Müller-Nedebock Amica C, Dekker Marieke C J, Farrer Matthew J, Hattori Nobutaka, Lim Shen-Yang, Mellick George D, Rektorová Irena, Salama Mohamed, Schuh Artur F S, Stoessl A Jon, Sue Carolyn M, Tan Ai Huey, Vidal Rene L, Klein Christine, Bardien Soraya
Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
South African Medical Research Council/Stellenbosch University Genomics of Brain Disorders Research Unit, Stellenbosch University, Cape Town, South Africa.
NPJ Parkinsons Dis. 2023 Jul 13;9(1):110. doi: 10.1038/s41531-023-00535-8.
The biological basis of the neurodegenerative movement disorder, Parkinson's disease (PD), is still unclear despite it being 'discovered' over 200 years ago in Western Medicine. Based on current PD knowledge, there are widely varying theories as to its pathobiology. The aim of this article was to explore some of these different theories by summarizing the viewpoints of laboratory and clinician scientists in the PD field, on the biological basis of the disease. To achieve this aim, we posed this question to thirteen "PD experts" from six continents (for global representation) and collated their personal opinions into this article. The views were varied, ranging from toxin exposure as a PD trigger, to LRRK2 as a potential root cause, to toxic alpha-synuclein being the most important etiological contributor. Notably, there was also growing recognition that the definition of PD as a single disease should be reconsidered, perhaps each with its own unique pathobiology and treatment regimen.
神经退行性运动障碍帕金森病(PD),尽管在200多年前就被西医“发现”,但其生物学基础仍不清楚。基于目前对帕金森病的了解,关于其病理生物学有各种各样的理论。本文的目的是通过总结帕金森病领域实验室和临床科学家关于该疾病生物学基础的观点,来探讨其中一些不同的理论。为实现这一目标,我们向来自六大洲的13位“帕金森病专家”(以实现全球代表性)提出了这个问题,并将他们的个人观点整理成本文。观点各不相同,从毒素暴露作为帕金森病的触发因素,到LRRK2作为潜在的根本原因,再到有毒的α-突触核蛋白是最重要的病因学因素。值得注意的是,也越来越认识到,或许应重新考虑将帕金森病定义为单一疾病的观点,因为每种情况可能都有其独特的病理生物学和治疗方案。