Department of Neurology, Christian-Albrechts-University Kiel, Kiel, Germany.
Department of Psychiatry and Psychotherapy, Hospital of the University of Munich, Munich, Germany.
Clin Pharmacol Ther. 2019 May;105(5):1106-1120. doi: 10.1002/cpt.1374. Epub 2019 Mar 22.
The progressive neurodegenerative process in Parkinson's disease (PD) is not restricted to dopaminergic midbrain neurons but involves the entire nervous system. In this review, we outline established treatment options at different disease stages and address new therapeutic approaches. These include, based on recent advances in the understanding of the pathophysiology of PD, genetic and disease-modifying approaches to reduce abnormal accumulation and aggregation of alpha-synuclein (aSYN), mitochondrial dysfunction, and dysfunction of lysosomal proteins. Moreover, we highlight clinical trials to reduce neuroinflammation and increase neurorestoration.
帕金森病(PD)的进行性神经退行性过程不仅局限于多巴胺能中脑神经元,还涉及整个神经系统。在这篇综述中,我们概述了不同疾病阶段的既定治疗选择,并探讨了新的治疗方法。这些方法包括,基于对 PD 病理生理学理解的最新进展,采用遗传和疾病修饰方法来减少异常积聚和聚集的α-突触核蛋白(aSYN)、线粒体功能障碍和溶酶体蛋白功能障碍。此外,我们还强调了减少神经炎症和增加神经修复的临床试验。