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Catecholamine Synthesis and Metabolism in Man: Clinical Implications (With Special Reference to Parkinsonism)

  • Chapter
Catecholamines

Abstract

The accompanying chapters in this volume attest to the growth and complexity of catecholamine studies in recent years and provide some pointer to the correspondingly large literature associated with this field of research. Running parallel to these fundamental contributions and associated with what is probably an even larger number of publications, is that area of “applied” catecholamine study dealing with the clinical implications of this knowledge (Franzen and Eysell, Thus there has been vast research effort concerning the role of monoamines in psychiatric disease, particularly in the pathogenesis of depressive illness (e. g. Cole and Wittenborn, 1966) and of schizophrenia (e.g. Smythies, 1963) and the drugs which have been used to treat them (e. g. Clark and Del Giudice, the tumours secreting catecholamines, phaeochromocytoma and neuroblastoma-ganglioneuroma, have provided much information on amine disposition (e. g. Sandler and Ruthven, 1972); the genetically determined diseases such as familial dysautonomia (e. g. Gitlow et al., 1970), phenylketonuria (e. g. Lyman, 1963) and tyrosinosis (e. g. Gjessing, 1966) have overtones relating to catecholamine metabolism as does the study of such disparate clinical problems as essential hypertension (e. g. Mendlowitz et al., 1970) and morphine addiction (e. g. Gunne, 1963). Above all, it is in the study of Parkinson’s disease (Calne, 1970; Barbeau and Mcdowell, 1970) that “biochemical investment” has yielded the most handsome “clinical dividend” (Udenfriend, 1969). To attempt to evaluate each of these topics exhaustively would occupy considerably more space than is available to the writer in this volume. It has therefore seemed most valuable to tackle in depth a single topic, parkinsonism, and its relationship to the major and minor pathways of catecholamine biosynthesis and metabolism, whilst not omitting to point out, where relevant, the implications of this knowledge in the study of other disorders of monoamine metabolism.

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Sandler, M. (1972). Catecholamine Synthesis and Metabolism in Man: Clinical Implications (With Special Reference to Parkinsonism). In: Blaschko, H., Muscholl, E. (eds) Catecholamines. Handbuch der experimentellen Pharmakologie / Handbook of Experimental Pharmacology, vol 33. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65249-3_19

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