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Published on: January 7, 2014
Altered platelet monoamine oxidase-B activity in idiopathic Parkinson's disease
Maroof Husain1, Rakesh Shukla, Madhu Dikshit
1Developmental Toxicology Division, Indian Institute of Toxicology Research, (Formerly Industrial Toxicology Research Centre), MG Marg, P.O. Box 80, Lucknow 226001, India.
Abstract:
A case-control study was undertaken to investigate the status of platelet monoamine oxidase-B (MAO-B) activity in Indian cases of idiopathic Parkinson's disease. A significant increase in the activity of platelet MAO-B was observed in Parkinson's cases (n = 26) as compared to controls (n = 26). No significant change in the activity of the enzyme was observed while the data was analysed with respect to age, sex and duration of disease. A trend of decrease in platelet MAO-B activity was observed in Parkinson's cases with respect to stage although the change was not significant. No correlation in platelet MAO-B activity was observed with respect to age and sex in the control subjects. Parkinson's cases treated with L-DOPA and MAO-B inhibitor exhibited decreased platelet MAO-B activity as compared to drug naive cases and those treated with L-DOPA alone. Interestingly, Parkinson's cases treated with L-DOPA and amantadine also had lower platelet MAO-B activity as compared to drug naive cases and those treated with L-DOPA alone. Activity of platelet MAO-B in Parkinson's patients was increased in naive cases and those treated with L-DOPA alone or in combination with other drugs compared to controls. The results of the present study indicate that phenotypic activity of platelet MAO-B is high in Indian Parkinson's cases. Further, action mechanism of drugs used in the treatment of Parkinson's disease could be understood by assay of platelet MAO-B activity. It is an interesting observation and may be looked further in large number of cases.
Insights
Platelet monoamine oxidase-B (MAO-B) activity is significantly increased in Indian Parkinson's disease patients. This enzyme activity may help understand Parkinson's drug mechanisms.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Idiopathic Parkinson's disease (PD) is a neurodegenerative disorder.
- Platelet monoamine oxidase-B (MAO-B) is an enzyme implicated in neurotransmitter metabolism.
- Altered MAO-B activity has been suggested in PD pathogenesis.
Purpose of the Study:
- To investigate platelet MAO-B activity in Indian idiopathic Parkinson's disease cases.
- To explore the relationship between MAO-B activity and disease characteristics (age, sex, duration, stage).
- To assess the impact of PD medications on platelet MAO-B activity.
Main Methods:
- A case-control study design was employed.
- Platelet MAO-B activity was measured in 52 participants (26 PD cases, 26 controls).
- Data was analyzed concerning age, sex, disease duration, stage, and medication status (L-DOPA, MAO-B inhibitors, amantadine).
Main Results:
- Platelet MAO-B activity was significantly higher in Parkinson's disease patients compared to controls.
- No significant changes in MAO-B activity were observed with respect to age, sex, or disease duration.
- A non-significant trend of decreased MAO-B activity was noted with advancing disease stage.
- Parkinson's patients on L-DOPA with MAO-B inhibitors or amantadine showed reduced MAO-B activity compared to drug-naive or L-DOPA-only treated patients.
- Elevated MAO-B activity was observed in naive and L-DOPA treated PD patients compared to controls.
Conclusions:
- Phenotypic platelet MAO-B activity is elevated in Indian Parkinson's disease patients.
- Platelet MAO-B activity assay may offer insights into the mechanisms of action for Parkinson's disease drugs.
- Further large-scale studies are warranted to validate these findings.
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