Epinephrine (E) and sympathetic nerve stimulation were described
by Thomas Renton Elliott in 1905 for the
first time. Dopamine (DA), norepinephrine (NE), E, and serotonin
(5-HT) belong to the classic biogenic amines (or monoamines).
Parkinson’s disease (PD) is among the diseases in which it has
been established that catecholamines may account
for the neurodegeneration of central and peripheral
catecholamine neural systems. PD is a chronic and progressive
neurological disorder characterized by resting tremor, rigidity,
and bradykinesia, affecting 2% of individuals above the
age of 65 years. This disorder is a result of degeneration of
DA-producing neurons of the substantia nigra and a significant
loss of noradrenergic neurons in the locus coeruleus. In
PD and other related neurodegerative diseases, catecholamines
play the role of endogenous neurotoxins.
Catechol-O-methyltransferase (COMT) and/or monoamine oxidase
(MAO) catalyze the metabolism of monoamines. However, the
monoamine transporters for DA, NE, and 5-HT namely
DAT, NET, and SERT, respectively regulate the monoamine
concentration. The metabolism of catecholamines and 5-HT
involves common factors. Monoamine transporters represent
targets for many pharmacological agents that affect brain
function, including psychostimulators and antidepressants. In
PD, polymorphisms of the COMT, MAO, DAT, NET, and 5-
HTT genes may change the levels of biogenic amines and their
metabolic products. The currently available therapies for
PD improve the symptoms but do not halt the progression of the
disease. The most effective treatment for PD patients is
therapy with L-dopa. Combined therapy for PD involves a DA
agonist and decarboxylase, MAOs and COMT inhibitors,
and is the current optimal form of PD treatment maintaining monoamine
balance.