Abstract
MAO-B and COMT are both enzymes involved in dopamine breakdown and metabolism. Inhibitors of these enzymes are used in the treatment of Parkinson’s disease. This review article describes the scientific background to the localization and function of the enzymes, the physiological changes resulting from their inhibition, and the basic and clinical pharmacology of the various inhibitors and their role in treatment of Parkinson’s disease.
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Notes
Tyramine is an endogenous trace amine produced by decarboxylation of tyrosine by AAADC and also occurs in foodstuff, such as yellow cheese, which is produced by a fermentation or maturation process.
Microdialysis is a system for perfusing a discrete brain area and determining the concentration of a neurotransmitter in extracellular fluid (ecf).
Systemic administration of L-DOPA is always accompanied by a peripherally acting inhibitor of AAADC, either carbidopa or benserazide which enhances the bio-availability of L-DOPA to the brain.
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The author was a developer of rasagiline and receives royalties from the sale of this drug. This financial connection with the pharmaceutical industry in no way affected his opinions in writing this article.
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Finberg, J.P.M. Inhibitors of MAO-B and COMT: their effects on brain dopamine levels and uses in Parkinson’s disease. J Neural Transm 126, 433–448 (2019). https://doi.org/10.1007/s00702-018-1952-7
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DOI: https://doi.org/10.1007/s00702-018-1952-7