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Risk factors for early onset<jats:styled-content style=\"fixed-case\">LID<\/jats:styled-content>include younger age, more severe disease at baseline and higher daily<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>dose, but biomarkers to predict the risk of motor complications are not yet available. Here, we investigated whether<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>levels of catecholamines and its metabolites are altered in<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>patients with<jats:styled-content style=\"fixed-case\">LID<\/jats:styled-content>[<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LID<\/jats:styled-content>,<jats:italic>n<\/jats:italic>\u00a0=\u00a08)] as compared to non\u2010dyskinetic<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>patients receiving<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>(<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010L,<jats:italic>n<\/jats:italic>\u00a0=\u00a06), or not receiving<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>(<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010N,<jats:italic>n<\/jats:italic>\u00a0=\u00a07) as well as non\u2010<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>controls (<jats:italic>n<\/jats:italic>\u00a0=\u00a016).<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>patients were clinically assessed using the Unified Parkinson's Disease Rating Scale and Unified Dyskinesia Rating Scale and<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>was collected after overnight fasting and 1\u20132\u00a0h after oral intake of<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>or other anti\u2010Parkinson medication.<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>catecholamines and its metabolites were analyzed by<jats:styled-content style=\"fixed-case\">HPLC<\/jats:styled-content>with electrochemical detection. We observed (i) decreased levels of dihydroxyphenylacetic acid (DOPAC) and homovanillic acid in<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>patients not receiving<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>(ii) higher dopamine (<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>) levels in PD\u2010LID as compared to controls (iii) higher<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>\/<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>and lower<jats:styled-content style=\"fixed-case\">DOPAC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>ratio's in PD\u2010LID as compared to PD\u2010L and (iv) an age\u2010dependent increase of<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>and decrease of<jats:styled-content style=\"fixed-case\">DOPAC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>ratio in controls. These results suggest increased<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>release from non\u2010<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>cells and deficient<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>re\u2010uptake in<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">LID<\/jats:styled-content>. Monitoring<jats:styled-content style=\"fixed-case\">DA<\/jats:styled-content>and<jats:styled-content style=\"fixed-case\">DOPAC<\/jats:styled-content>in<jats:styled-content style=\"fixed-case\">CSF<\/jats:styled-content>of<jats:sc>l<\/jats:sc>\u2010<jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\u2010treated<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>patients may help identify patients at risk of developing<jats:styled-content style=\"fixed-case\">LID<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:boxed-text content-type=\"graphic\" position=\"anchor\"><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/jnc13997-fig-0006-m.png\"><jats:alt-text>image<\/jats:alt-text><\/jats:graphic><\/jats:boxed-text><\/jats:p><\/jats:sec>","DOI":"10.1111\/jnc.13997","type":"journal-article","created":{"date-parts":[[2017,2,28]],"date-time":"2017-02-28T07:56:55Z","timestamp":1488268615000},"page":"614-625","source":"Crossref","is-referenced-by-count":40,"title":["Cerebrospinal fluid levels of catecholamines and its metabolites in Parkinson's disease: effect of<scp>l<\/scp>\u2010<scp>DOPA<\/scp>treatment and changes in levodopa\u2010induced dyskinesia"],"prefix":"10.1111","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9625-1474","authenticated-orcid":false,"given":"Andreas Dammann","family":"Andersen","sequence":"first","affiliation":[{"name":"Department of Neurology Hospital of Southern Jutland S\u00f8nderborg Denmark"},{"name":"Institute of Regional Health Research Center of Southern Jutland University of Southern Denmark Aabenraa Denmark"},{"name":"Focused Research Group in Neurology Hospital of Southern Jutland Aabenraa Denmark"},{"name":"Odense Patient data Exploratory Network Odense University Hospital Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morten","family":"Blaabjerg","sequence":"additional","affiliation":[{"name":"Department of Neurology Odense University Hospital Odense Denmark"},{"name":"Department of Neurology Zealand University Hospital Roskilde Denmark"},{"name":"Department of Clinical Research University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Binzer","sequence":"additional","affiliation":[{"name":"Institute of Regional Health Research Center of Southern Jutland University of Southern Denmark Aabenraa Denmark"},{"name":"Focused Research Group in Neurology Hospital of Southern Jutland Aabenraa Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akram","family":"Kamal","sequence":"additional","affiliation":[{"name":"Department of Neurology Zealand University Hospital Roskilde Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helle","family":"Thagesen","sequence":"additional","affiliation":[{"name":"Department of Neurology Zealand University Hospital Roskilde Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Troels Wesenberg","family":"Kjaer","sequence":"additional","affiliation":[{"name":"Department of Neurology Zealand University Hospital Roskilde Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Egon","family":"Stenager","sequence":"additional","affiliation":[{"name":"Department of Neurology Hospital of Southern Jutland S\u00f8nderborg Denmark"},{"name":"Institute of Regional Health Research Center of Southern Jutland University of Southern Denmark Aabenraa Denmark"},{"name":"Focused Research Group in Neurology Hospital of Southern Jutland Aabenraa Denmark"},{"name":"The Multiple Sclerosis Clinic of Southern Jutland Vejle, Sonderborg, Esbjerg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Bert Paul","family":"Gramsbergen","sequence":"additional","affiliation":[{"name":"Institute of Molecular Medicine Neurobiological Research University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1995.00540270025015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.10714"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbb.2011.09.009"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/S0022-3565(25)29316-8","article-title":"The metabolic pathways of L\u20103\u2010O\u2010methyldopa","volume":"183","author":"Bartholini G.","year":"1972","journal-title":"J. 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