Litvan Irene, Chesselet Marie-Francoise, Gasser Thomas, Di Monte Donato A, Parker Davis, Hagg Theo, Hardy John, Jenner Peter, Myers Richard H, Price Donald, Hallett Mark, Langston William J, Lang Anthony E, Halliday Glenda, Rocca Walter, Duyckaerts Charles, Dickson Dennis W, Ben-Shlomo Yoav, Goetz Christopher G, Melamed Eldad
University of Louisville School of Medicine, Louisville, Kentucky 40202, USA.
J Neuropathol Exp Neurol. 2007 May;66(5):329-36. doi: 10.1097/nen.0b013e318053716a.
We are at a critical juncture in our knowledge of the etiology and pathogenesis of Parkinson disease (PD). It is clear that PD is not a single entity simply resulting from a dopaminergic deficit; rather it is most likely caused by a combination of genetic and environmental factors. Although there is extensive new information on the etiology and pathogenesis of PD, which may advance its treatment, new syntheses of this information are needed. The second part of this two-part, state-of-the-art review by leaders in PD research critically examines the research field to identify areas for which new knowledge and ideas might be helpful for treatment purposes. Topics reviewed in Part II are genetics, animal models, and oxidative stress.
我们对帕金森病(PD)的病因和发病机制的认识正处于关键阶段。很明显,PD并非仅仅由多巴胺能缺乏导致的单一疾病;相反,它很可能是由遗传和环境因素共同引起的。尽管有大量关于PD病因和发病机制的新信息,这些信息可能会推动其治疗,但仍需要对这些信息进行新的综合。在这个由PD研究领域的领军人物撰写的两部分最新综述中,第二部分批判性地审视了该研究领域,以确定哪些领域的新知识和新想法可能有助于治疗。第二部分所综述的主题包括遗传学、动物模型和氧化应激。