a Department of Stem Cell Biology , Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg , Erlangen , Germany.
Expert Opin Ther Targets. 2019 Apr;23(4):309-314. doi: 10.1080/14728222.2019.1590336. Epub 2019 Mar 14.
Parkinson's disease (PD) is the most common neurodegenerative movement disorder caused by the progressive loss of neurons in the midbrain and other brain regions. Only symptomatic treatment is currently available. Mounting evidence suggests that T cells are a key contributor to PD pathogenesis and neurodegeneration by a mechanism that requires further elucidation. Areas covered: We discuss the evidence of imbalanced activation of effector T cell populations in PD and summarize the data of Th17 involvement and Th17-regulated mechanisms in PD pathology. Moreover, possible Th17-related molecular targets as possible neuroprotective immunomodulatory therapeutic targets for PD are examined. Expert Opinion: Existing data show that Th17 cells, their effector molecules, and signaling pathways are potentially effective therapeutic targets for neuroprotective immunomodulation in PD treatment. However, specificity of action within Th17-mediated signaling pathways for PD requires careful consideration.
帕金森病(PD)是最常见的神经退行性运动障碍,由中脑和其他脑区神经元的进行性丧失引起。目前仅提供对症治疗。越来越多的证据表明,T 细胞通过需要进一步阐明的机制成为 PD 发病机制和神经退行性变的关键贡献者。涵盖领域:我们讨论了 PD 中效应 T 细胞群失衡激活的证据,并总结了 Th17 参与和 Th17 调节机制在 PD 病理学中的数据。此外,还研究了可能的与 Th17 相关的分子靶点作为 PD 神经保护免疫调节治疗的潜在靶点。专家意见:现有数据表明,Th17 细胞、其效应分子和信号通路可能是 PD 治疗中神经保护免疫调节的有效治疗靶点。然而,需要仔细考虑 PD 中 Th17 介导的信号通路的作用特异性。