Increased oxidative stresses are implicated in the pathogenesis of Parkinso
n's disease, and dopaminergic neurons may be intrinsically susceptible to o
xidative damage. However, the selective presence of tetrahydrobiopterin (BH
4) makes dopaminergic neurons more resistant to oxidative stress caused by
glutathione depletion. To further investigate the mechanisms of BH4 protect
ion, we examined the effects of BH4 on superoxide levels in individual livi
ng mesencephalic neurons. Dopaminergic neurons have intrinsically lower lev
els of superoxide than nondopaminergic neurons. In addition, inhibiting BH4
synthesis increased superoxide in dopaminergic neurons, while BH4 suppleme
ntation decreased superoxide in nondopaminergic cells. BH4 is also a cofact
or in catecholamine and NO production. In order to exclude the possibility
that the antioxidant effects of BH4 are mediated by dopamine and NO, we use
d fibroblasts in which neither catecholamine nor NO production occurs. In f
ibroblasts, BH4 decreased baseline reactive oxygen species, and attenuated
reactive oxygen species increase by rotenone and antimycin A. Physiologic c
oncentrations of BH4 directly scavenged superoxide generated by potassium s
uperoxide in vitro. We hypothesize that BH4 protects dopaminergic neurons f
rom ordinary oxidative stresses generated by dopamine and its metabolites a
nd that environmental insults or genetic defects may disrupt this intrinsic
capacity of dopaminergic neurons and contribute to their degeneration in P
arkinson's disease.