Department of Clinical Neurosciences, 'Carol Davila' University of Medicine and Pharmacy Bucharest, Bucharest, Romania.
Laboratory of Cell Biology, Neurosciences and Experimental Myology, 'Victor Babeș' National Institute of Pathology, Bucharest, Romania.
J Neural Transm (Vienna). 2024 Nov;131(11):1329-1339. doi: 10.1007/s00702-024-02813-y. Epub 2024 Aug 5.
Parkinson's disease (PD) is the second most frequent neurodegenerative disorder, affecting millions of people and rapidly increasing over the last decades. Even though there is no intervention yet to stop the neurodegenerative pathology, many efficient treatment methods are available, including for patients with advanced PD. Neuroplasticity is a fundamental property of the human brain to adapt both to external changes and internal insults and pathological processes. In this paper we examine the current knowledge and concepts concerning changes at network level, cellular level and molecular level as parts of the neuroplastic response to protein aggregation pathology, synapse loss and neuronal loss in PD. We analyse the beneficial, compensatory effects, such as augmentation of nigral neurons efficacy, as well as negative, maladaptive effects, such as levodopa-induced dyskinesia. Effects of physical activity and different treatments on neuroplasticity are considered and the opportunity of biomarkers identification and use is discussed.
帕金森病(PD)是第二常见的神经退行性疾病,影响着数百万人,并在过去几十年中迅速增加。尽管目前还没有干预措施来阻止神经退行性病变,但有许多有效的治疗方法可用,包括对晚期 PD 患者。神经可塑性是人类大脑适应外部变化和内部损伤以及病理过程的基本特性。在本文中,我们研究了与蛋白质聚集病理学、突触丧失和 PD 中神经元丧失相关的网络水平、细胞水平和分子水平变化的现有知识和概念。我们分析了有益的、代偿性效应,如增加黑质神经元的效能,以及负面的、适应不良的效应,如左旋多巴诱导的运动障碍。还考虑了身体活动和不同治疗方法对神经可塑性的影响,并讨论了生物标志物鉴定和应用的机会。
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