Morsani College of Medicine, University of South Florida, Tampa, FL 33602, USA.
Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, College of Medicine, University of South Florida, Tampa, FL 33612, USA.
Int J Mol Sci. 2022 Sep 4;23(17):10138. doi: 10.3390/ijms231710138.
Parkinson's disease is the second most common neurodegenerative disease. Insidious and progressive, this disorder is secondary to the gradual loss of dopaminergic signaling and worsening neuroinflammation, affecting patients' motor capabilities. Gold standard treatment includes exogenous dopamine therapy in the form of levodopa-carbidopa, or surgical intervention with a deep brain stimulator to the subcortical basal ganglia. Unfortunately, these therapies may ironically exacerbate the already pro-inflammatory environment. An alternative approach may involve cell-based therapies. Cell-based therapies, whether endogenous or exogenous, often have anti-inflammatory properties. Alternative strategies, such as exercise and diet modifications, also appear to play a significant role in facilitating endogenous and exogenous stem cells to induce an anti-inflammatory response, and thus are of unique interest to neuroinflammatory conditions including Parkinson's disease. Treating patients with current gold standard therapeutics and adding adjuvant stem cell therapy, alongside the aforementioned lifestyle modifications, may ideally sequester inflammation and thus halt neurodegeneration.
帕金森病是第二常见的神经退行性疾病。这种疾病隐匿且进行性发展,继发于多巴胺能信号的逐渐丧失和神经炎症的恶化,影响患者的运动能力。金标准治疗包括左旋多巴-卡比多巴形式的外源性多巴胺治疗,或通过深部脑刺激器对皮质下基底神经节进行手术干预。不幸的是,这些疗法可能会产生讽刺性的炎症恶化。替代方法可能涉及细胞疗法。无论是内源性还是外源性的细胞疗法,通常都具有抗炎特性。替代策略,如运动和饮食改变,也似乎在促进内源性和外源性干细胞诱导抗炎反应方面发挥重要作用,因此对包括帕金森病在内的神经炎症疾病具有独特的兴趣。对接受当前金标准治疗的患者进行治疗,并联合上述生活方式改变添加辅助性干细胞治疗,可能理想地隔离炎症,从而阻止神经退行性变。