Monoamine Oxidase-B Inhibitors for the Treatment of Parkinson's Disease: Past, Present, and Future

J Parkinsons Dis. 2022;12(2):477-493. doi: 10.3233/JPD-212976.

Abstract

Monoamine oxidase-B (MAO-B) inhibitors are commonly used for the symptomatic treatment of Parkinson's disease (PD). MAO-B inhibitor monotherapy has been shown to be effective and safe for the treatment of early-stage PD, while MAO-B inhibitors as adjuvant drugs have been widely applied for the treatment of the advanced stages of the illness. MAO-B inhibitors can effectively improve patients' motor and non-motor symptoms, reduce "OFF" time, and may potentially prevent/delay disease progression. In this review, we discuss the effects of MAO-B inhibitors on motor and non-motor symptoms in PD patients, their mechanism of action, and the future development of MAO-B inhibitor therapy.

Keywords: Monoamine oxidase-B inhibitors; Parkinson’s disease; rasagiline; safinamide; selegiline.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Dopamine Agents / therapeutic use
  • Humans
  • Monoamine Oxidase / therapeutic use
  • Monoamine Oxidase Inhibitors / pharmacology
  • Monoamine Oxidase Inhibitors / therapeutic use
  • Parkinson Disease* / drug therapy
  • Selegiline / therapeutic use

Substances

  • Dopamine Agents
  • Monoamine Oxidase Inhibitors
  • Selegiline
  • Monoamine Oxidase