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"Charles T. Meyer MD" wrote:

> Sorry Sylvia,
>
> I have trouble describing the pathways.  They are confusing and I have
> difficulty anyway.  I will try again.
>
> The question was what does COMT usually bind with if Comtan and levodopa are
> not present-  that is what is its usual function?  In the peripheral
> circulation (meaning all the circulation that is not protected by the blood
> brain barrier )there are many circulating amines called catacholamines which
> are degraded through the COMT pathway in a similar way to the way L-dopa is
> broken down.  These include epinepherine, norepinepherine, seratonin and
> even dopamine (which cannot cross the blood brain barrier to get to where we
> need it.)  This is a secondary pathway meaning that other metabolic pathways
> also exist which can metabolize the drugs and circulating amines produced by
> the body if one is blocked.
>
> Does this help?
>
> Charlie
>
>  ----- Original Message -----
> From: "Sylvia Berger" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, June 08, 2000 9:34 PM
> Subject: Re: Purpose of COMT enzyme?
>
> > "Charles T. Meyer MD" wrote:
> >
> > >  If there were no Comtan or levodopa a number of amines including
> > > catacholamines such as  norepinepherine  seratonin and dopamine exist in
> > > theperipheral circulation most of which utilize the COMT pathway.
> >
> > Charlie - you lost me on this sentence - what did I miss?
> > Sylvia

Thanks Charlie - I tink i got it :-)