Department of Pharmacy Services, Prince Sultan Medical City (PSMMC), Riyadh, Saudi Arabia.
Department of Clinical Pharmacology and Medicine, College of Medicine, Mustansiriyah University, Baghdad, Iraq.
Eur J Med Res. 2024 Mar 27;29(1):205. doi: 10.1186/s40001-024-01779-7.
Parkinson's disease (PD) is a progressive neurodegenerative disease as a result of the degeneration of dopaminergic neurons in the substantia nigra pars compacta (SNpc). The fundamental features of PD are motor and non-motor symptoms. PD symptoms develop due to the disruption of dopaminergic neurotransmitters and other neurotransmitters such as γ-aminobutyric acid (GABA). The potential role of GABA in PD neuropathology concerning the motor and non-motor symptoms of PD was not precisely discussed. Therefore, this review intended to illustrate the possible role of GABA in PD neuropathology regarding motor and non-motor symptoms. The GABA pathway is essential in regulating the inhibitory tone to prevent excessive stimulation of the cerebral cortex. Degeneration of dopaminergic neurons in PD is linked with reducing GABAergic neurotransmission. Decreasing GABA activity promotes mitochondrial dysfunction and oxidative stress, which are highly related to PD neuropathology. Hence, restoring GABA activity by GABA agonists may attenuate the progression of PD motor symptoms. Therefore, dysregulation of GABAergic neurons in the SNpc contributes to developing PD motor symptoms. Besides, PD non-motor symptoms are also related to the dysfunction of the GABAergic pathway, and amelioration of this pathway may reduce PD non-motor symptoms. In conclusion, the deregulation of the GABAergic pathway in PD might be intricate in developing motor and non-motor symptoms. Improving this pathway might be a novel, beneficial approach to control PD symptoms.
帕金森病(PD)是一种进行性神经退行性疾病,其原因是黑质致密部(SNpc)中的多巴胺能神经元退化。PD 的基本特征是运动和非运动症状。由于多巴胺能神经递质和其他神经递质(如γ-氨基丁酸(GABA))的破坏,PD 症状会发展。GABA 在 PD 神经病理学中对 PD 运动和非运动症状的潜在作用尚未得到准确讨论。因此,本综述旨在说明 GABA 在 PD 神经病理学中对运动和非运动症状的可能作用。GABA 途径对于调节抑制性音调以防止大脑皮层过度刺激至关重要。PD 中多巴胺能神经元的退化与 GABA 能神经传递的减少有关。减少 GABA 活性会促进线粒体功能障碍和氧化应激,这与 PD 神经病理学高度相关。因此,通过 GABA 激动剂恢复 GABA 活性可能会减轻 PD 运动症状的进展。因此,SNpc 中 GABA 能神经元的失调导致 PD 运动症状的发展。此外,PD 的非运动症状也与 GABA 能途径的功能障碍有关,改善该途径可能会减轻 PD 的非运动症状。总之,PD 中 GABA 能途径的失调可能在运动和非运动症状的发展中起着复杂的作用。改善该途径可能是控制 PD 症状的一种新的、有益的方法。
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