What is Dopamine, Urine?
Dopamine is synthesised from L-tyrosine via L-DOPA through the sequential actions of tyrosine hydroxylase (TH — requiring tetrahydrobiopterin, iron, and molecular oxygen) and aromatic L-amino acid decarboxylase (AAAD — requiring B6). Urinary dopamine derives from renal tubular synthesis and local renal dopaminergic signalling (which regulates sodium excretion), peripheral sympathetic neurons, adrenal medullary secretion, and intestinal enteroendocrine cells — with central dopaminergic neurons contributing negligibly due to blood-brain barrier exclusion. Dopamine is catabolised to homovanillic acid (HVA) via COMT and MAO-B pathways; copper is a cofactor for dopamine-beta-hydroxylase in the subsequent conversion to norepinephrine.