Abstract |
Levodopa replacement therapy has long provided the most effective treatment for Parkinson's disease (PD). We review how this dopamine (DA) precursor enhances dopaminergic transmission by providing a greater sphere of neurotransmitter influence as a result of the confluence of increased quantal size and decreased DA reuptake, as well as loading DA as a false transmitter into surviving serotonin neuron synaptic vesicles. We further review literature on how presynaptic dysregulation of DA release after l-dopa might trigger dyskinesias in PD patients.
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Authors | Eugene V Mosharov, Anders Borgkvist, David Sulzer |
Journal | Movement disorders : official journal of the Movement Disorder Society
(Mov Disord)
Vol. 30
Issue 1
Pg. 45-53
(Jan 2015)
ISSN: 1531-8257 [Electronic] United States |
PMID | 25450307
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Review)
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Copyright | © 2014 International Parkinson and Movement Disorder Society. |
Chemical References |
- Dopamine Agents
- Levodopa
- Dopamine
|
Topics |
- Animals
- Dopamine
(metabolism)
- Dopamine Agents
(adverse effects)
- Dyskinesia, Drug-Induced
(etiology, metabolism, pathology)
- Humans
- Levodopa
(adverse effects)
- Neurons
(cytology, drug effects)
- Parkinson Disease
(drug therapy)
- Presynaptic Terminals
(drug effects, metabolism)
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