Clinical and Experimental Neuroscience (NiCE), Institute for Bio-Health Research of Murcia (IMIB), Institute for Aging Research (IUIE), School of Medicine, Campus Mare Nostrum, University of Murcia, Murcia, Spain.
Laboratory of Neurochemistry and Cell Biology, Department of Biochemistry and Biophysics, Institute of Health Sciences, Federal University of Bahia, Salvador, Bahia, 40110-100, Brazil.
Cell Mol Neurobiol. 2022 Jul;42(5):1283-1300. doi: 10.1007/s10571-020-01027-6. Epub 2021 Jan 2.
Parkinson's disease (PD) is a neurodegenerative disorder marked primarily by motor symptoms such as rigidity, bradykinesia, postural instability and resting tremor associated with dopaminergic neuronal loss in the Substantia Nigra pars compacta (SNpc) and deficit of dopamine in the basal ganglia. These motor symptoms can be preceded by pre-motor symptoms whose recognition can be useful to apply different strategies to evaluate risk, early diagnosis and prevention of PD progression. Although clinical characteristics of PD are well defined, its pathogenesis is still not completely known, what makes discoveries of therapies capable of curing patients difficult to be reached. Several theories about the cause of idiopathic PD have been investigated and among them, the key role of inflammation, microglia and the inflammasome in the pathogenesis of PD has been considered. In this review, we describe the role and relation of both the inflammasome and microglial activation with the pathogenesis, symptoms, progression and the possibilities for new therapeutic strategies in PD.
帕金森病(PD)是一种神经退行性疾病,主要表现为运动症状,如僵硬、运动迟缓、姿势不稳和静止性震颤,与黑质致密部(SNpc)中的多巴胺能神经元丧失和基底节多巴胺缺乏有关。这些运动症状可能先于运动前症状,认识这些症状有助于采取不同的策略来评估风险、早期诊断和预防 PD 的进展。尽管 PD 的临床特征已经得到很好的定义,但它的发病机制仍不完全清楚,这使得发现能够治愈患者的疗法变得难以实现。已经研究了几种关于特发性 PD 病因的理论,其中,炎症、小胶质细胞和炎性小体在 PD 的发病机制中的关键作用已被认为是。在这篇综述中,我们描述了炎性小体和小胶质细胞激活与 PD 的发病机制、症状、进展以及新的治疗策略的可能性之间的关系。