Department of Neuroscience and Pharmacology, 1005 Dr. D.B. Todd Jr. Blvd. Meharry Medical College, Nashville, TN 37208, USA.
Life Sci. 2011 Oct 24;89(17-18):638-43. doi: 10.1016/j.lfs.2011.08.008. Epub 2011 Aug 18.
l-3,4-Dihydroxyphenylalanine (L-DOPA) is the most effective symptomatic treatment for Parkinson's disease (PD), but PD patients usually experience a successful response to L-DOPA therapy followed by a progressive loss of response. L-DOPA efficacy relies on its decarboxylation by aromatic l-amino acid decarboxylase (AAAD) to form dopamine (DA). So exogenous L-DOPA drives the reaction and AAAD becomes the rate limiting enzyme in the supply of DA. In turn, exogenous L-DOPA regulates the expression and activity of AAAD as well as the synthesis of DA and its metabolites, changes that may be linked to the efficacy and side-effects of L-DOPA.
One-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) mouse PD model was utilized to study the effects of L-DOPA on the steady-state level and activity of AAAD, tyrosine hydroxylase (TH), DA and the metabolites of DA. The MPTP and control mice were treated twice daily with PBS or with 100mg/kg of L-DOPA for 14days and the expression and activity of AAAD, the expression of TH and the levels of DA and its metabolites were determined 24h after L-DOPA or PBS treatment, when exogenous L-DOPA is eliminated.
In the MPTP model, L-DOPA reduced the steady-state expression and the activity of striatal AAAD by 52% and 50%, respectively, DA and metabolites were also significantly decreased.
The outcome shows that while L-DOPA replenishes striatal DA it also down-regulates AAAD and the steady-state synthesis and metabolic capability of the dopaminergic system. These findings are important in the precipitation of L-DOPA induced side effects and the management of L-DOPA therapy.
L-3,4-二羟基苯丙氨酸(L-DOPA)是治疗帕金森病(PD)最有效的对症治疗药物,但 PD 患者通常在接受 L-DOPA 治疗后会出现成功的反应,随后反应逐渐丧失。L-DOPA 的疗效依赖于芳香族 L-氨基酸脱羧酶(AAAD)将其脱羧形成多巴胺(DA)。因此,外源性 L-DOPA 驱动反应,AAAD 成为 DA 供应的限速酶。反过来,外源性 L-DOPA 调节 AAAD 的表达和活性以及 DA 及其代谢物的合成,这些变化可能与 L-DOPA 的疗效和副作用有关。
利用 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)小鼠 PD 模型研究 L-DOPA 对 AAAD、酪氨酸羟化酶(TH)、DA 和 DA 代谢物的稳态水平和活性的影响。MPTP 和对照小鼠每天接受两次 PBS 或 100mg/kg L-DOPA 治疗 14 天,然后在停止外源性 L-DOPA 24 小时后测定 AAAD、TH 的表达和活性以及 DA 和其代谢物的水平。
在 MPTP 模型中,L-DOPA 使纹状体 AAAD 的稳态表达和活性分别降低了 52%和 50%,DA 和代谢物也显著减少。
结果表明,虽然 L-DOPA 补充纹状体 DA,但它也下调 AAAD 和多巴胺能系统的稳态合成和代谢能力。这些发现对于预测 L-DOPA 诱导的副作用和管理 L-DOPA 治疗非常重要。