a HM CINAC, Hospital Universitario HM Puerta del Sur , Móstoles , Spain.
b CIBERNED , Instituto Carlos III , Madrid , Spain.
Expert Opin Drug Discov. 2018 Mar;13(3):229-239. doi: 10.1080/17460441.2018.1428556. Epub 2018 Jan 24.
Parkinson's disease is a progressive neurodegenerative disease that affects millions of elderly individuals worldwide. Despite intensive efforts dedicated to find a better treatment, the pathogenesis of Parkinson's Disease remains unknown. In search for a better therapy for the disease, several new in vivo and in vitro models of Parkinson´s disease have been developed in recent times. Areas covered: The authors provide an outline of the various traditional models of Parkinson´s disease and address those that have been recently generated. They also discuss the utility of these models for the identification of drugs of potential therapeutic value for Parkinson´s Disease patients. From the cell based models and the well-known toxin-based animal models, to the recent genetic models and the increasingly used non-mammalian models, every model is worthwhile in the search for a better Parkinson´s Disease therapy. Expert opinion: Almost 60 years after its discovery, levodopa is still the gold standard treatment for Parkinson's Disease patients. It seems unlikely that a single model can fully recapitulate the complexity of Parkinson's Disease in the same way it appears improbable that a unique treatment could relieve both the motor and non-motor symptoms of Parkinson's Disease altogether. Therefore treatment will probably require a combination of therapies.
帕金森病是一种影响全球数百万老年人的进行性神经退行性疾病。尽管人们付出了巨大努力来寻找更好的治疗方法,但帕金森病的发病机制仍不清楚。为了寻找更好的治疗方法,近年来已经开发出了几种新的帕金森病体内和体外模型。
作者概述了各种传统的帕金森病模型,并讨论了最近生成的模型。他们还讨论了这些模型在识别对帕金森病患者具有潜在治疗价值的药物方面的应用。从基于细胞的模型和著名的毒素动物模型,到最近的遗传模型和越来越多使用的非哺乳动物模型,每种模型在寻找更好的帕金森病治疗方法方面都具有价值。
在发现左旋多巴近 60 年后,它仍然是帕金森病患者的金标准治疗方法。似乎没有一种单一的模型可以完全重现帕金森病的复杂性,就像不太可能有一种独特的治疗方法可以完全缓解帕金森病的运动和非运动症状一样。因此,治疗可能需要联合多种疗法。