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左旋多巴和儿茶酚-O-甲基转移酶抑制剂Ro 41-0960对大鼠硫氨基酸代谢产物的影响。

Effect of L-Dopa and the catechol-O-methyltransferase inhibitor Ro 41-0960 on sulfur amino acid metabolites in rats.

作者信息

Miller J W, Shukitt-Hale B, Villalobos-Molina R, Nadeau M R, Selhub J, Joseph J A

机构信息

Neuroscience Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, Massachusetts, USA.

出版信息

Clin Neuropharmacol. 1997 Feb;20(1):55-66. doi: 10.1097/00002826-199702000-00007.

Abstract

L-Dopa is the most effective drug known for the treatment of Parkinson's disease. However, the large doses required to treat this neurodegenerative disorder can significantly affect tissue concentrations of sulfur amino acid metabolites due to peripheral and central O-methylation. These effects include decreases in tissue concentrations of the biochemical methyl donor S-adenosylmethionine (SAM), increases in tissue concentrations of the methylation inhibitor S-adenosylhomocysteine (SAH), and increases in plasma concentrations of homocysteine, recently identified as an independent risk factor for vascular disease. In the present study, the ability of the catechol-O-methyltransferase inhibitor Ro 41-0960 to prevent L-Dopa-induced changes in SAM, SAH, and homocysteine concentrations was determined in rats. Rats were injected intraperitoneally with Ro 41-0960 or vehicle 30 min prior to an intraperitoneal injection of L-Dopa or vehicle. One hour after the second injection, the rats were killed and their brains, livers, spleens, kidneys, and plasma collected. SAM and SAH concentrations were then determined in discrete brain regions and peripheral tissues, and total homocysteine concentrations were determined in plasma. In the rats treated with only L-Dopa, decreased SAM concentrations and increased SAH concentrations were found in all brain regions and peripheral tissues measured, and increased homocysteine concentrations were found in plasma, consistent with previous reports. In rats pretreated with Ro 41-0960, however, these L-Dopa-induced effects on sulfur amino acid metabolite concentrations were attenuated or prevented entirely. It remains to be determined if this sparing effect of Ro 41-0960 on sulfur amino acid metabolites has clinical significance.

摘要

左旋多巴是已知治疗帕金森病最有效的药物。然而,治疗这种神经退行性疾病所需的大剂量药物会因外周和中枢O-甲基化而显著影响硫氨基酸代谢物的组织浓度。这些影响包括生化甲基供体S-腺苷甲硫氨酸(SAM)的组织浓度降低、甲基化抑制剂S-腺苷高半胱氨酸(SAH)的组织浓度升高,以及同型半胱氨酸血浆浓度升高,同型半胱氨酸最近被确定为血管疾病的独立危险因素。在本研究中,在大鼠中测定了儿茶酚-O-甲基转移酶抑制剂Ro 41-0960预防左旋多巴引起的SAM、SAH和同型半胱氨酸浓度变化的能力。在腹腔注射左旋多巴或赋形剂前30分钟,给大鼠腹腔注射Ro 41-0960或赋形剂。第二次注射后1小时,处死大鼠并收集其脑、肝、脾、肾和血浆。然后测定离散脑区和外周组织中的SAM和SAH浓度,并测定血浆中的总同型半胱氨酸浓度。在仅用左旋多巴治疗的大鼠中,在所有测量的脑区和外周组织中均发现SAM浓度降低和SAH浓度升高,并且在血浆中发现同型半胱氨酸浓度升高,这与先前的报道一致。然而,在用Ro 41-0960预处理的大鼠中,左旋多巴对硫氨基酸代谢物浓度的这些影响被减弱或完全预防。Ro 41-0960对硫氨基酸代谢物的这种保护作用是否具有临床意义仍有待确定。

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