Salsolinol is one of the
dopamine-derived
tetrahydroisoquinolines, supposed to be a potent dopaminergic
neurotoxin, similar to
MPTP. Its systemic administration induced
parkinsonism in monkeys. The aim of the study was to compare the concentration of
salsolinol and the metabolite of
L-dopa, 3-O-MD, and the metabolite of
dopamine, HVA, in the cerebrospinal fluid of patients with different degrees of
parkinsonism, treated or nontreated with
l-dopa. Lumbar CSF was obtained from 26 patients with
Parkinson's disease (15 early and 11 advanced
parkinsonism) and from six healthy controls. The presence of
salsolinol, HVA and 3-O-MD was assayed with a sensitive HPLC method employing C18 (Hypersil BDS) column. The analysis of the results demonstrated that the concentration of
salsolinol was related to the degree of
parkinsonism but not affected by
l-dopa treatment. In contrast, HVA and 3-O-MD were significantly elevated in patients receiving
l-dopa but did not correlate with the severity of
parkinsonism. The results suggest that
salsolinol in the cerebrospinal fluid does not originate from exogenous
l-dopa and its elevation in cerebrospinal fluid may be an
indicator of the advancement of
parkinsonism.