The mechanism of cytotoxicity of L-DOPA was studied in the rat pheochr
omocytoma PC12 cell line. The cytotoxicity of L-DOPA to PC12 cells was
time and concentration dependent. Carbidopa, which inhibited the conv
ersion of L-DOPA to dopamine, did not protect against L-DOPA cytotoxic
ity in PC12 cells. Furthermore, clorgyline, a selective inhibitor of m
onoamine oxidase type A, and pargyline, an inhibitor of both monoamine
oxidase types A and B, both did not have an effect on L-DOPA toxicity
. These findings suggest that cytotoxicity was not due to dopamine for
med from L-DOPA. Catalase or superoxide dismutase each partially prote
cted against L-DOPA toxicity in PC12 cells. In combination, the effect
s were synergistic and provided almost total protection against cytoto
xicity. 6-Cyano-7-nitroquinoxaline-2,3-dione, an antagonist of non-NMD
A receptors, did not protect against L-DOPA toxicity. These data sugge
st that toxicity of L-DOPA is most likely due to the action of free ra
dicals formed as a result of its autoxidation. Furthermore, these find
ings suggest that patients on long-term L-DOPA therapy are potentially
at risk from the toxic intermediates formed as a result of its autoxi
dation.