N. Jonkers et al., Benserazide decreases central AADC activity, extracellular dopamine levelsand levodopa decarboxylation in striatum of the rat, J NEURAL TR, 108(5), 2001, pp. 559-570
In Parkinsonian patients treated with levodopa, peripheral decarboxylase in
hibitors like carbidopa and benserazide are used to increase the central av
ailability of levodopa. In experimental animal studies, this clinical situa
tion is mimicked. However, at the dose used in many animal studies, both be
nserazide and carbidopa pass the blood brain barrier. In this study, we inv
estigated to what extent their presence in brain inhibits striatal aromatic
amino acid decarboxylase activity. At 50 mg/kg i.p., both carbidopa and be
nserazide decreased striatal decarboxylase activity. At l0mg/kg i.p., only
benserazide decreased the enzyme activity, but this did not change extracel
lular dopamine in striatum and allowed dopamine levels to increase after le
vodopa administration. In contrast, the inhibition of central decarboxylase
activity by 50mg/kg benserazide decreased striatal dopamine levels and pre
vented the levodopa-induced increase. Therefore, it is important to careful
ly consider the dose of the peripheral decarboxylase inhibitor used when th
e central effects of levodopa are studied.