Ramaswamy Shilpa, Soderstrom Katherine E, Kordower Jeffrey H
Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA.
Prog Brain Res. 2009;175:201-16. doi: 10.1016/S0079-6123(09)17514-3.
Parkinson's disease (PD) is a progressive, neurodegenerative disorder for which there is currently no effective neuroprotective therapy. Patients are typically treated with a combination of drug therapies and/or receive deep brain stimulation to combat behavioral symptoms. The ideal candidate therapy would be the one which prevents neurodegeneration in the brain, thereby halting the progression of debilitating disease symptoms. Neurotrophic factors have been in the forefront of PD research, and clinical trials have been initiated using members of the GDNF family of ligands (GFLs). GFLs have been shown to be trophic to ventral mesencephalic cells, thereby making them good candidates for PD research. This paper examines the use of GDNF and neurturin, two members of the GFL, in both animal models of PD and clinical trials.
帕金森病(PD)是一种进行性神经退行性疾病,目前尚无有效的神经保护疗法。患者通常采用药物疗法联合治疗和/或接受深部脑刺激来对抗行为症状。理想的候选疗法应该是能够预防大脑神经退行性变,从而阻止使人衰弱的疾病症状进展的疗法。神经营养因子一直处于帕金森病研究的前沿,目前已经启动了使用胶质细胞源性神经营养因子(GDNF)配体家族(GFLs)成员的临床试验。GFLs已被证明对腹侧中脑细胞具有营养作用,因此使其成为帕金森病研究的良好候选对象。本文研究了GFLs的两个成员GDNF和神经营养素在帕金森病动物模型和临床试验中的应用。