Catecholamines (CAs; dopamine, noradrenaline, and adrenaline) are biogenic amines that possess 3,4-dihydoroxyphenyl (catechol) nucleus. Three CAs are neurotransmitters in CA neurons in the brain. Dopamine and noradrenaline in the brain regulate a wide range of higher brain functions such as movement, motivation, reward expectation, emotion, and memory. Noradrenaline as neurotransmitter in the peripheral sympathetic nerves and adrenaline as hormone in the adrenal medulla play fundamental roles in physical and mental stress reactions that affect metabolism in all organs. Thus, CAs are related to a wide range of central and peripheral pathology such as Parkinson's disease, schizophrenia, depression, and cardiovascular and metabolic diseases. In 1964 in National Institutes of Health (NIH) tyrosine hydroxylase (TH) was discovered as the first and regulatory enzyme of CA biosynthesis from tyrosine. TH requires tetrahydrobiopterin (BH4), a biofactor that is synthesized from GTP in CA cells as a cofactor. BH4 relates to various physiological and pathological functions regulated by CAs. We have elucidated the properties and the genes of all human CA- and BH4-related enzymes and their roles in physiology and pathology, especially in Parkinson's disease (PD), based on studies on postmortem brains, genetically-modified mice, and familial PD cases. Especially, the relation of CA-related enzymes and BH4 with PD has been discussed in this review.
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