Skip to main content
Log in

Enhancement of the Systemic and CNS Specific Delivery of L-Dopa by the Nasal Administration of Its Water Soluble Prodrugs

  • Published:
Pharmaceutical Research Aims and scope Submit manuscript

Abstract

Purpose. To study the utility of the nasal route for thesystemic delivery of L-dopa using water soluble prodrugs of L-dopa and toexamine if this delivery method will result in preferential delivery to theCNS.

Methods. Several alkyl ester prodrugs of L-dopa wereprepared and their physicochemical properties were determined. Invitro hydrolysis rate constants in buffer, rat plasma, rat brainhomogenate, rat CSF, and rat nasal berfusate were determined by HPLC. Invivo nasal experiments were carried out in rats. Levels of L-dopa anddopamine in plasma, CSF, and olfactory bulb were determined using HPLCmethod with electrochemical detection.

Results. All the prodrugs showed improved solubility andlipophilicity with relatively fast in vitro conversion in ratplasma. Absorption was fast following nasal delivery of the prodrugs withbioavailability around 90%. Dopamine plasma levels did not changesignificantly following nasal administration of the butyl ester prodrug.Olfactory bulb and CSF L-dopa concentration were higher following nasaldelivery of the butyl ester prodrug compared to an equivalent intravenousdose.

Conclusions. Utilization of water soluble prodrugs ofL-dopa via the nasal route in the treatment of Parkinson's disease may havetherapeutic advantages such as improved bioavailability, decreased sideeffects, and potentially enhanced CNS delivery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. D. Standaert and A. Young. Treatment of Central Nervous System Degenerative Disorders. In A. G. Gilman, J. G. Hardman, L. E. Limbird, P. B. Molinoff, and R. W. Ruddon (eds.), The Pharmacological Basis of Therapeutics, McGraw Hill, New York, 1996 pp. 503–519.

    Google Scholar 

  2. K. Sasahara, T. Nitanai, T. Habara, T. Morioka, and E. Nakajima. Dosage form design for improvement of bioavailability of levodopa V: Absorption and metabolism of levodopa in intestinal segments of dogs. J. Pharm. Sci. 70:1157–1160 (1981).

    Google Scholar 

  3. K. Sasahara, T. Nitanai, T. Habara, T. Morioka, and E. Nakajimai Dosage form design for improvement of bioavailability of levodopa III: Influence of dose on pharmacokinetic behavior of levodopa in dogs and parkinsonian patients. J. Pharm. Sci. 69:1374–1378 (1980).

    Google Scholar 

  4. J. G. Nutt, W. R. Woodward, and J. L. Anderson. The Effect of carbidopa on the pharmacokinetics of intravenously administered levodopa: The mechanism of action in the treatment of parkinsonism. Annal. Neurol. 18:537–543 (1986).

    Google Scholar 

  5. L. B. Wingard, T. M. Brody, J. Larner, and A. Schwartz. Human Pharmacology; Mosby Year Book, St Louis, 1991.

  6. J. M. Cedarbaum. Anti-parkinsonian drugs. Clin. Pharmacokin. 13:141–178 (1987).

    Google Scholar 

  7. J. G. Nutt and W. R. Woodward. Levodopa pharmacokinetics and pharmacodynamics in fluctuating parkinsonian patients. Neurology 36:739–744 (1986).

    Google Scholar 

  8. R. Hardie, A. J. Lees, and G. M. Stern. On-off fluctuations in parkinson's disease. Brain 107:487–506 (1984).

    Google Scholar 

  9. N. Quinn, J. D. Parkes, and C. D. Marsden. Control of on/off phenomenon by continuous intravenous infusion of levodopa. Neurology 34:1131–1136 (1984).

    Google Scholar 

  10. K. Sasahara, T. Nitanai, T. Habara, T. Morioka, Y. Kawahara, and E. Nakajima. Dosage form design for improvement of bioavailability of levodopa IV: Possible causes of low bioavailability of oral levodopa in dogs. J. Pharm. Sci. 70:730–733 (1981).

    Google Scholar 

  11. J. H. Hutton, J. L. Morris, and C. R. Gustavo. Treatment of chronic parkinson's disease with controlled-release carbidopa/levodopa. Neurology 45:861–864 (1988).

    Google Scholar 

  12. N. Bordor, K. B. Sloan, T. Higuchi, and K. Sasahara. Improved delivery through biological membranes 4: Prodrugs of L-dopa. J. Med. Chem. 20:1435–1445 (1977).

    Google Scholar 

  13. D. R. Cooper, C. Marrel, H. van de Waterbeemd, B. Testa, P. Jenner, and C. D. Marsden. L-Dopa esters as potential prodrugs: Behavioural activity in experimental models of parkinson's disease. J. Pharm. Pharmacol. 39:627–635 (1987).

    Google Scholar 

  14. J. A. Fix, J. Alexander, M. Cortese, K. Engle, P. Leppert, and A. J. Repta. Short-chain alkyl esters of L-dopa as prodrugs for rectal absorption. Pharm. Res. 6:501–505 (1989).

    Google Scholar 

  15. A. Hussain, S. Hirai, and R. Bawarshi. Nasal absorption of propranolol from different dosage forms by rats and dogs. J. Pharm. Sci. 69:1411–1413 (1980).

    Google Scholar 

  16. C. H. Huang, R. Kimura, R. B. Nassar, and A. Hussain. Mechanism of nasal absorption of drugs II: Absorption of L-tyrosine and the effect of structural modification on its absorption. J. Pharm. Sci. 74:1298–1301 (1985).

    Google Scholar 

  17. J. A. Faraj, A. A. Hussain, Y. Aramaki, K. Iseki, M. Kagoshima, and L. W. Dittert. Mechanism of nasal absorption of drugs. IV: Plasma levels of radioactivity following intranasal administration of 3H-leucine enkephalin. J. Pharm. Sci. 79:768–770 (1990).

    Google Scholar 

  18. T. Sakane, M. Akizuki, M. Yoshida, S. Yamashita, T. Nadai, M. Hashida, and H. Sezaki. Transport of cephalexin to the cerebrospinal fluid directly from the nasal cavity. J. Pharm. Pharmacol. 43:449–451 (1991).

    Google Scholar 

  19. T. Sakane, M. Akizuki, S. Yamashita, T. Nadai, M. Hashida, and H. Sezaki. The transport of drugs to the cerebrospinal fluid directly from the nasal cavity: The relation to the lipophilicity of the drug. Chem. Pharm. Bull. 39:2456–2458 (1991).

    Google Scholar 

  20. T. A. Kumar, G. F. X. David, A. Sankaranarayanan, V. Puri, and K. R. Sundram. Pharmacokinetics of progesterone after its administration to ovariectomized rhesus monkeys by injection, infusion, or nasal spraying. Proc. Natl. Acad. Sci. 79:4185–4189 (1982).

    Google Scholar 

  21. K. J. Chou and M. D. Donovan. Distribution of antihistamines into the CSF following intranasal delivery. Biopharm. Drug Dispos. 18:335–346 (1997).

    Google Scholar 

  22. A. H. Anton and D. F. Sayre. A Study of the factors affecting the aluminum oxide-trihydroxyindole procedure for the Analysis of catecholamines. J. Pharmacol. Exp. Ther. 138:360–375 (1962).

    Google Scholar 

  23. R. P. Patel and S. Price. Synthesis of benzyl esters of α-amino acids. J. Org. Chem. 30:3573–3577 (1965).

    Google Scholar 

  24. R. C. Causon, M. J. Brown, K. Leenders, and L. Wolfson. HPLC with amperiometric detection of plasma L-3,4-dihydroxyphenylalanine in parkinsonian patients. J. Chromatography 277:115–123 (1983).

    Google Scholar 

  25. A. Hussain. Intranasal Drug Delivery. Adv. Drug Deliv. Rev. 29:39–49 (1998).

    Google Scholar 

  26. C. H. Huang, R. Kimura, R. B. Nassar, and A. Hussain. Mechanism of nasal absorption of drugs. I: Physicochemical parameters influencing the rate of in situ nasal absorption of drugs in rats. J. Pharm. Sci. 74:608–611 (1985).

    Google Scholar 

  27. R. T. Johnson and C. A. Mims. Pathogenesis of viral infectin of the nervous system. New Eng. J. Med. 278:23–30 (1968).

    Google Scholar 

  28. A. Czerniawska. Experimental investigations on the penetration of 198Au from nasal mucosa membrane into cerebrospinal fluid. Acta Oto-Laryngol. 70:58–61 (1970).

    Google Scholar 

  29. J. Liu, W. H. Frey, and Y. E. Rahman. New approach to alzheimer therapy: Delivery of nerve growth factor (NGF) to the brain through the olfactory pathway and assessment of NGF integrity. Pharm. Res. 11:S208 (1994).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kao, H.D., Traboulsi, A., Itoh, S. et al. Enhancement of the Systemic and CNS Specific Delivery of L-Dopa by the Nasal Administration of Its Water Soluble Prodrugs. Pharm Res 17, 978–984 (2000). https://doi.org/10.1023/A:1007583422634

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1007583422634

Navigation