L-DOPA and psychosis: evidence for L-DOPA-induced increases in prefrontal cortex dopamine and in serum corticosterone

Biol Psychiatry. 1995 Nov 15;38(10):669-76. doi: 10.1016/0006-3223(94)00378-5.

Abstract

L-DOPA can often induce psychotic reactions during treatment for Parkinson's disease. This study was undertaken to assess, in an animal model of Parkinson's disease, the impact of L-DOPA treatment on two potential biological risk factors for psychosis, namely, an increase in prefrontal cortex dopamine and an increase in the stress-related hormone corticosterone. Hemiparkinsonian rats with unilateral 6-hydroxydopamine (6-OHDA) lesions which resulted in severe unilateral denervation of dopamine neurons were treated with either saline or 25 mg/kg L-DOPA methyl ester (with 2 mg/kg carbidopa). Serum L-DOPA concentrations were found to be positively and highly correlated with serum corticosterone, with medial prefrontal cortex dopamine and with the dopamine metabolite homovanillic acid. Serum L-DOPA, however, was found not to be correlated with serum or brain concentrations of serotonin, 5-hydroxyindoleacetic acid, or norepinephrine. These findings support the possibility that chronic L-DOPA treatment can expose parkinsonian patients to two significant risk factors for psychosis: 1) increased levels of prefrontal cortex dopamine, and 2) increased levels of serum corticosterone.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Antiparkinson Agents / pharmacology*
  • Corpus Striatum / drug effects
  • Corpus Striatum / metabolism
  • Corticosterone / blood*
  • Dopamine / metabolism*
  • Homovanillic Acid / metabolism
  • Levodopa / blood
  • Levodopa / pharmacology*
  • Male
  • Prefrontal Cortex / drug effects*
  • Prefrontal Cortex / metabolism
  • Psychoses, Substance-Induced / metabolism*
  • Rats
  • Rats, Sprague-Dawley
  • Regression Analysis
  • Risk Factors

Substances

  • Antiparkinson Agents
  • Levodopa
  • Dopamine
  • Corticosterone
  • Homovanillic Acid