巴在利血平化大鼠中对运动活动产生更明显的刺激。相比之下,β,β - D2 - 左旋多巴在提高纹状体多巴胺水平方面比左旋多巴效果更差,并且在恢复利血平化大鼠的运动活动方面无效。这些结果表明,在左旋多巴分子的不同位置引入氘会显著改变其行为和神经化学特征,并表明通过这种方式可能会改善帕金森病的左旋多巴治疗。