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[帕金森病与衰老。]

[Parkinson's disease and aging.].

作者信息

Chesnokova A Y, Ekimova I V, Pastukhov Y F

机构信息

I.M.Sechenov Institute of Evolutionary Physiology and Biochemistry, RAS, 44, Toreza pr., St. Petersburg 194223, Russian Federation; e-mail:

出版信息

Adv Gerontol. 2018;31(5):668-678.

Abstract

Parkinson's disease (PD) is one of the most severe human neurodegenerative diseases that is mainly represented by sporadic form with multifactorial nature and commonly diagnosed in persons over 65 years of age. Current data on molecular mechanisms of PD development and their connection with processes of aging have been given in the review. Mechanisms of conformational control and selective degradation of proteins in the cell, possible trigger factors initiating the cascade of pathological reactions have been analyzed. Perspectives to solve the problem of elimination of basic causes of PD incurability (late diagnosis, and ineffective treatment) related to determination of reliable non-motor markers of the preclinical identification and early disorder correction of integrative brain functions have been evaluated. The basic attention is paid to an analysis of early sleep and behavior disorders in PD and aging. Known at the present moment endogenous neuroprotective factors capable to inhibit the neurodegenerative process in this disease have been considered.

摘要

帕金森病(PD)是最严重的人类神经退行性疾病之一,主要表现为散发形式,具有多因素性质,通常在65岁以上人群中诊断出来。综述中给出了关于PD发病分子机制及其与衰老过程联系的当前数据。分析了细胞内蛋白质构象控制和选择性降解的机制,以及引发病理反应级联的可能触发因素。评估了解决与确定可靠的非运动标志物以进行临床前识别和早期纠正综合脑功能障碍相关的PD无法治愈的根本原因(诊断延迟和治疗无效)问题的前景。主要关注对PD和衰老中早期睡眠和行为障碍的分析。还考虑了目前已知的能够抑制该疾病神经退行性过程的内源性神经保护因子。

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