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The effect of monoamine oxidase B (MAOB) and catechol‐O‐methyltransferase (COMT) polymorphisms on levodopa therapy in patients with sporadic Parkinson's disease

Identifieur interne : 000696 ( Main/Corpus ); précédent : 000695; suivant : 000697

The effect of monoamine oxidase B (MAOB) and catechol‐O‐methyltransferase (COMT) polymorphisms on levodopa therapy in patients with sporadic Parkinson's disease

Auteurs : M. Białecka ; M. Dro Dzik ; G. Kłodowska-Duda ; K. Honczarenko ; B. Gawro Ska-Szklarz ; G. Opala ; J. Stankiewicz

Source :

RBID : ISTEX:F811DFDE2012B8521B68A96C48518236AE414DD8

English descriptors

Abstract

Objectives –  The etiology of sporadic idiopathic Parkinson's disease (PD) is considered multifactorial with both genetic and environmental factors modifying the disease expression. Recent studies suggest that polymorphism in monoamine oxidase B (MAOB) and catechol‐O‐methyltransferase (COMT) might influence the risk and treatment of PD. The aim of the study was to evaluate the effect of MAOB and COMT genetic polymorphism on effective daily dose of levodopa applied during the first 5 years of treatment, and to find out if a relationship exists between MAOB and COMT haplotypes and motor disturbances onset in PD patients treated with levodopa preparations. Materials and methods –  A total of 95 patients (40 females and 55 males) of Polish origin diagnosed with sporadic PD were enrolled into the study, and were divided into two groups. Group 1 – patients treated with doses of levodopa below 500 mg/day during the first 5 years of treatment. Group 2 – patients requiring levodopa doses exceeding 500 mg/24 h during the first 5 years of treatment. Low activity alleles of MAOB and COMT, i.e. MAOB allele A and COMTL as well as high activity ones, i.e. MAOB allele G and COMTH, were determined using PCR‐RFLP method. Results –  No statistically significant differences were found in MAOB and COMT allele distribution in the two groups. However, the frequency of COMTL/L homozygotes was higher in the group treated with low doses of levodopa when compared with the second group. MAOB and COMT AG‐HH haplotype predominated in the group of females treated with high daily doses of levodopa when compared with AG‐LL haplotype in the group of females treated with low daily doses of levodopa (<500 mg/24 h). Conclusion –  The results of the study suggest that patients with COMTL/L genotype and possibly MAOB genotype A may benefit from more efficient and safer levodopa therapy.

Url:
DOI: 10.1111/j.1600-0404.2004.00315.x

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ISTEX:F811DFDE2012B8521B68A96C48518236AE414DD8

Le document en format XML

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<div type="abstract" xml:lang="en">Objectives –  The etiology of sporadic idiopathic Parkinson's disease (PD) is considered multifactorial with both genetic and environmental factors modifying the disease expression. Recent studies suggest that polymorphism in monoamine oxidase B (MAOB) and catechol‐O‐methyltransferase (COMT) might influence the risk and treatment of PD. The aim of the study was to evaluate the effect of MAOB and COMT genetic polymorphism on effective daily dose of levodopa applied during the first 5 years of treatment, and to find out if a relationship exists between MAOB and COMT haplotypes and motor disturbances onset in PD patients treated with levodopa preparations. Materials and methods –  A total of 95 patients (40 females and 55 males) of Polish origin diagnosed with sporadic PD were enrolled into the study, and were divided into two groups. Group 1 – patients treated with doses of levodopa below 500 mg/day during the first 5 years of treatment. Group 2 – patients requiring levodopa doses exceeding 500 mg/24 h during the first 5 years of treatment. Low activity alleles of MAOB and COMT, i.e. MAOB allele A and COMTL as well as high activity ones, i.e. MAOB allele G and COMTH, were determined using PCR‐RFLP method. Results –  No statistically significant differences were found in MAOB and COMT allele distribution in the two groups. However, the frequency of COMTL/L homozygotes was higher in the group treated with low doses of levodopa when compared with the second group. MAOB and COMT AG‐HH haplotype predominated in the group of females treated with high daily doses of levodopa when compared with AG‐LL haplotype in the group of females treated with low daily doses of levodopa (<500 mg/24 h). Conclusion –  The results of the study suggest that patients with COMTL/L genotype and possibly MAOB genotype A may benefit from more efficient and safer levodopa therapy.</div>
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<titleGroup>
<title type="tocHeading1">Original articles</title>
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<event type="firstOnline" date="2004-08-17"></event>
<event type="publishedOnlineFinalForm" date="2004-08-17"></event>
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<numbering type="pageFirst" number="260">260</numbering>
<numbering type="pageLast" number="266">266</numbering>
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<correspondenceTo>Dr Marek Drozdzik, Department of Pharmacology, Pomeranian Medical University, Powstancow Wlkp 72, 70‐111 Szczecin, Poland 
Tel.: +4891‐4661589 
Fax: +4891‐4661600 
e‐mail:
<email>drozdzik@sci.pam.szczecin.pl</email>
</correspondenceTo>
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<unparsedEditorialHistory>Accepted for publication May 11, 2004</unparsedEditorialHistory>
<countGroup>
<count type="figureTotal" number="0"></count>
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<titleGroup>
<title type="main">The effect of monoamine oxidase B (MAOB) and catechol‐
<i>O</i>
‐methyltransferase (COMT) polymorphisms on levodopa therapy in patients with sporadic Parkinson's disease</title>
<title type="shortAuthors">
<b>Białecka et al.</b>
</title>
<title type="short">
<b>Effect of MAOB and COMT polymorphisms on sporadic PD therapy with levodopa</b>
</title>
</titleGroup>
<creators>
<creator creatorRole="author" xml:id="cr1" affiliationRef="#a1">
<personName>
<givenNames>M.</givenNames>
<familyName>Białecka</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr2" affiliationRef="#a1">
<personName>
<givenNames>M.</givenNames>
<familyName>Droździk</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr3" affiliationRef="#a2">
<personName>
<givenNames>G.</givenNames>
<familyName>Kłodowska‐Duda</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr4" affiliationRef="#a3">
<personName>
<givenNames>K.</givenNames>
<familyName>Honczarenko</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr5" affiliationRef="#a4">
<personName>
<givenNames>B.</givenNames>
<familyName>Gawrońska‐Szklarz</familyName>
</personName>
</creator>
<creator creatorRole="author" xml:id="cr6" affiliationRef="#a2">
<personName>
<givenNames>G.</givenNames>
<familyName>Opala</familyName>
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<creator creatorRole="author" xml:id="cr7" affiliationRef="#a5">
<personName>
<givenNames>J.</givenNames>
<familyName>Stankiewicz</familyName>
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<unparsedAffiliation>Department of Experimental and Clinical Pharmacology, Pomeranian Medical University, Szczecin</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a2">
<unparsedAffiliation>Department of Neurology, Ageing Degenerative and Cerebrovascular Diseases, Medical University of Silesia, Katowice</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a3">
<unparsedAffiliation>Department of Neurology, Pomeranian Medical University, Szczecin</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a4">
<unparsedAffiliation>Department of Pharmacokinetics and Therapeutic Drug Monitoring, Pomeranian Medical University, Szczecin</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a5" countryCode="PL">
<unparsedAffiliation>Department of Neurology, County Hospital, Szczecin, Poland</unparsedAffiliation>
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<keywordGroup xml:lang="en">
<keyword xml:id="k1">catechol‐
<i>O</i>
‐methyltransferase</keyword>
<keyword xml:id="k2">monoamine oxidase B</keyword>
<keyword xml:id="k3">Parkinson's disease</keyword>
<keyword xml:id="k4">polymorphism</keyword>
</keywordGroup>
<abstractGroup>
<abstract type="main" xml:lang="en"><!-- Bia&lstrok;ecka M, Dro&zacute;dzik M, K&lstrok;odowska-Duda G, Honczarenko K, Gawro&nacute;ska-Szklarz B, Opala G, Stankiewicz J. The effect of monoamine oxidase B (MAOB) and catechol-O-methyltransferase (COMT) polymorphisms on levodopa therapy in patients with sporadic Parkinson's disease.

Acta Neurol Scand 2004 DOI: 10.1111/j.1600-0404.2004.00315.x &copy; Blackwell Munksgaard 2004.
-->
<p>
<b>Objectives – </b>
The etiology of sporadic idiopathic Parkinson's disease (PD) is considered multifactorial with both genetic and environmental factors modifying the disease expression. Recent studies suggest that polymorphism in monoamine oxidase B (MAOB) and catechol‐
<i>O</i>
‐methyltransferase (COMT) might influence the risk and treatment of PD. The aim of the study was to evaluate the effect of MAOB and COMT genetic polymorphism on effective daily dose of levodopa applied during the first 5 years of treatment, and to find out if a relationship exists between MAOB and COMT haplotypes and motor disturbances onset in PD patients treated with levodopa preparations.</p>
<p>
<b>Materials and methods – </b>
A total of 95 patients (40 females and 55 males) of Polish origin diagnosed with sporadic PD were enrolled into the study, and were divided into two groups. Group 1 – patients treated with doses of levodopa below 500 mg/day during the first 5 years of treatment. Group 2 – patients requiring levodopa doses exceeding 500 mg/24 h during the first 5 years of treatment. Low activity alleles of MAOB and COMT, i.e. MAOB allele A and COMT
<sup>L</sup>
as well as high activity ones, i.e. MAOB allele G and COMT
<sup>H</sup>
, were determined using PCR‐RFLP method.</p>
<p>
<b>Results – </b>
No statistically significant differences were found in MAOB and COMT allele distribution in the two groups. However, the frequency of COMT
<sup>L/L</sup>
homozygotes was higher in the group treated with low doses of levodopa when compared with the second group. MAOB and COMT AG‐HH haplotype predominated in the group of females treated with high daily doses of levodopa when compared with AG‐LL haplotype in the group of females treated with low daily doses of levodopa (<500 mg/24 h).</p>
<p>
<b>Conclusion – </b>
The results of the study suggest that patients with COMT
<sup>L/L</sup>
genotype and possibly MAOB genotype A may benefit from more efficient and safer levodopa therapy.</p>
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<title>Effect of MAOB and COMT polymorphisms on sporadic PD therapy with levodopa</title>
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<abstract lang="en">Objectives –  The etiology of sporadic idiopathic Parkinson's disease (PD) is considered multifactorial with both genetic and environmental factors modifying the disease expression. Recent studies suggest that polymorphism in monoamine oxidase B (MAOB) and catechol‐O‐methyltransferase (COMT) might influence the risk and treatment of PD. The aim of the study was to evaluate the effect of MAOB and COMT genetic polymorphism on effective daily dose of levodopa applied during the first 5 years of treatment, and to find out if a relationship exists between MAOB and COMT haplotypes and motor disturbances onset in PD patients treated with levodopa preparations. Materials and methods –  A total of 95 patients (40 females and 55 males) of Polish origin diagnosed with sporadic PD were enrolled into the study, and were divided into two groups. Group 1 – patients treated with doses of levodopa below 500 mg/day during the first 5 years of treatment. Group 2 – patients requiring levodopa doses exceeding 500 mg/24 h during the first 5 years of treatment. Low activity alleles of MAOB and COMT, i.e. MAOB allele A and COMTL as well as high activity ones, i.e. MAOB allele G and COMTH, were determined using PCR‐RFLP method. Results –  No statistically significant differences were found in MAOB and COMT allele distribution in the two groups. However, the frequency of COMTL/L homozygotes was higher in the group treated with low doses of levodopa when compared with the second group. MAOB and COMT AG‐HH haplotype predominated in the group of females treated with high daily doses of levodopa when compared with AG‐LL haplotype in the group of females treated with low daily doses of levodopa (<500 mg/24 h). Conclusion –  The results of the study suggest that patients with COMTL/L genotype and possibly MAOB genotype A may benefit from more efficient and safer levodopa therapy.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>catechol‐O‐methyltransferase</topic>
<topic>monoamine oxidase B</topic>
<topic>Parkinson's disease</topic>
<topic>polymorphism</topic>
</subject>
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<title>Acta Neurologica Scandinavica</title>
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<identifier type="ISSN">0001-6314</identifier>
<identifier type="eISSN">1600-0404</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0404</identifier>
<identifier type="PublisherID">ANE</identifier>
<part>
<date>2004</date>
<detail type="volume">
<caption>vol.</caption>
<number>110</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>4</number>
</detail>
<extent unit="pages">
<start>260</start>
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