The Cure Parkinson's Trust, London, United Kingdom.
Center for Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, United States.
Prog Brain Res. 2020;252:451-492. doi: 10.1016/bs.pbr.2019.10.007. Epub 2019 Nov 30.
The primary neuropathological characteristics of the Parkinsonian brain are the loss of nigral dopamine neurons and the aggregation of alpha synuclein protein. Efforts to development potentially disease-modifying treatments have largely focused on correcting these aspects of the condition. In the last decade treatments targeting protein aggregation have entered the clinical pipeline. In this chapter we provide an overview of ongoing clinical trial programs for different therapies attempting to reduce protein aggregation pathology in Parkinson's disease. We will also briefly consider various novel approaches being proposed-and being developed preclinically-to inhibit/reduce aggregated protein pathology in Parkinson's.
帕金森病大脑的主要神经病理学特征是黑质多巴胺神经元的丧失和α-突触核蛋白的聚集。开发潜在的疾病修正治疗的努力主要集中在纠正这种疾病的这些方面。在过去的十年中,针对蛋白聚集的治疗方法已经进入了临床试验阶段。在本章中,我们将概述正在进行的临床试验计划,这些计划旨在尝试减少帕金森病中的蛋白聚集病理学。我们还将简要讨论正在提出和正在进行临床前研究的各种新方法,以抑制/减少帕金森病中的聚集蛋白病理学。