The clinical relevance of levodopa toxicity in the treatment of Parkinson's disease.
Identifieur interne : 002311 ( Ncbi/Curation ); précédent : 002310; suivant : 002312The clinical relevance of levodopa toxicity in the treatment of Parkinson's disease.
Auteurs : Anthony H V. Schapira [Royaume-Uni]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- MESH :
- chemical , toxicity : Antiparkinson Agents, Levodopa.
- drug effects : Blood-Brain Barrier.
- drug therapy : Parkinson Disease.
- physiology : Blood-Brain Barrier.
- Animals, Clinical Trials as Topic, Disease Models, Animal, Humans.
Abstract
Levodopa is the 'gold standard' drug for the treatment of the motor symptoms of Parkinson's disease (PD). For many years there has been concern regarding its potential to be toxic to the dopaminergic cells of the substantia nigra. Much of the evidence to support this is derived from in vitro studies and there are significant limitations in extrapolating these data to the clinic. Indeed, there is no evidence to indicate that levodopa is toxic to PD patients, and even some suggestion that it may be protective.
DOI: 10.1002/mds.22146
PubMed: 18781678
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<author><name sortKey="Schapira, Anthony H V" sort="Schapira, Anthony H V" uniqKey="Schapira A" first="Anthony H V" last="Schapira">Anthony H V. Schapira</name>
<affiliation wicri:level="3"><nlm:affiliation>University Department of Clinical Neurosciences, Institute of Neurology, University College London, London, United Kingdom. a.schapira@medsch.ucl.ac.uk</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The clinical relevance of levodopa toxicity in the treatment of Parkinson's disease.</title>
<author><name sortKey="Schapira, Anthony H V" sort="Schapira, Anthony H V" uniqKey="Schapira A" first="Anthony H V" last="Schapira">Anthony H V. Schapira</name>
<affiliation wicri:level="3"><nlm:affiliation>University Department of Clinical Neurosciences, Institute of Neurology, University College London, London, United Kingdom. a.schapira@medsch.ucl.ac.uk</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term>
<term>Antiparkinson Agents (toxicity)</term>
<term>Blood-Brain Barrier (drug effects)</term>
<term>Blood-Brain Barrier (physiology)</term>
<term>Clinical Trials as Topic</term>
<term>Disease Models, Animal</term>
<term>Humans</term>
<term>Levodopa (toxicity)</term>
<term>Parkinson Disease (drug therapy)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="toxicity" xml:lang="en"><term>Antiparkinson Agents</term>
<term>Levodopa</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Blood-Brain Barrier</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood-Brain Barrier</term>
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<term>Clinical Trials as Topic</term>
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<front><div type="abstract" xml:lang="en">Levodopa is the 'gold standard' drug for the treatment of the motor symptoms of Parkinson's disease (PD). For many years there has been concern regarding its potential to be toxic to the dopaminergic cells of the substantia nigra. Much of the evidence to support this is derived from in vitro studies and there are significant limitations in extrapolating these data to the clinic. Indeed, there is no evidence to indicate that levodopa is toxic to PD patients, and even some suggestion that it may be protective.</div>
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