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苄丝肼对大鼠急性和慢性给药后左旋多巴在外周及中枢的分布和代谢的影响。

The effect of benserazide on the peripheral and central distribution and metabolism of levodopa after acute and chronic administration in the rat.

作者信息

Kent A P, Stern G M, Webster R A

机构信息

Department of Pharmacology, University College, London.

出版信息

Br J Pharmacol. 1990 Aug;100(4):743-8. doi: 10.1111/j.1476-5381.1990.tb14085.x.

DOI:10.1111/j.1476-5381.1990.tb14085.x
PMID:2119841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1917606/
Abstract
  1. The effects of levodopa alone (50 mg kg-1) and levodopa (10 mg kg-1) plus benserazide (50 mg kg-1) were tested on the levels of dopa, dopamine, 3-methoxytyrosine (3-MT), 3,4-dihydroxyphenylacetic acid (DOPAC) and homovanillic acid (HVA), measured by h.p.l.c. with electrochemical detection, in samples of plasma, CSF, urine, striatum and hypothalamus of rats taken 30 min after injection. Levodopa plus benserazide produced significantly higher levels of dopa in plasma and brain than levodopa alone and reduced the peripheral synthesis and metabolism of dopamine. 2. When given chronically over 6 weeks the advantages of adding benserazide (50 mg kg-1 day-1) to levodopa (40 mg kg-1 day-1) were less marked and although more dopamine was present in the striatum than with levodopa given alone (200 mg kg-1 day-1) there was no evidence of any increase in its metabolites (HVA and DOPAC) and therefore of its turnover and utilisation. 3. The most striking effect of chronic treatment with levodopa plus benserazide was the appearance of large quantities of 3-MT in plasma, CSF and brain. 4. When levodopa alone, or levodopa plus benserazide, was given as an acute challenge to animals receiving the same treatment chronically, it was found that levodopa alone still produced increases in striatal dopamine, DOPAC and HVA in those animals dosed chronically on levodopa, but it was less effective in this respect when given with benserazide to the animals dosed with levodopa plus benserazide. 5. It is concluded that this difference in levodopa distribution may depend on the persistence in benserazide-treated animals of 3-MT, which has a long half-life and may compete with dopa for transport into the blood and brain. 6. The implication of these findings to the treatment of Parkinsonism is discussed.
摘要
  1. 通过高效液相色谱-电化学检测法,测定注射30分钟后大鼠血浆、脑脊液、尿液、纹状体及下丘脑样本中多巴、多巴胺、3-甲氧基酪氨酸(3-MT)、3,4-二羟基苯乙酸(DOPAC)和高香草酸(HVA)的水平,测试单独使用左旋多巴(50毫克/千克)以及左旋多巴(10毫克/千克)加苄丝肼(50毫克/千克)的效果。左旋多巴加苄丝肼使血浆和脑中的多巴水平显著高于单独使用左旋多巴,并减少了多巴胺的外周合成与代谢。2. 连续6周长期给药时,向左旋多巴(40毫克/千克/天)中添加苄丝肼(50毫克/千克/天)的优势并不明显,尽管纹状体中的多巴胺比单独给予左旋多巴(200毫克/千克/天)时更多,但没有证据表明其代谢产物(HVA和DOPAC)有所增加,因此也没有证据表明其周转率和利用率有所提高。3. 左旋多巴加苄丝肼长期治疗最显著的效果是血浆、脑脊液和脑中出现大量3-MT。4. 当对长期接受相同治疗的动物进行急性挑战,单独给予左旋多巴或左旋多巴加苄丝肼时,发现单独使用左旋多巴仍能使长期服用左旋多巴的动物纹状体中的多巴胺、DOPAC和HVA增加,但与苄丝肼一起给予长期服用左旋多巴加苄丝肼的动物时,在这方面效果较差。5. 得出的结论是,左旋多巴分布的这种差异可能取决于苄丝肼治疗的动物体内3-MT的持续存在,3-MT半衰期长,可能与多巴竞争转运进入血液和大脑。6. 讨论了这些发现对帕金森病治疗的意义。

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本文引用的文献

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On-off fluctuations in Parkinson's disease. A clinical and neuropharmacological study.帕金森病的开关波动。一项临床与神经药理学研究。
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The "on-off" phenomenon in Parkinson's disease. Relation to levodopa absorption and transport.帕金森病中的“开-关”现象。与左旋多巴吸收和转运的关系。
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"On-off" phenomenon with levodopa therapy in Parkinsonism. Clinical and pharmacologic correlations and the effect of intramuscular pyridoxine.帕金森病左旋多巴治疗中的“开-关”现象。临床与药理学相关性及肌肉注射维生素B6的作用
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Pharmacokinetics of levodopa and motor fluctuations.
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Levodopa and 3-O-methyldopa plasma levels in parkinsonian patients with stable and fluctuating motor response.
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