Reches A, Fahn S
Ann Neurol. 1982 Sep;12(3):267-71. doi: 10.1002/ana.410120310.
3-O-Methyldopa (OMD) given to rats inhibits striatal uptake and utilization of L-dopa. Thus, the accumulation of L-dopa, dopamine, 3,4-dihydroxyphenylacetic acid, and homovanillic acid in OMD-pretreated rats after L-dopa injection is significantly lower compared with control rats. This effect of OMD is dose-dependent. OMD inhibits L-dopa accumulation in the striatum after inhibition of aromatic amino acid decarboxylase activity with 3-hydroxybenzylhydrazine-HCL. This effect is not mediated through inhibition of firing in dopaminergic neurons, since the accumulation of dopamine in the striatum after gamma-butyrolactone injection was also significantly reduced by OMD. It is suggested that OMD competes with L-dopa and tyrosine uptake into the brain. These findings are in line with clinical observations which indicate that high plasma levels of OMD in parkinsonian patients are associated with poor response to L-dopa. The data presented here indicate that use of catechol-O-methyltransferase inhibitors with L-dopa may be of value in the treatment of parkinsonian patients.
给大鼠注射3 - O - 甲基多巴(OMD)会抑制纹状体对左旋多巴的摄取和利用。因此,与对照大鼠相比,注射左旋多巴后,经OMD预处理的大鼠体内左旋多巴、多巴胺、3,4 - 二羟基苯乙酸和高香草酸的积累量显著降低。OMD的这种作用具有剂量依赖性。在用3 - 羟基苄基肼 - 盐酸盐抑制芳香族氨基酸脱羧酶活性后,OMD会抑制纹状体内左旋多巴的积累。这种作用并非通过抑制多巴胺能神经元的放电介导,因为注射γ - 丁内酯后纹状体内多巴胺的积累也被OMD显著降低。有人提出,OMD与左旋多巴和酪氨酸竞争进入大脑。这些发现与临床观察结果一致,临床观察表明帕金森病患者血浆中高浓度的OMD与对左旋多巴反应不佳有关。此处呈现的数据表明,将儿茶酚 - O - 甲基转移酶抑制剂与左旋多巴联合使用可能对帕金森病患者的治疗有价值。