Dopamine and Levodopa Prodrugs for the Treatment of Parkinson’s Disease

dc.contributor.authorHaddad, Fatma
dc.contributor.authorSawalha, Maryam
dc.contributor.authorKhawaja, Yahya
dc.contributor.authorNajjar, Anas
dc.contributor.authorKaraman, Rafik
dc.date.accessioned2019-12-11T12:40:54Z
dc.date.available2019-12-11T12:40:54Z
dc.date.issued2017-12-25
dc.description.abstractBackground: Parkinson’s disease is an aggressive and progressive neurodegenerative disorder that depletes dopamine (DA) in the central nervous system. Dopamine replacement therapy, mainly through actual dopamine and its original prodrug L-dopa (LD), faces many challenges such as poor blood brain barrier penetration and decreased response to therapy with time. Methods: The prodrugs described herein are ester, amide, dimeric amide, carrier-mediated, peptide transport-mediated, cyclic, chemical delivery systems and enzyme-models prodrugs designed and made by chemical means, and their bioavailability was studied in animals. Results: A promising ester prodrug for intranasal delivery has been developed. LD methyl ester is currently in Phase III clinical trials. A series of amide prodrugs were synthesized with better stability than ester prodrugs. Both amide and dimeric amide prodrugs offer enhanced blood brain barrier (BBB) penetration and better pharmacokinetics. Attaching LD to sugars has been used to exploit glucose transport mechanisms into the brain. Conclusions: Till now, no DA prodrug has reached the pharmaceutical market, nevertheless, the future of utilizing prodrugs for the treatment of PD seems to be bright. For instance, LD ester prodrugs have demonstrated an adequate intranasal delivery of LD, thus enabling the absorption of therapeutic agents to the brain. Most of the amide, cyclic, peptidyl or chemical delivery systems of DA prodrugs demonstrated enhanced pharmacokinetic properties.en_US
dc.identifier.issn1420-3049
dc.identifier.urihttps://dspace.alquds.edu/handle/20.500.12213/5019
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.subjectdopamineen_US
dc.subjectlevodopaen_US
dc.subjectprodrugen_US
dc.subjectParkinson’s diseaseen_US
dc.subjectblood brain barrieren_US
dc.titleDopamine and Levodopa Prodrugs for the Treatment of Parkinson’s Diseaseen_US
dc.typeArticleen_US
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