Entacapone enhances levodopa-induced reversal of motor disability in MPTP-treated common marmosets.
Identifieur interne : 004E22 ( Ncbi/Merge ); précédent : 004E21; suivant : 004E23Entacapone enhances levodopa-induced reversal of motor disability in MPTP-treated common marmosets.
Auteurs : L A Smith [Royaume-Uni] ; A. Gordin ; P. Jenner ; C D MarsdenSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1997.
English descriptors
- KwdEn :
- 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (adverse effects), Animals, Callithrix, Carbidopa (therapeutic use), Catechols (therapeutic use), Dopamine Agonists (adverse effects), Dose-Response Relationship, Drug, Drug Synergism, Drug Therapy, Combination, Enzyme Inhibitors (therapeutic use), Female, Levodopa (therapeutic use), Male, Movement Disorders (drug therapy), Movement Disorders (etiology), Nitriles, Severity of Illness Index.
- MESH :
- chemical , adverse effects : 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine, Dopamine Agonists.
- chemical , therapeutic use : Carbidopa, Catechols, Enzyme Inhibitors, Levodopa.
- drug therapy : Movement Disorders.
- etiology : Movement Disorders.
- Animals, Callithrix, Dose-Response Relationship, Drug, Drug Synergism, Drug Therapy, Combination, Female, Male, Nitriles, Severity of Illness Index.
Abstract
Oral administration of levodopa (L-dopa) (2.5-25.0 mg/kg) plus carbidopa (12.5 mg/kg p.o.) to MPTP-treated common marmosets produced a dose-related increase in locomotor activity and a corresponding decrease in motor disability. Pretreatment with the peripheral COMT inhibitor entacapone (12.5 mg/kg p.o.) enhanced the intensity and duration of the increase in locomotor activity and the reversal of motor disability produced by a threshold dose of L-dopa (2.5 mg/kg p.o.) plus carbidopa. By contrast, entacapone pretreatment did not potentiate the increased locomotor activity or reversal of motor disability produced by a near-maximal dose of L-dopa (12.5 mg/kg p.o.) plus carbidopa. The effects of entacapone (5.0-25.0 mg/kg p.o.) were dose related, with doses of > 12.5 mg/kg tending to produce less potentiation of L-dopa's effects compared to lower doses. Pretreatment with entacapone (12.5 mg/kg p.o.) without carbidopa caused a short-lasting enhancement of L-dopa's (12.5 mg/kg p.o.) action, whereas pretreatment with carbidopa (12.5 mg/kg p.o.) alone had a more dramatic effect. However, pretreatment with both carbidopa and entacapone produced the greatest overall motor response. In conclusion, entacapone enhances the motor response produced by a low-threshold dose of L-dopa plus carbidopa. However, optimization of both the dose of L-dopa and entacapone appears necessary to obtain the maximal therapeutic response.
DOI: 10.1002/mds.870120616
PubMed: 9399218
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pubmed:9399218Le document en format XML
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<author><name sortKey="Smith, L A" sort="Smith, L A" uniqKey="Smith L" first="L A" last="Smith">L A Smith</name>
<affiliation wicri:level="1"><nlm:affiliation>Neurodegenerative Diseases Research Centre, King's College, London, England, U.K.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neurodegenerative Diseases Research Centre, King's College, London, England</wicri:regionArea>
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<author><name sortKey="Gordin, A" sort="Gordin, A" uniqKey="Gordin A" first="A" last="Gordin">A. Gordin</name>
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<author><name sortKey="Jenner, P" sort="Jenner, P" uniqKey="Jenner P" first="P" last="Jenner">P. Jenner</name>
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<author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C D" last="Marsden">C D Marsden</name>
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<author><name sortKey="Smith, L A" sort="Smith, L A" uniqKey="Smith L" first="L A" last="Smith">L A Smith</name>
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<term>Carbidopa (therapeutic use)</term>
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<front><div type="abstract" xml:lang="en">Oral administration of levodopa (L-dopa) (2.5-25.0 mg/kg) plus carbidopa (12.5 mg/kg p.o.) to MPTP-treated common marmosets produced a dose-related increase in locomotor activity and a corresponding decrease in motor disability. Pretreatment with the peripheral COMT inhibitor entacapone (12.5 mg/kg p.o.) enhanced the intensity and duration of the increase in locomotor activity and the reversal of motor disability produced by a threshold dose of L-dopa (2.5 mg/kg p.o.) plus carbidopa. By contrast, entacapone pretreatment did not potentiate the increased locomotor activity or reversal of motor disability produced by a near-maximal dose of L-dopa (12.5 mg/kg p.o.) plus carbidopa. The effects of entacapone (5.0-25.0 mg/kg p.o.) were dose related, with doses of > 12.5 mg/kg tending to produce less potentiation of L-dopa's effects compared to lower doses. Pretreatment with entacapone (12.5 mg/kg p.o.) without carbidopa caused a short-lasting enhancement of L-dopa's (12.5 mg/kg p.o.) action, whereas pretreatment with carbidopa (12.5 mg/kg p.o.) alone had a more dramatic effect. However, pretreatment with both carbidopa and entacapone produced the greatest overall motor response. In conclusion, entacapone enhances the motor response produced by a low-threshold dose of L-dopa plus carbidopa. However, optimization of both the dose of L-dopa and entacapone appears necessary to obtain the maximal therapeutic response.</div>
</front>
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