减轻左旋多巴在肠道中的微生物降解并增强大脑多巴胺:对帕金森病的影响。
Mitigating gut microbial degradation of levodopa and enhancing brain dopamine: Implications in Parkinson's disease.
机构信息
Department of Biophysics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Aix-Marseille Univ, CNRS, ICR, UMR 7273, Marseille, 13013, France.
出版信息
Commun Biol. 2024 May 30;7(1):668. doi: 10.1038/s42003-024-06330-2.
Parkinson's disease is managed using levodopa; however, as Parkinson's disease progresses, patients require increased doses of levodopa, which can cause undesirable side effects. Additionally, the oral bioavailability of levodopa decreases in Parkinson's disease patients due to the increased metabolism of levodopa to dopamine by gut bacteria, Enterococcus faecalis, resulting in decreased neuronal uptake and dopamine formation. Parkinson's disease patients have varying levels of these bacteria. Thus, decreasing bacterial metabolism is a promising therapeutic approach to enhance the bioavailability of levodopa in the brain. In this work, we show that Mito-ortho-HNK, formed by modification of a naturally occurring molecule, honokiol, conjugated to a triphenylphosphonium moiety, mitigates the metabolism of levodopa-alone or combined with carbidopa-to dopamine. Mito-ortho-HNK suppresses the growth of E. faecalis, decreases dopamine levels in the gut, and increases dopamine levels in the brain. Mitigating the gut bacterial metabolism of levodopa as shown here could enhance its efficacy.
帕金森病的治疗采用左旋多巴;然而,随着帕金森病的进展,患者需要增加左旋多巴的剂量,这可能会引起不良的副作用。此外,由于肠道细菌粪肠球菌增加了左旋多巴向多巴胺的代谢,帕金森病患者的左旋多巴口服生物利用度降低,导致神经元摄取和多巴胺形成减少。帕金森病患者的这些细菌水平不同。因此,减少细菌代谢是一种有前途的治疗方法,可以提高左旋多巴在大脑中的生物利用度。在这项工作中,我们表明,由天然存在的分子厚朴酚修饰而成并连接到三苯基膦部分的 Mito-ortho-HNK 减轻了左旋多巴单独或与卡比多巴联合的代谢为多巴胺。Mito-ortho-HNK 抑制粪肠球菌的生长,降低肠道中的多巴胺水平,并增加大脑中的多巴胺水平。如这里所示,减轻肠道细菌对左旋多巴的代谢可以提高其疗效。