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了解帕金森病的发病机制及潜在的治疗策略。

Understanding the Pathogenesis Involved in Parkinson's Disease and Potential Therapeutic Treatment Strategies.

作者信息

Dhanawat Meenakshi, Mehta Dinesh K, Gupta Sumeet, Das Rina

机构信息

M.M. College of Pharmacy, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, HR-133207, India.

出版信息

Cent Nerv Syst Agents Med Chem. 2020;20(2):88-102. doi: 10.2174/1871524920666200705222842.

Abstract

A vast advancement has been made in the treatment related to central nervous system disorders especially Parkinson's disease. The development in therapeutics and a better understanding of the targets results in upsurge of many promising therapies for Parkinson's disease. Parkinson's disease is defined by neuronal degeneration and neuroinflammation and it is reported that the presence of the neurofibrillary aggregates such as Lewy bodies is considered as the marker. Along with this, it is also characterized by the presence of motor and non-motor symptoms, as seen in Parkinsonian patients. A lot of treatment options mainly focus on prophylactic measures or the symptomatic treatment of Parkinson's disease. Neuroinflammation and neurodegeneration are the point of interest which can be exploited as a new target to emphasis on Parkinson's disease. A thorough study of these targets helps in modifications of those molecules which are particularly involved in causing the neuronal degeneration and neuroinflammation in Parkinson's disease. A lot of drug regimens are available for the treatment of Parkinson's disease, although levodopa remains the choice of drug for controlling the symptoms, yet is accompanied with significant snags. It is always suggested to use other drug therapies concomitantly with levodopa. A number of significant causes and therapeutic targets for Parkinson's disease have been identified in the last decade, here an attempt was made to highlight the most significant of them. It was also found that the treatment regimen and involvement of therapies are totally dependent on individuals and can be tailored to the needs of each individual patient.

摘要

在中枢神经系统疾病尤其是帕金森病的治疗方面已经取得了巨大进展。治疗学的发展以及对靶点的更好理解导致了许多针对帕金森病的有前景疗法的涌现。帕金森病由神经元变性和神经炎症所定义,据报道,神经纤维聚集体如路易小体的存在被视为标志物。与此同时,帕金森病患者还表现出运动和非运动症状。许多治疗选择主要集中在帕金森病的预防措施或对症治疗上。神经炎症和神经变性是值得关注的要点,可将其作为新靶点来着重研究帕金森病。对这些靶点的深入研究有助于对那些特别参与帕金森病神经元变性和神经炎症发生过程的分子进行修饰。有许多药物方案可用于治疗帕金森病,尽管左旋多巴仍然是控制症状的首选药物,但它也伴随着严重的问题。总是建议将其他药物疗法与左旋多巴联合使用。在过去十年中已经确定了帕金森病的许多重要病因和治疗靶点,在此试图突出其中最重要的部分。还发现治疗方案和疗法的参与完全取决于个体,并且可以根据每个患者的需求进行调整。

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