PMID- 16772808 OWN - NLM STAT- MEDLINE DCOM- 20060727 LR - 20141120 IS - 0362-5664 (Print) IS - 0362-5664 (Linking) VI - 29 IP - 3 DP - 2006 May-Jun TI - The controversy concerning plasma homocysteine in Parkinson disease patients treated with levodopa alone or with entacapone: effects of vitamin status. PG - 106-11 AB - Levodopa treatment of Parkinson disease results in hyperhomocysteinemia (HHcy) as a consequence of levodopa methylation by catechol-O-methyltransferase (COMT). Although inhibition of COMT should theoretically prevent or reduce levodopa-induced HHcy, results from several prospective studies are conflicting. Our review of these studies suggests that the ability of COMT inhibition to reduce or prevent levodopa-induced HHcy in Parkinson disease patients may be attributed to differences in the vitamin status of the study participants. In patients with low or low-normal folate levels, levodopa administration is associated with a greater increase in homocysteine and concomitant entacapone administration is associated with a greater reduction in homocysteine. FAU - Zesiewicz, Theresa A AU - Zesiewicz TA AD - Parkinson's Disease and Movement Disorders Center, University of South Florida, Tampa, 33612, USA. tzesiewi@hsc.usf.edu FAU - Wecker, Lynn AU - Wecker L FAU - Sullivan, Kelly L AU - Sullivan KL FAU - Merlin, Lisa R AU - Merlin LR FAU - Hauser, Robert A AU - Hauser RA LA - eng PT - Comparative Study PT - Journal Article PT - Meta-Analysis PT - Review PL - United States TA - Clin Neuropharmacol JT - Clinical neuropharmacology JID - 7607910 RN - 0 (Catechol O-Methyltransferase Inhibitors) RN - 0 (Catechols) RN - 0 (Nitriles) RN - 0 (Vitamins) RN - 0LVT1QZ0BA (Homocysteine) RN - 46627O600J (Levodopa) RN - 4975G9NM6T (entacapone) RN - 935E97BOY8 (Folic Acid) RN - EC 2.1.1.6 (Catechol O-Methyltransferase) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - Catechol O-Methyltransferase/blood MH - Catechol O-Methyltransferase Inhibitors MH - Catechols/*therapeutic use MH - Drug Therapy, Combination MH - Folic Acid/blood MH - Homocysteine/*blood MH - Humans MH - Levodopa/adverse effects/*therapeutic use MH - Nitriles MH - Parkinson Disease/*blood/drug therapy MH - Randomized Controlled Trials as Topic MH - Vitamin B 12/blood MH - Vitamins/*blood RF - 21 EDAT- 2006/06/15 09:00 MHDA- 2006/07/28 09:00 CRDT- 2006/06/15 09:00 PHST- 2006/06/15 09:00 [pubmed] PHST- 2006/07/28 09:00 [medline] PHST- 2006/06/15 09:00 [entrez] AID - 00002826-200605000-00002 [pii] AID - 10.1097/01.WNF.0000220817.94102.95 [doi] PST - ppublish SO - Clin Neuropharmacol. 2006 May-Jun;29(3):106-11. doi: 10.1097/01.WNF.0000220817.94102.95.