Effect of entacapone on plasma homocysteine levels in Parkinson’s disease patients

被引:0
作者
Martin Nevrly
Petr Kanovsky
Hana Vranova
Katerina Langova
Petr Hlustik
机构
[1] University Hospital and Palacký University Medical School,Department of Neurology
[2] Palacký University Medical School,Department of Biophysics
来源
Neurological Sciences | 2010年 / 31卷
关键词
Homocysteine; Parkinson’s disease; Entacapone;
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学科分类号
摘要
Peripheral metabolism of l-DOPA via enzyme catechol-O-methyltransferase (COMT) is one of the possible sources of homocysteine (HCY). The aim of this study was to assess plasma HCY levels in l-DOPA-treated Parkinson’s disease (PD) patients and its influence by adding the inhibitor COMT (entacapone). Patients were divided into two groups: (1) patients long term treated with l-DOPA but were naïve to entacapone, (2) l-DOPA naïve patients, in whom a combined treatment with l-DOPA and entacapone was started. The HCY levels were higher in Group 1 than in Group 2. No statistically significant changes of HCY concentrations were found in both patient groups after adding entacapone to their l-DOPA treatments. Results of this study confirm that patients treated with l-DOPA for a long term have increased plasma HCY concentrations. We believe combined l-DOPA and entacapone therapy could be a possible protective mechanism against hyperhomocysteinemia in early PD.
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页码:565 / 569
页数:4
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