Elsevier

Life Sciences

Volume 46, Issue 8, 1990, Pages 599-605
Life Sciences

Metabolism and brain accumulation of tetrahydroisoquinoline (TIQ) a possible parkinsonism inducing substance, in an animal model of a poor debrisoquine metabolizer

https://doi.org/10.1016/0024-3205(90)90128-EGet rights and content

Abstract

4-Hydroxytetrahydroisoquinoline (4OH-TIQ) was detected as a metabolite of a possible parkinsonism-inducing substance, tetrahydroisoquinoline (TIQ), in rat liver microsomes and rat urine. Urinary excretion of 4OH-TIQ was significantly reduced in female DA rat, an animal model of a poor debrisoquine metabolizer. The female DA rat also showed significantly higher brain accumulation of TIQ. These results suggest that the metabolic detoxication process is depressed and TIQ accumulation in the brain is enhanced in a poor debrisoquine metabolizer, which may be one possible explanation for poor debrisoquine metabolizers being susceptible to Parkinson's disease.

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    TIQ and 1-Me-TIQ are metabolized to 4-hydroxy-TIQs by CYP2D6 and in small amounts to N-methyl-TIQs, isoquinoline and 3,4-dihydroisoquinoline (Kikuchi et al., 1991; Nagatsu, 2002). Initial studies in rats suggested that poor metabolizers of CYP2D lead to long-lasting accumulation of TIQs in brain (Ohta et al., 1990). However, biotransformation efficiency of TIQs through 4-hydroxylation is poor and has no influence in the brain levels whereas N-Me-TIQ is not apparently hydroxylated by human CYP2D6 (Herraiz et al., 2006; Lorenc-Koci, 2012).

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    On the other hand, females of Dark Agouti rats, which carry a genetic defect in one member of CYP2D subfamily that metabolizes debrisoquine, are more sensitive to the neurotoxic action of MPTP [27]. Concerning TIQ toxicity, Ohta et al. [58] have found that the plasma and brain levels of this compound after its p.o. administration were higher in females than in males of that strain; hence, it has been postulated that TIQ accumulation in the brain of poor debrisoquine metabolizers in humans may be connected with the increased susceptibility to triggering PD. However, there are no experimental data available which would evidence that parkinsonian-like symptoms are more distinctly pronounced in the CYP2D deficient rats treated chronically with TIQ than in those without this defect.

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    Our complementary study with verapamil supports the view that P-gp contributes to the elimination of TIQ from the rat brain and body since it increases TIQ levels both in the brain and plasma; the latter effect must to be connected with inhibition of P-gp function in the rat kidney [34]. Hence, we suppose that the accumulation of TIQ in the human brain, postulated previously as a risk factor of PD [50], may be coupled rather with a genetic defect of P-gp than with that of CYP2D. In line with this view, Furuno et al. [13] have recently shown that frequency of 3435T/T genotype, which is associated with decreased P-gp expression and function, was higher in parkinsonian patient with both early- and late-onset disease than in healthy controls.

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