The effect of methyldopa on the excretion of catecholamines in patients with extrapyramidal disorders.
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Partial amendments to the Japanese Regulation on the Prevention of Lead Poisoning and that of Organic Solvent Poisoning were made in 1989. As a result, the measurement of blood lead and urinary delta-aminolevulinic acid (delta-ALA) became indispensable items of the occupational health examination for workers who handle lead. Also, the measurement of urinary metabolites of workers who handle eight kinds of organic solvents (xylene, N,N-dimethylformamide, styrene, tetrachloroethylene, 1,1,1-trichloroethane, trichloroethylene, toluene, and normal-hexane) became mandatory. The results of the biological monitoring mentioned above are classified into one of three categories, that is, distribution 1, 2 and 3, according to the concentration of the determinants. In this paper, the incidence of distribution 1, 2 and 3 of each determinant is reported and its change from 1991 to 1995 is discussed. The incidence of distribution 3 was 0.1-5.0% in each determinant. Although the ratio of distribution 1, 2 and 3 seems to have been almost the same for 5 years some determinants decreased their percentage of distribution 3. It is important to utilize the biological monitoring results for the improvement of working environments and working styles, and health management.
We describe a method for determining the "total" excretion of acidic metabolites of catecholamines by measuring 3,4-dihydroxyphenylacetic acid (DOPAC) formed by hydriodic acid hydrolysis of 4-hydroxy-3-methoxyphenylacetic acid (HVA), 4-hydroxy-3-methoxymandelic acid (VMA), and their conjugates. The DOPAC in the diluted hydrolysate is measured directly by liquid chromatography with electrochemical detection. Normal values, expressed in relation to excretion of creatinine, vary as a function of age. For healthy subjects, the mean DOPAC value after hydrolysis was 1.15 times that for unconjugated HVA, VMA, and DOPAC combined. Preliminary results for patients with neuroblastoma and melanoma indicate the potential usefulness of the method for diagnosis and prognosis of patients with neural crest tumors that produce dopa or catecholamines.
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