Hydrophobic beta-carbolines (such as norharman or harman) derived from
tryptophan-containing environmental sources and, possibly, from in vi
vo biosynthesis are converted by brain enzymes to cationic cytotoxican
ts that structurally resemble MPP(+). The carbolinium cytotoxicants ha
ve been detected and measured in human brain and spinal fluid. We sugg
est that, over time, bioactivated beta-carbolines and other protoxican
t heterocyclics may be crucial in the excessive nigrostriatal degenera
tion which distinguishes Parkinson's disease. The critical overall bio
activation step is considered to be sequential methylation within brai
n to form 2,9-di-N-methylated carbolinium cations which,like MPP(+), i
nhibit mitochondrial respiration and cause neuronal death. However, ot
her toxic mechanisms for the cations are possible. In addition, neurot
oxicity data with neuronal cultures indicate that hydroxylation and O-
methylation of the indole moiety could be an unappreciated facet of en
dogenous beta-carboline bioactivation pathways as well.