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NEUROLOGY 1978;28:734
© 1978 American Academy of Neurology

The effect of levodopa, lergotrile, and bromocriptine on brain iron, manganese, and copper

WILLIAM J. WEINER, M.D., PAUL A. NAUSIEDA, M.D. and HAROLD L. KLAWANS, M.D.

Departments of Neurological Sciences and Pharmacology, Rush-Presbyterian-St. Luke's Medical Center, and Rush University, Chicago, Illinois.

Chronic administration of a levodopacarbidopa combination, bromocriptine, or lergotrile produced alterations of essential metal concentrations in the guinea pig caudate nucleus, frontal cortex, and cerebellar hemisphere. All long-term treatment regimens resulted in significantly increased concentrations of manganese in all brain areas, and these same regimens resulted in almost universally decreased copper concentrations. Since the long-term administration of these dopamine agonists in man results in extrapyramidal dysfunction, these observations suggest that alterations of trace metal concentrations in the brain may be related to the chronic toxicity of these dopamine agonists.

Dr. Weiner's address is Department of Neurological Sciences, Rush-Presbyterian-St. Luke's Medical Center, 1753 West Congress Parkway, Chicago, IL 60612.

This research was supported in part by grants from the United Parkinson Foundation, The Boothroyd Foundation, and the Michael Reese Medical Research Institute Council, Chicago, Illinois.

Accepted for publication August 15, 1977.




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Y.-Z. Chang, Y. Ke, J.-R. Du, G. M. Halpern, K.-P. Ho, L. Zhu, X.-S. Gu, Y.-J. Xu, Q. Wang, L.-Z. Li, et al.
Increased Divalent Metal Transporter 1 Expression Might Be Associated with the Neurotoxicity of L-DOPA
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