Recently, an endogenous catechol isoquinoline, ethyl-6,7-dihydroxy-1,2
,3,4-tetrahydroisoquinoline [N-methyl(R)salsolinol], was proved to be
a neurotoxin specific for dopamine neurons by in vivo and in vitro exp
eriments. This N-methyl(R)salsolinol was found to increase significant
ly in the cerebrospinal fluid of untreated parkinsonian patients, sugg
esting its possible involvement in the pathogenesis of Parkinson's dis
ease, To clarify the mechanism of the increase, the activity of enzyme
s related to the metabolism of the neurotoxin was examined in lymphocy
tes prepared from parkinsonian patients and controls. In patients with
Parkinson's disease, the activity of a neutral N-methyltransferase, m
easured by using (R)salsolinol as a substrate, was found to increase s
ignificantly (100.2 +/- 81.8 pmol/min/mg of protein) in comparison wit
h that in controls (18.9 +/- 15.0 pmol/min/mg of protein). The distrib
ution of the activity was bimodal in the parkinsonian patients, wherea
s it was singular in controls, The activity of other related enzymes,
an alkaline N-methyltransferase and N-methyl(R)salsolinol oxidase, in
parkinsonian lymphocytes was the same as in controls. Increase of the
neutral N-methyltransferase may be an endogenous factor in the pathoge
nesis of Parkinson's disease.