Abstract
After initial benefit, many adverse effects, i.e., “wearing-off”, “on-off”, or dyskinesia develop following long-term l-dopa therapy. Especially, causes of “wearing-off”, which is the most common adverse effect, are proposed to be 1) alterations of l-dopa absorption from the gut, 2) a reduction in l-dopa transport across the blood-brain barrier, 3) changes in dopamine (DA) distribution and metabolism in the CNS, and 4) modification of striatal DA receptor activity.1
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
D. B. Calne, P. F. Teychenne, and R. F. Pfeiffer, in: “Parkinson’s Disease; Neurophysiological, Clinical and Related Aspects,” F.A. Messiha and A. Kenny, eds., Plenum Press, New York (1977).
I. A. Hendry and L. L. Iversen, Effect of nerve growth factor and its antiserum on tyrosine hydroxylase activity in mouse superior cervial sympathetic ganglion., Brain research 29: 159 (1971).
G. Fabbrini, M. M. Mouradian, J. L. Juncos, J. Schlegel, E. Mohr, and T. N. Chase, Motor fluctuations in Parkinson’s disease: central pathophysiological mechanisms, part I., Ann. Neurol. 24: 366 (1988).
G. A. Lyles and B. A. Collingham, Short-and long-term effects of 1-dopa treatment upon monoamine oxydase: a comparative study in several rat tissues., Eur. J. Pharmacol. 61: 363 (1980).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Plenum Press, New York
About this chapter
Cite this chapter
Murata, M., Yoneda, K., Kanazawa, I. (1990). Possible Factors Responsible for Adverse Effects of Long-Term L-Dopa Therapy: Simultaneous Determinations of Dopamine Parameters in Rats. In: Nagatsu, T., Fisher, A., Yoshida, M. (eds) Basic, Clinical, and Therapeutic Aspects of Alzheimer’s and Parkinson’s Diseases. Advances in Behavioral Biology, vol 38A. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5844-2_102
Download citation
DOI: https://doi.org/10.1007/978-1-4684-5844-2_102
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-5846-6
Online ISBN: 978-1-4684-5844-2
eBook Packages: Springer Book Archive