Plasma homocysteine levels in Parkinson's disease: role of antiparkinsonian medications

被引:69
作者
Zoccolella, S
Lamberti, P
Armenise, E
de Mari, M
Lamberti, SV
Mastronardi, R
Fraddosio, A
Illiceto, G
Livrea, P
机构
[1] Univ Bari, Osped Policlin, Dept Neurol Sci, I-70124 Bari, Italy
[2] Univ Bari, Hyg Sect, Dept Internal Med & Publ Hlth, Bari, Italy
关键词
Parkinson's disease; homocysteine; dopamine-agonists; L-dopa; COMT-inhibitors;
D O I
10.1016/j.parkreldis.2004.07.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Elevated plasma homocysteine (Hcy) concentrations have been reported in L-dopa treated Parkinson's disease (PD) patients, suggesting that L-dopa treatment is an acquired cause of hyperhomocysteinemia. Aim of this study is to evaluate the effects of different antiparkinsonian drugs on Hey concentrations. We compared Hey, B-12 and folate levels in 45 PD patients (15 treated with dopamine-agonists, 15 with L-dopa and 15 with L-dopa plus a catechol-O-methyltransferase-inhibitor (COMT-I) and in 15 controls. Analysis of data revealed that L-dopa administration significantly increases Hcy concentrations and that the addition of COMT-I effectively reduces the homocysteinemia. (c) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:131 / 133
页数:3
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