School of Environment and Science (Y.F., D.R.R., G.D.M., L.M.) and Centre for Cancer Cell Biology and Drug Discovery (D.R.R.), Griffith Institute for Drug Discovery (X.C., Y.F., R.J.Q., D.R.R., G.D.M., L.M.), Griffith University, Nathan, Brisbane, Queensland, Australia; and School of Pharmacy and Medical Science, Griffith University, Gold Coast, Queenslandstate, Australia (D.L.P.).
School of Environment and Science (Y.F., D.R.R., G.D.M., L.M.) and Centre for Cancer Cell Biology and Drug Discovery (D.R.R.), Griffith Institute for Drug Discovery (X.C., Y.F., R.J.Q., D.R.R., G.D.M., L.M.), Griffith University, Nathan, Brisbane, Queensland, Australia; and School of Pharmacy and Medical Science, Griffith University, Gold Coast, Queenslandstate, Australia (D.L.P.)
Pharmacol Rev. 2023 Jul;75(4):758-788. doi: 10.1124/pharmrev.122.000743. Epub 2023 Mar 14.
Parkinson's disease (PD) is a neurodegenerative disorder characterized by selective loss of dopaminergic neurons in the substantia nigra pars compacta (SNpc) region of the midbrain. The loss of neurons results in a subsequent reduction of dopamine in the striatum, which underlies the core motor symptoms of PD. To date, there are no effective treatments to stop, slow, or reverse the pathologic progression of dopaminergic neurodegeneration. This unfortunate predicament is because of the current early stages in understanding the biologic targets and pathways involved in PD pathogenesis. Ion channels have become emerging targets for new therapeutic development for PD due to their essential roles in neuronal function and neuroinflammation. Potassium channels are the most prominent ion channel family and have been shown to be critically important in PD pathology because of their roles in modulating neuronal excitability, neurotransmitter release, synaptic transmission, and neuroinflammation. In this review, members of the subfamilies of voltage-gated K channels, inward rectifying K channels, and Ca-activated K channels are described. Evidence of the role of these channels in PD etiology is discussed together with the latest views on related pathologic mechanisms and their potential as biologic targets for developing neuroprotective drugs for PD. SIGNIFICANCE STATEMENT: Parkinson's disease (PD) is the second most common neurodegenerative disorder, featuring progressive degeneration of dopaminergic neurons in the midbrain. It is a multifactorial disease involving multiple risk factors and complex pathobiological mechanisms. Mounting evidence suggests that ion channels play vital roles in the pathogenesis and progression of PD by regulating neuronal excitability and immune cell function. Therefore, they have become "hot" biological targets for PD, as demonstrated by multiple clinical trials of drug candidates targeting ion channels for PD therapy.
帕金森病(PD)是一种神经退行性疾病,其特征是中脑黑质致密部(SNpc)区域的多巴胺能神经元选择性丧失。神经元的丧失导致纹状体中多巴胺的随后减少,这是 PD 的核心运动症状的基础。迄今为止,尚无有效的治疗方法可以阻止、减缓或逆转多巴胺能神经退行性变的病理进展。这种不幸的困境是由于目前对 PD 发病机制中涉及的生物学靶标和途径的理解处于早期阶段。由于离子通道在神经元功能和神经炎症中的重要作用,它们已成为 PD 新治疗方法的新兴靶标。钾通道是最突出的离子通道家族,由于它们在调节神经元兴奋性、神经递质释放、突触传递和神经炎症中的作用,已被证明在 PD 病理中至关重要。在这篇综述中,描述了电压门控 K 通道、内向整流 K 通道和 Ca 激活 K 通道的亚家族成员。讨论了这些通道在 PD 病因学中的作用的证据,以及与相关病理机制的最新观点,并探讨了它们作为开发 PD 神经保护药物的生物学靶标的潜力。意义:帕金森病(PD)是第二常见的神经退行性疾病,其特征是中脑多巴胺能神经元进行性退化。它是一种多因素疾病,涉及多个危险因素和复杂的病理生物学机制。越来越多的证据表明,离子通道通过调节神经元兴奋性和免疫细胞功能,在 PD 的发病机制和进展中起着至关重要的作用。因此,它们已成为 PD 的“热门”生物学靶标,针对 PD 治疗的离子通道药物候选物的多项临床试验证明了这一点。
Brain Res Bull. 2020-7
Adv Exp Med Biol. 2017
Neurosci Bull. 2017-9-7
Balkan Med J. 2022-9-9
Front Physiol. 2024-1-29
Brain Sci. 2023-9-20