COMT Catechol-O-methyl

The deamination of DA to DOPAC can be prevented by MAOb inhibitors such as selegiline while COMT inhibitors stop its further o-methylation to HVA and the conversion of dopa to OMD. COMT inhibitors can act just peripherally (entacapone) or in the CNS as well (tolcapone). DD — dopa decarboxylase MAO—monoamine oxidase COMT—catechol-o-methyl transferase... 

COMT = Catechol-O-Methyl transferase MAO = Monoamine Oxidase HMMA = Hydroxy Methoxy Mandelic Acid... 

Fig. (15). Metabolism of dietary flavonoids. GlcA = glucuronic acid UGT - uridine 5 -diphospoglucuronosyl transferase Met = methyl Sulf = sulfate COMT = catechol-O-methyl transferase PST = phenol sulfo transferase...

It has been shown that some unipolar depressed female patients have high COMT (catechol-O-methyl transferase) activity in their red blood cells, and that this observation correlates with a poor response to imipramine. 24 On the other hand, high COMT activity may correspond to high MHPG excretion. This finding supports the previous disclosure that low MHPG excretors respond to imipramine. 

FIGURE 57-3. Dopamine metabolism in presynaptic dopamine neuron (see text for full details). 30MD, 3-O-methyldopa AC, adenylate cyclase AD, aldehyde dehydrogenase COMT, catechol-O-methyl transferase D1-D3, dopamine receptors DA, dopamine DAT, dopamine transporter DOPAC, 3,4-dihydroxyphenylacetic acid HVA, homovanillic acid r-AAD, r-aromatic amine decarboxylase MAO-B, monoamine oxidase B TH, tyrosine hydroxylase. 

Figure 9-1. Biosynthesis of catecholamines. Denotes enzyme in transformation AADC = aromatic L-amino acid decarboxylase COMT = catechol-o-methyl transferase DBH = dopamine-B-hydroxylase MAO = monoamine oxidase PNMT = phenylethanolamine-N-methyl transferase TH = tyrosine hydroxylase.

Figure 9-5. Metabolism of dopamine ( Step not definitely established COMT = catechol-O-methyl transferase acronyms derived from underlined letters, except H = O, i.e., hydroxy = oxy).

Not understood. One idea is that some kind of synergy occurs between the two drugs because both can produce similar adverse effects if given in high doses. The authors of one report speculate that isoniazid and disulfiram together inhibit two of three biochemical pathways concerned with the metabolism of dopamine. This leaves a third pathway open, catalysed by COMT (catechol-O-methyl transferase), which produces a number of methylated products of dopamine. These methylated products may possibly have been responsible for the mental and physical reactions... 

Figure 5.3. Principal metabolic pathways for brain monoamines. AD = aromatic L-amino acid decarboxylase, COMT = catechol-O-methyl-transferase, DH = dopamine-p-hydroxylase, MAO = monoamine oxidase, TH — tyrosine hydroxylase, TPH = tryptophan hydroxylase...

A, adrenaline COMT, catechol-O-methyl transferase CSF, cerebrospinal fluid DA, 3,4-dihydroxyphenylethylamine (dopamine) Dopa, 3,4-dihydroxyphenylalanine 5HIAA, 5-hydroxyindoleacetic acid 5HT, 5-hydroxytryptamine (serotonin) 5HTP, 5-hydroxytryptophan HVA, 3-methoxy-4-hydroxyphenylacetic acid (homovanillic acid) MAO, monoamine oxidase MAOI, monoamine oxidase inhibitor MHPG,... 

MAO = Monoamine oxidase AD = Aldehyde dehydrogenase AR = Aldehyde reductase COMT = Catechol O-methyl transferase... 

Catechol-O-Methyltransferase. Figure. 1 The basic function of COMT. Enzymatic O-methylation of the catechol substrate to 3-methoxy (major route) or 4-methoxy (minor route) products in the presence of Mg2+ and S-adenosyl-methionine (AdoMet). 

Second generation COMT inhibitors were developed by three laboratories in the late 1980s. Apart from CGP 28014, nitrocatechol is the key structure of the majority of these molecules (Fig. 3). The current COMT inhibitors can be classified as follows (i) mainly peripherally acting nitrocatechol-type compounds (entacapone, nitecapone, BIA 3-202), (ii) broad-spectrum nitrocatechols having activity both in peripheral tissues and the brain (tolcapone, Ro 41-0960, dinitrocatechol, vinylphenylk-etone), and (iii) atypical compounds, pyridine derivatives (CGP 28014,3-hydroxy-4-pyridone and its derivatives), some of which are not COMT inhibitors in vitro but inhibit catechol O-methylation by some other mechanism. The common features of the most new compounds are excellent potency, low toxicity and activity through oral administration. Their biochemical properties have been fairly well characterized. Most of these compounds have an excellent selectivity in that they do not affect any other enzymes studied [2,3]. 

Mannisto PT, Kaakkola S (1999) Catechol-O-methyl-transferase (COMT). Biochemistry, molecular biology, pharmacology, and clinical efficacy of the new selective COMT inhibitors. Pharmacol Rev 51 593-628... 

Just as the synthesis of DA and NA is similar so is their metabolism. They are both substrates for monoamine oxidase (MAO) and catechol-O-methyl transferase (COMT). In the brain MAO is found in, or attached to, the membrane of the intraneuronal mitochondria. Thus it is only able to deaminate DA which has been taken up into nerve endings and blockade of DA uptake leads to a marked reduction in the level of its deaminated metabolites and in particular DOPAC. The final metabolite, homovanillic... 

After reuptake into the cytosol, some noradrenaline may be taken up into the storage vesicles by the vesicular transporter and stored in the vesicles for subsequent release (see above). However, it is thought that the majority is broken down within the cytosol of the nerve terminal by monoamine oxidase (MAO ECl.4.3.4). A second degradative enzyme, catechol-O-methyl transferase (COMT EC2.1.1.6), is found mostly in nonneuronal tissues, such as smooth muscle, endothelial cells or glia. The metabolic pathway for noradrenaline follows a complex sequence of alternatives because the metabolic product of each of these enzymes can act as a substrate for the other (Fig 8.8). This could enable one of these enzymes to compensate for a deficiency in the other to some extent. 

Ach, acetylcholine CNS, central nervous system CD, carbidopa COMT, catechol-O-methyltransferase D1, a class of dopamine receptors which includes D, and D5 subtypes D2, a class of dopamine receptors which includes D2, D3, and D4 subtypes DA, dopamine LD, levodopa MAO, monoamine oxidase MD, maintenance dose NMDA, N-methyl-D-aspartate. 

The first step is catalysed by the tetrahydrobiopterin-dependent enzyme tyrosine hydroxylase (tyrosine 3-monooxygenase), which is regulated by end-product feedback is the rate controlling step in this pathway. A second hydroxylation reaction, that of dopamine to noradrenaline (norepinephrine) (dopamine [3 oxygenase) requires ascorbate (vitamin C). The final reaction is the conversion of noradrenaline (norepinephrine) to adrenaline (epinephrine). This is a methylation step catalysed by phenylethanolamine-jV-methyl transferase (PNMT) in which S-adenosylmethionine (SAM) acts as the methyl group donor. Contrast this with catechol-O-methyl transferase (COMT) which takes part in catecholamine degradation (Section 4.6). 

In contrast, much is known about the catabolism of catecholamines. Adrenaline (epinephrine) released into the plasma to act as a classical hormone and noradrenaline (norepinephrine) from the parasympathetic nerves are substrates for two important enzymes monoamine oxidase (MAO) found in the mitochondria of sympathetic neurones and the more widely distributed catechol-O-methyl transferase (COMT). Noradrenaline (norepinephrine) undergoes re-uptake from the synaptic cleft by high-affrnity transporters and once within the neurone may be stored within vesicles for reuse or subjected to oxidative decarboxylation by MAO. Dopamine and serotonin are also substrates for MAO and are therefore catabolized in a similar fashion to adrenaline (epinephrine) and noradrenaline (norepinephrine), the final products being homo-vanillic acid (HVA) and 5-hydroxyindoleacetic acid (5HIAA) respectively. 

Fig. 7.25 Design of beta-2 selective adrenoceptor agonists resistant to catechol O-methyl transferase (COMT).

Compared to NE, the metabolism of the false neurotransmitter metaramind (MR), mediated by catechol-O-methyl transferase (COMT) and MAO, is reduced because of the absence of the catechol function and the presence of an a-methyl group, respectively (Fig. 24) [161],... 

Chemical Class Catechol-O-methyl-tranferase (COMT) inhibitor nitrocatechol Clinical Pharmacology ... 

Norepinephrine is removed from the synapse by means of two mechanisms. In the hrst, catechol-O-methyl-transferase (COMT) degrades intrasynaptic NE. In the second, the norepinephrine transporter (NET), a Na /CH-dependent neurotransmitter transporter, is the primary way of removing NE from the synapse [(4) in Fig. 2.7]. The NET is blocked selectively by desipramine and nortriptyline. Once internalized. 

FIGURE 2.7 Noradrenergic synapse. The release of norepinephrine (1) can be enhanced by compounds such as amphetamine. Once released, norepinephrine binds to a2 receptors (2a), al receptors (2b), and pi receptors (3). Norepinephrine is removed from the synapse via cleavage by catechol-O-methyl-transferase (COMT) or via reuptake by the norepinephrine transporter (4). 

Another approach to the therapy of Parkinson s disease involves the use of enzyme inhibitors. For example, inhibition of the enzyme monoamine oxidase B (MAO-B) by selegiline (4.105) improves the duration of L-DOPA therapy because it inhibits the breakdown of dopamine but not of NE. Likewise, inhibitors of catechol-O-methyl-transferase (COMT) can also be exploited as agents for the treatment of Parkinson s disease. L-DOPA and dopamine become inactivated by methylation the COMT enzyme responsible for this metabolic transformation can be clocked by agents such as entacapone (4.106) or tolcapone (4.107), allowing higher levels of L-DOPA and dopamine to be achieved in the corpus striamm of the brain. 

Degradation of catecholamines The catecholamines are inacti vated by oxidative deamination catalyzed by monoamine oxidase (MAO), and by O-methylation carried out by catechol-O-methyl-transferase (COMT, Figure 21.15). The two reactions can occur in either order. The aldehyde products of the MAO reaction are axi dized to the corresponding acids. The metabolic products of these reactions are excreted in the urine as vanillylmandelic acid, metanephrine, and normetanephrine. 

Not only is NE created by enzymes, but it can also be destroyed by enzymes (Fig. 5 — 18). Two principal destructive enzymes act on NE to turn it into inactive metabolites. The first is MAO, which is located in mitochondria in the presynaptic neuron and elsewhere. The second is catechol-O-methyl transferase (COMT), which is thought to be located laigely outside of the presynaptic nerve terminal (Fig. 5—18). 

FIGURE 5—32. Dopamine (DA) is destroyed by the same enzymes that destroy norepinephrine (see Fig. 5 — 18), namely monoamine oxidase (MAO) and catechol-O-methyl-transferase (COMT). The DA neuron has a presynaptic transporter (reuptake pump), which is unique to the DA neuron but works analogously to the NE transporter (Fig. 5-18). 

Figure 6.2 Immunocytochemical detection of catechol-O-methyl transferase (COMT) in human umbilical vein endothelial cells (HUVEC). Polyclonal COMT antibody from Chemicon Millipore, USA. (From Kravets E. [2008].)...

FIGURE 23.7 Dopamine (DA) is synthesized within neuronal terminals from the precursor tyrosine by the sequential actions of the enzymes tyrosine hydroxylase, producing the intermediary L-dihydroxyphenylalanine (Dopa), and aromatic L-amino acid decarboxylase. In the terminal, dopamine is transported into storage vesicles by a transporter protein (T) associated with the vesicular membrane. Release, triggered by depolarization and entry of Ca2+, allows dopamine to act on postsynaptic dopamine receptors (DAR). Several distinct types of dopamine receptors are present in the brain, and the differential actions of dopamine on postsynaptic targets bearing different types of dopamine receptors have important implications for the function of neural circuits. The actions of dopamine are terminated by the sequential actions of the enzymes catechol-O-methyl-transferase (COMT) and monoamine oxidase (MAO), or by reuptake of dopamine into the terminal. 

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