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The therapeutic potential of monoamine oxidase inhibitors

Identifieur interne : 000B94 ( Main/Corpus ); précédent : 000B93; suivant : 000B95

The therapeutic potential of monoamine oxidase inhibitors

Auteurs : Moussa B. H. Youdim ; Dale Edmondson ; Keith F. Tipton

Source :

RBID : ISTEX:D7CC3B3075538DC26D4CEA4B55124E36713D9B3F

Abstract

Monoamine oxidase inhibitors were among the first antidepressants to be discovered and have long been used as such. It now seems that many of these agents might have therapeutic value in several common neurodegenerative conditions, independently of their inhibition of monoamine oxidase activity. However, many claims and some counter-claims have been made about the physiological importance of these enzymes and the potential of their inhibitors. We evaluate these arguments in the light of what we know, and still have to learn, of the structure, function and genetics of the monoamine oxidases and the disparate actions of their inhibitors.

Url:
DOI: 10.1038/nrn1883

Links to Exploration step

ISTEX:D7CC3B3075538DC26D4CEA4B55124E36713D9B3F

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<affiliation>Dale E. Edmondson is Professor of Biochemistry and Adjunct Professor of Chemistry at Emory University, Atlanta, Georgia, USA. His research career has focused on the structures and mechanisms of flavo-enzymes and metallo-enzymes, with more than 150 publications in this area. His work on the structures and mechanisms of MAOA and MAOB have been ongoing since 1982. He received his Ph.D. in Chemistry in 1970 at the University of Arizona, Tucson, USA, and carried out postdoctoral research at the University of Michigan, USA, and at the University of California, San Francisco, USA. He joined the Emory faculty as an Associate Professor in 1980, and was promoted to Professor in 1986.</affiliation>
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<li>Monoamine oxidase (MAO) inhibitors were among the first antidepressants to be discovered and introduced into the clinic. Early forms have almost disappeared from use as a consequence of their side effects, which include the 'cheese reaction' — that is, stimulation of cardiovascular sympathetic nervous system activity due to a build-up of dietary amines.</li>
<li>The identification of two forms of MAO, known as MAOA and MAOB, and their respective selective inhibitors has contributed to a better understanding of their physiological roles, regulation of neurotransmitter metabolism and the mechanism of the 'cheese reaction', and has led to the development of selective inhibitors that avoid this side effect.</li>
<li>The two enzymes differ structurally in their substrate–inhibitor recognition sites, but not in their active sites, which contain a covalently bound flavin moiety. Knowledge of the three-dimensional structures of MAOA and MAOB has provided new insights into the way in which MAO interacts with substrates and inhibitors, and has revealed intriguing species differences for MAOA.</li>
<li>The discovery that the synthetic compound MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine) is a substrate of MAOB, which converts this compound to the neurotoxin MPP
<super>+</super>
(1-methyl-4-phenylpyridinium), causing a parkinsonism syndrome in some mouse strains and primates including humans, provided a basis for our understanding of the participation of MAO in dopaminergic neurodegeneration, and MAOB inhibitors as neuroprotective drugs with disease-modifying activity.</li>
<li>The propargylamine irreversible MAOB inhibitors, including
<i>l</i>
-deprenyl (Selegiline) and rasagiline, have shown efficacy in the treatment of Parkinson's disease. These drugs exert a neuroprotective activity not related to MAO inhibition, as shown in cultured neurons and
<i>in vivo</i>
models of neurodegeneration. The molecular mechanism of this neuroprotective activity involves regulation of B-cell lymphoma/leukaemia 2 (BCL2) family proteins and protein kinase-dependent signalling pathways as well as interactions with glyceraldehyde-3-phosphate dehydrogenase and induction of some antioxidant enzymes.</li>
<li>Although considerable advances have been made in our understanding of the structure of MAO, its neurobiology and the mechanisms of action of its selective inhibitors in neuropsychiatric disorders, much remains to be learnt about MAO and its interactions with both substrates and inhibitors.</li>
</list>
</p>
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<websumm>Youdim and colleagues describe how the recent solving of the crystal structures of monoamine oxidase enzymes has increased our understanding of the action of their inhibitors, some of which are now showing therapeutic value in the treatment of neurodegenerative conditions.</websumm>
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<p>Monoamine oxidase inhibitors were among the first antidepressants to be discovered and have long been used as such. It now seems that many of these agents might have therapeutic value in several common neurodegenerative conditions, independently of their inhibition of monoamine oxidase activity. However, many claims and some counter-claims have been made about the physiological importance of these enzymes and the potential of their inhibitors. We evaluate these arguments in the light of what we know, and still have to learn, of the structure, function and genetics of the monoamine oxidases and the disparate actions of their inhibitors.</p>
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<namePart type="given">Moussa B. H.</namePart>
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<affiliation>Technion-Rappaport Family Faculty of Medicine, Eve Topf and US National Parkinson Foundation Centers of Excellence for Neurodegenerative Diseases, P.O. Box 9697, 31096 Haifa, Israel.</affiliation>
<affiliation>Department of Pharmacology, P.O. Box 9697, 31096 Haifa, Israel.</affiliation>
<affiliation>E-mail: youdim@tx.technion.ac.il</affiliation>
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<description>Moussa B. H. Youdim is Finkelstein Professor of Life Sceinces, Professor of Pharmacology, Adjunct Professor of Biomedical Engineering, and Director of the Eve Topf and US National Parkinson Foundation Centers of Excellence for Neurodegenerative Disease Research at the Technion-Rappaport Family Faculty of Medicine, Haifa, Israel. His scientific interests include the neuropharmacology and neurochemistry of monoamine oxidases and brain iron metabolism, and their roles in brain function and dysfunction; particularly emphasis in progressive neurodegenerative diseases and depression. He has served on the editorial boards of 37 international journals and is also editor of Parkinsonism and Related Disorders and Advances in Neurodegeneration Research. He has received numerous international and national prizes, and honorary degrees from Semmelweiss Medical School University, Budapest, Hungary, and elsewhere. He was a Fogarty International Scholar in Residence at the Center for Advanced Study for Human Health at the Fogarty Center, National Institutes of Health, USA, 19911999, and received their medal.</description>
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<namePart type="given">Dale</namePart>
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<affiliation>Emory University School of Medicine, Department of Biochemistry, 1510 Clifton Road, Atlanta, Georgia 30322, USA.</affiliation>
<role>
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<description>Dale E. Edmondson is Professor of Biochemistry and Adjunct Professor of Chemistry at Emory University, Atlanta, Georgia, USA. His research career has focused on the structures and mechanisms of flavo-enzymes and metallo-enzymes, with more than 150 publications in this area. His work on the structures and mechanisms of MAOA and MAOB have been ongoing since 1982. He received his Ph.D. in Chemistry in 1970 at the University of Arizona, Tucson, USA, and carried out postdoctoral research at the University of Michigan, USA, and at the University of California, San Francisco, USA. He joined the Emory faculty as an Associate Professor in 1980, and was promoted to Professor in 1986.</description>
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<affiliation>Trinity College Dublin, Department of Biochemistry, Dublin 2, Ireland.</affiliation>
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<description>Keith F. Tipton is Professor of Biochemistry at Trinity College Dublin (TCD), Ireland. He received his Ph.D. in biochemistry in 1966 at Cambridge University, UK, and was a Lecturer and Fellow of Kings College there until accepting the Chair at TCD in 1997. He was elected Fellow of TCD in 1979 and Member of the Royal Irish Academy (MRIA) in 1989. His research interests include enzymology and neurochemistry. He has published a lot in these areas and believes that enzyme kinetics are fun. He has been an editor of several journals, including the The Biochemical Journal, Biochimica et Biophysica Acta and Journal of Neurochemistry, and is co-author and editor of several books.</description>
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<abstract lang="eng">Monoamine oxidase inhibitors were among the first antidepressants to be discovered and have long been used as such. It now seems that many of these agents might have therapeutic value in several common neurodegenerative conditions, independently of their inhibition of monoamine oxidase activity. However, many claims and some counter-claims have been made about the physiological importance of these enzymes and the potential of their inhibitors. We evaluate these arguments in the light of what we know, and still have to learn, of the structure, function and genetics of the monoamine oxidases and the disparate actions of their inhibitors.</abstract>
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