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帕金森病病理生理学中的神经炎症及抗炎药物的治疗证据

Neuroinflammation in the pathophysiology of Parkinson's disease and therapeutic evidence of anti-inflammatory drugs.

作者信息

Bassani Taysa Bervian, Vital Maria A B F, Rauh Laryssa K

机构信息

Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.

Departamento de Farmacologia, Universidade Federal do Paraná, Curitiba, PR, Brazil.

出版信息

Arq Neuropsiquiatr. 2015 Jul;73(7):616-23. doi: 10.1590/0004-282X20150057.

Abstract

Parkinson's disease (PD) is the second most common neurodegenerative disease affecting approximately 1.6% of the population over 60 years old. The cardinal motor symptoms are the result of progressive degeneration of substantia nigra pars compacta dopaminergic neurons which are involved in the fine motor control. Currently, there is no cure for this pathology and the cause of the neurodegeneration remains unknown. Several studies suggest the involvement of neuroinflammation in the pathophysiology of PD as well as a protective effect of anti-inflammatory drugs both in animal models and epidemiological studies, although there are controversial reports. In this review, we address evidences of involvement of inflammatory process and possible therapeutic usefulness of anti-inflammatory drugs in PD.

摘要

帕金森病(PD)是第二常见的神经退行性疾病,影响着约1.6%的60岁以上人群。主要运动症状是黑质致密部多巴胺能神经元进行性退化的结果,这些神经元参与精细运动控制。目前,这种疾病无法治愈,神经退行性变的原因仍然未知。几项研究表明,神经炎症参与了帕金森病的病理生理过程,并且在动物模型和流行病学研究中,抗炎药物都具有保护作用,尽管也有一些有争议的报道。在这篇综述中,我们阐述了炎症过程参与帕金森病的证据以及抗炎药物在帕金森病中可能的治疗作用。

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