Summary
Dopamine-3-O-sulfate (DA-3-O-S) and dopamine-4-O-sulfate (DA-4-O-S) have been shown to be important end-products of L-dopa metabolism. Therefore, when measured in urine samples of patients with Parkinson’s disease (PD), they may give indications of disorders in the peripheral metabolism of catecholamines. In addition, information about the reliability of DA sulfation after L-dopa therapy may be of significance in assessing its role in the elimination of DA from the peripheral nervous system.
Although DA-3-O-S seems to be the predominant sulfo-conjugate in urine, it is neither changed in PD compared to controls with or without other neurological disorders nor in depression syndrome. By contrast, DA4-O-S is significantly decreased in de novo PD patients. However, a similar reduction is notable in cases of other neurological disorders. In depressed patients, the loss of this compound is less pronounced as compared to de novo PD patients. Treatment with combined L-dopa therapy increases primarily DA-3-O-S, while changes in DA-4-O-S are only marginal.
It can be concluded that urinary DA-3-O-S cannot be used as a marker for PD, while DA-4-O-S is significantly reduced in a variety of neurological disorders and, in particular, in PD. Further studies are necessary to elucidate its role as possible peripheral marker to distinguish preclinical PD and depression syndrome.
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Kienzl, E. et al. (1990). Urinary dopamine sulfate conjugates in Parkinson’s disease. In: Dostert, P., Riederer, P., Strolin Benedetti, M., Roncucci, R. (eds) Early Markers in Parkinson’s and Alzheimer’s Diseases. New Vistas in Drug Research, vol 1. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9098-2_10
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