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描述 | Catechol-O-methyltransferase (COMT) is an enzyme that inactivates dopamine and other catecholamines by O-methylation. Specifically, COMT plays a critical role in the inactivation and metabolism of dopamine and other catechol compounds. The enzyme reduces a catechol molecule in order to prevent genomic damage through DNA adduct formation or via oxygen radicals produced from the redox cycling of catechols. Tolcapone is a potent, reversible inhibitor of COMT and the only available COMT inhibitor that is permeable across the blood-brain barrier with Ki of 30 nM[3]. In HepaRG cells (human cell-line), tolcapone decreased the ATP content with IC50 of 100 ± 15 μM and was cytotoxic with IC50 of 333 ± 45 μM. This suggested that tolcapone's impairment of mitochondrial ATP production might be related to inhibition of enzyme complexes of the electron transport chain and to uncoupling of oxidative phosphorylation. In vivo, SMS-KCNR xenograft models treated orally with 125 mg/kg Tolcapone every 24 h, resulted in a smaller average tumor of 490 ± 310 mm3 compared to control tumors of 1100 ± 450 mm3[4]. The efficacy of tolcapone 200 mg three times daily for 6 months had also been examined in patients with stable Parkinson’s disease (n = 97 - 298), in the longer-term study, the reduction from baseline in the Unified Parkinson’s Disease Rating Scale subscale II score seen with tolcapone was significantly greater than the increase seen with placebo at 6 months (primary endpoint); improvements were maintained after 12 months’ therapy[5]. |
临床研究 | |||||
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NCT号 | 适应症或疾病 | 临床期 | 招募状态 | 预计完成时间 | 地点 |
NCT02994719 | - | Recruiting | October 2019 | United States, Massachusetts ... 展开 >> Clinical Research Center BIDMC Recruiting Boston, Massachusetts, United States, 02215 收起 << | |
NCT01158950 | Impulsive Behavior | Not Applicable | Active, not recruiting | June 2019 | United States, California ... 展开 >> University of California, Berkeley Berkeley, California, United States, 94704 UCSF: Ernest Gallo Clinic and Research Center Emeryville, California, United States, 94591 收起 << |
NCT02260570 | Mild Traumatic Brain Injury | Not Applicable | Recruiting | June 29, 2019 | United States, California ... 展开 >> VA Northern California Health Care System, Mather, CA Recruiting Sacramento, California, United States, 95655 Contact: Andrew S Kayser, MD PhD 925-372-2059 andrew.kayser@va.gov Principal Investigator: Andrew S Kayser, MD PhD 收起 << |
实验方案 | |||
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1mg | 5mg | 10mg | |
1 mM 5 mM 10 mM |
3.66mL 0.73mL 0.37mL |
18.30mL 3.66mL 1.83mL |
36.60mL 7.32mL 3.66mL |
参考文献 |
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