Parkinson's disease is a neurodegenerative disorder that
progresses aggressively and depletes the central nervous system of dopamine
(DA). Dopamine replacement therapy has several issues, such as poor blood-brain
barrier penetration and a progressive decline in treatment responsiveness. The
primary components of this treatment are the initial prodrug L-dopa (LD) and
actual dopamine. This chapter discusses prodrugs produced and generated
chemically, such as amide, dimeric amide, carrier-mediated, peptide
transport-mediated, cyclic, and enzyme-model prodrugs. The bioavailability of
these kinds of prodrugs in animals was studied. A promising ester prodrug has
been invented for intranasal delivery. LD methyl ester is currently in phase
III clinical studies. Many amide prodrugs have been developed with better
stability than ester prodrugs. Amide and dimeric amide prodrugs offer enhanced
pharmacokinetics and greater blood-brain barrier (BBB) penetration. Linking LD
to carbohydrates is one approach that draws advantages from the brain's glucose
transport mechanisms. While there isn't a DA prodrug on the market at present,
prodrugs seem to have a bright future in Parkinson's disease treatment.
Prodrugs that contain LD ester, for instance, demonstrate promises in the
intranasal delivery of LD, facilitating the absorption of therapeutic agents by
the brain. Most DA prodrugs delivered by amide, cyclic, peptidyl, or chemical
routes demonstrated better pharmacokinetic properties.
Author
(s) Details
Donia Karaman
Department of Bioorganic & Pharmaceutical Chemistry, Faculty of
Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine.
Fatma Haddad
Department of Bioorganic & Pharmaceutical Chemistry, Faculty of
Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine.
Maryam Sawalha
Department of Bioorganic & Pharmaceutical Chemistry,
Faculty of Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine.
Yahya Khawaja
Department of Bioorganic & Pharmaceutical Chemistry,
Faculty of Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine.
Anas Najjar
Department of Bioorganic & Pharmaceutical Chemistry, Faculty of
Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine.
Rafik Karaman
Department of Bioorganic & Pharmaceutical Chemistry,
Faculty of Pharmacy, Al-Quds University, Jerusalem P.O. Box 20002, Palestine.
Please see the book here:- https://doi.org/10.9734/bpi/prrat/v3/1157