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L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      treatment may affect tryptophan metabolism via the kynurenine pathway. Altered levels of kynurenine metabolites can affect glutamatergic transmission and may play a role in the development of L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010induced dyskinesia. In this study, we assessed kynurenine metabolites in plasma and cerebrospinal fluid of Parkinson's disease patients and controls. Parkinson patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a026) were clinically assessed for severity of motor symptoms (\n                      <jats:styled-content style=\"fixed-case\">UPDRS<\/jats:styled-content>\n                      ) and L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010induced dyskinesia (\n                      <jats:styled-content style=\"fixed-case\">UD<\/jats:styled-content>\n                      ys\n                      <jats:styled-content style=\"fixed-case\">RS<\/jats:styled-content>\n                      ). Plasma and cerebrospinal fluid samples were collected after overnight fasting and 1\u20132\u00a0h after intake of L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      or other anti\u2010Parkinson medication. Metabolites were analyzed in plasma and cerebrospinal fluid of controls (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a014), Parkinson patients receiving no L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a08), patients treated with L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      without dyskinesia (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a08), and patients with L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010induced dyskinesia (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a010) using liquid chromatography\u2010mass spectrometry. We observed approximately fourfold increase in the 3\u2010hydroxykynurenine\/kynurenic acid ratio in plasma of Parkinson's patients with L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010induced dyskinesia. Anthranilic acid levels were decreased in plasma and cerebrospinal fluid of this patient group. 5\u2010Hydroxytryptophan levels were twofold increased in all L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010treated Parkinson's patients. We conclude that a higher 3\u2010hydroxykynurenine\/kynurenic acid ratio in plasma may serve as a biomarker for L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010induced dyskinesia. Longitudinal studies including larger patients cohorts are needed to verify whether the changes observed here may serve as a prognostic marker for L\u2010\n                      <jats:styled-content style=\"fixed-case\">DOPA<\/jats:styled-content>\n                      \u2010induced dyskinesia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"graphic\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/jnc14104-fig-0005-m.png\">\n                          <jats:alt-text>image<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnc.14104","type":"journal-article","created":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T10:36:38Z","timestamp":1497868598000},"page":"756-766","source":"Crossref","is-referenced-by-count":110,"title":["Changes in kynurenine pathway metabolism in Parkinson patients with L\u2010\n                    <scp>DOPA<\/scp>\n                    \u2010induced dyskinesia"],"prefix":"10.1111","volume":"142","author":[{"given":"Jesper F.","family":"Havelund","sequence":"first","affiliation":[{"name":"Neurobiology Research Institute of Molecular Medicine University of Southern Denmark Odense Denmark"},{"name":"Department of Biochemistry and Molecular Biology VILLUM Center for Bioanalytical Sciences University of Southern Denmark Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9625-1474","authenticated-orcid":false,"given":"Andreas D.","family":"Andersen","sequence":"additional","affiliation":[{"name":"Institute of Regional Health Research University of Southern Denmark Odense Denmark"},{"name":"Focused Research Unit in Neurology Hospital of Southern Jutland Aabenraa Denmark"},{"name":"Department of Neurology Hospital of Southern Jutland S\u00f8nderborg Denmark"},{"name":"Odense Patient data Exploratory Network (OPEN) Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Binzer","sequence":"additional","affiliation":[{"name":"Institute of Regional Health Research University of Southern Denmark Odense Denmark"},{"name":"Focused Research Unit in Neurology Hospital of Southern Jutland Aabenraa Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten","family":"Blaabjerg","sequence":"additional","affiliation":[{"name":"Department of Neurology Odense University Hospital Odense Denmark"},{"name":"Institute of Clinical Research University of Southern Denmark Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels H.H.","family":"Heegaard","sequence":"additional","affiliation":[{"name":"Institute of Clinical Research University of Southern Denmark Odense Denmark"},{"name":"Department of Clinical Biochemistry and Pharmacology Odense University Hospital Odense Denmark"},{"name":"Department of Autoimmunology &amp; 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