Yasuhara Takao, Shingo Tetsuro, Date Isao
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Acta Med Okayama. 2007 Apr;61(2):51-6. doi: 10.18926/AMO/32888.
Many studies using animals clarify that glial cell line-derived neurotrophic factor (GDNF) has strong neuroprotective and neurorestorative effects on dopaminergic neurons. Several pilot studies clarified the validity of continuous intraputaminal GDNF infusion to patients with Parkinson's disease (PD), although a randomized controlled trial of GDNF therapy published in 2006 resulted in negative outcomes, and controversy remains about the efficacy and safety of the treatment. For a decade, our laboratory has investigated the efficacy and the most appropriate method of GDNF administration using animals, and consequently we have obtained some solid data that correspond to the results of clinical trials. In this review, we present an outline of our studies and other key studies related to GDNF, the current state of the research, problems to be overcome, and predictions regarding the use of GDNF therapy for PD in the future.
许多使用动物的研究表明,胶质细胞源性神经营养因子(GDNF)对多巴胺能神经元具有强大的神经保护和神经修复作用。几项初步研究证实了向帕金森病(PD)患者持续脑室内注入GDNF的有效性,尽管2006年发表的一项关于GDNF治疗的随机对照试验结果为阴性,且该治疗的疗效和安全性仍存在争议。十年来,我们实验室一直在研究使用动物给予GDNF的疗效及最合适的方法,因此我们获得了一些与临床试验结果相符的确切数据。在这篇综述中,我们概述了我们的研究以及与GDNF相关的其他关键研究、研究现状、有待克服的问题,以及对未来将GDNF疗法用于治疗PD的预测。