Detection of tolcapone in the cerebrospinal fluid of parkinsonian subjects

被引:42
作者
Russ, H
Müller, T
Woitalla, D
Rahbar, A
Hahn, J
Kuhn, W
机构
[1] Ruhr Univ Bochum, Dept Neurol, St Josef Hosp, D-44791 Bochum, Germany
[2] Univ Regensburg, Dept Neurol, D-93053 Regensburg, Germany
关键词
tolcapone; cerebrospinal fluid; Parkinson's disease;
D O I
10.1007/s002109900168
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The cerebral availability of the peripherally and centrally acting catechol-O-methyltransferase (COMT) inhibitor tolcapone is not known in humans. Therefore, we determined the concentration of tolcapone in cerebrospinal fluid (CSF) of 12 parkinsonian subjects 1-4 h after oral application of 200 mg of the drug. The mean concentration was 56.4+/-35.5 nmol/l (mean +/- SD), This concentration was calculated to cause 75.2+/-15% (mean +/- SD) inhibition of COMT in CSF. Thus, tolcapone efficiently inhibits COMT after crossing the blood-brain barrier in humans.
引用
收藏
页码:719 / 720
页数:2
相关论文
共 11 条
[1]   Catechol-O-methyltransferase inhibition with tolcapone reduces the ''wearing off'' phenomenon and levodopa requirements in fluctuating parkinsonian patients [J].
Baas, H ;
Beiske, AG ;
Ghika, J ;
Jackson, M ;
Oertel, WH ;
Poewe, W ;
Ransmayr, G ;
Auff, E ;
Volc, D ;
Dupont, E ;
Mikkelsen, B ;
Wermuth, L ;
WommPetersen, J ;
Benecke, R ;
Eichhom, T ;
Kolbe, H ;
Oertel, W ;
Schimrigk, K ;
Olsson, JE ;
Palhagen, S ;
Burgunder, JM ;
Ghika, A ;
Regli, F ;
Steck, A ;
Medcalf, P .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1997, 63 (04) :421-428
[2]  
BHAIRD NN, 1990, ADV NEUROL, V53, P489
[3]   Tolcapone and neurotoxicity in Parkinson's disease [J].
Kuhn, W ;
Woitalla, D ;
Gerlach, M ;
Russ, H ;
Müller, T .
LANCET, 1998, 352 (9136) :1313-1314
[4]   THERAPY WITH CENTRAL ACTIVE CATECHOL-O-METHYLTRANSFERASE (COMT)-INHIBITORS - IS ADDITION OF MONOAMINE-OXIDASE (MAO)-INHIBITORS NECESSARY TO SLOW PROGRESS OF NEURODEGENERATIVE DISORDERS [J].
MULLER, T ;
KUHN, W ;
PRZUNTEK, H .
JOURNAL OF NEURAL TRANSMISSION-GENERAL SECTION, 1993, 92 (2-3) :187-195
[5]  
Offen D, 1999, ANN NEUROL, V46, P459
[6]   DETERMINATION OF THE CATECHOL-O-METHYLTRANSFERASE INHIBITOR RO-40-7592 IN HUMAN PLASMA BY HIGH-PERFORMANCE LIQUID-CHROMATOGRAPHY WITH COULOMETRIC DETECTION [J].
TIMM, U ;
ERDIN, R .
JOURNAL OF CHROMATOGRAPHY, 1992, 593 (1-2) :63-68
[7]  
TOGHI H, 1995, NEUROSCI LETT, V192, P165
[8]   Tolcapone in stable Parkinson's disease: Efficacy and safety of long-term treatment [J].
Waters, CH ;
Kurth, M ;
Bailey, P ;
Shulman, LM ;
LeWitt, P ;
Dorflinger, E ;
Deptula, D ;
Pedder, S .
NEUROLOGY, 1997, 49 (03) :665-671
[9]  
WERNER P, 1999, PARKINSON RELAT DI S, V5, P44
[10]   Catechol-O-methyltransferase inhibitors in Parkinson's disease [J].
Xie, T ;
Ho, SL ;
Ramsden, D .
LANCET, 1998, 351 (9120) :1966-1966