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通过遗传学和新疗法来理解帕金森病。

The understanding of Parkinson's disease through genetics and new therapies.

机构信息

Department of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.

Department of Project and Education, Clinton Global Initiative University, New York, USA.

出版信息

Brain Behav. 2022 May;12(5):e2577. doi: 10.1002/brb3.2577. Epub 2022 Apr 21.

Abstract

INTRODUCTION

Parkinson's disease is one of the progressive neurodegenerative diseases from which people suffer for years. The mechanism of this disease is associated with a decrease in the number of dopaminergic neurons in the substantia nigra (SN) while Lewy bodies are still present. As a result, both motor-ridity, tremor, and bradykinesia-and non-motor symptoms such as anxiety and depression. Nowadays, it is well known that the cause behind Parkinson's disease is mainly environmental changes, genetic susceptibility, and toxins. Unfortunately, there is no cure for the disease but treatments. The replacement of lost neurons, α-synuclein and apomorphine, is currently being studied for new therapies. This article focuses on history, mechanism, factors causing Parkinson's disease as well as future therapies for the cure of the diseases.

METHODOLOGY

Data were collected from medical journals published on PubMed, The Lancet, Cells, and Nature Reviews Neurology databases with a predefined search strategy. All articles considering new therapies for Parkinson's disease were considered.

RESULTS

The pathophysiology of Parkinson's disease is currently reasonably understood. However, there is no definitive cure so all the treatments focus mainly on reducing or limiting the symptoms. Current treatment studies focus on genetics, replacing lost neurons, α-synuclein and apomorphine.

CONCLUSION

Parkinson's disease is the most common movement disorder worldwide because of the loss of dopaminergic neurons in the substantia nigra. Its symptoms include motor dysfunctions such as rigidity, tremor, and bradykinesia and non-motor dysfunctions such as anxiety and depression. Through genetics, environmental changes and toxins analysis, it is now known that future new therapies are working on replacing lost neurons, α-synuclein and apomorphine.

摘要

简介

帕金森病是一种进行性神经退行性疾病,患者会因此患病多年。这种疾病的机制与黑质(SN)中多巴胺能神经元数量减少有关,而路易体仍然存在。因此,出现运动障碍、震颤和运动迟缓以及非运动症状,如焦虑和抑郁。如今,众所周知,帕金森病的主要病因是环境变化、遗传易感性和毒素。不幸的是,目前还没有治愈这种疾病的方法,只能进行治疗。目前正在研究替代丢失的神经元、α-突触核蛋白和阿朴吗啡来作为新的治疗方法。本文重点介绍了帕金森病的历史、发病机制、致病因素以及未来的治疗方法。

方法

从发表在 PubMed、柳叶刀、细胞和自然评论神经病学数据库上的医学期刊中收集数据,并采用预定义的搜索策略。所有考虑帕金森病新疗法的文章都被认为是相关的。

结果

目前,帕金森病的病理生理学已得到合理理解。然而,目前还没有明确的治愈方法,因此所有的治疗方法主要集中在减少或限制症状上。目前的治疗研究集中在遗传学、替代丢失的神经元、α-突触核蛋白和阿朴吗啡上。

结论

由于黑质中多巴胺能神经元的丧失,帕金森病是全球最常见的运动障碍疾病。其症状包括运动功能障碍,如僵硬、震颤和运动迟缓,以及非运动功能障碍,如焦虑和抑郁。通过遗传学、环境变化和毒素分析,现在人们知道未来的新疗法正在研究替代丢失的神经元、α-突触核蛋白和阿朴吗啡。

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