Zhang Cheng-Guang, Zhang Yu, Xu Ke, Wang Shun, Bai Yan
Heilongjiang University of Chinese Medicine, Harbin 150040, Heilongjiang Province, China.
Department of Acupuncture and Moxibustion, Heilongjiang Academy of Traditional Chinese Medicine, Harbin 150001, Heilongjiang Province, China.
World J Psychiatry. 2025 Mar 19;15(3):99901. doi: 10.5498/wjp.v15.i3.99901.
Parkinson's disease (PD) is a common neurodegenerative disorder with increasing incidence and disability rates globally, placing a heavy burden on patients and their families. In the prodromal phase of PD, nonmotor symptoms, particularly depression and sleep disorders, are frequent, with profound effects on disease progression and patient quality of life. Emerging research highlights the critical role of inflammatory markers-including interleukins and tumor necrosis factor-in the pathogenesis of prodromal PD. These inflammatory mediators participate in neurodegenerative processes and may induce or exacerbate depressive symptoms and sleep disorders by disrupting the function of the hypothalamic-pituitary-adrenal axis and affecting neurotransmitter, including serotonin, metabolism. Understanding their correlations with nonmotor symptoms in prodromal PD remains incomplete, limiting our ability to develop targeted interventions. This comprehensive review aims to investigate the specific correlations between inflammatory markers and nonmotor symptoms-particularly depression and sleep disorders-in prodromal PD. The findings could have important practical applications, potentially leading to the development of new diagnostic tools and therapeutic strategies for managing PD. By identifying and understanding these correlations, healthcare providers may better predict disease progression and implement more effective treatments for nonmotor symptoms in PD.
帕金森病(PD)是一种常见的神经退行性疾病,在全球范围内发病率和致残率不断上升,给患者及其家庭带来沉重负担。在帕金森病的前驱期,非运动症状,尤其是抑郁和睡眠障碍很常见,对疾病进展和患者生活质量有深远影响。新出现的研究强调了炎症标志物——包括白细胞介素和肿瘤坏死因子——在前驱期帕金森病发病机制中的关键作用。这些炎症介质参与神经退行性过程,并可能通过破坏下丘脑-垂体-肾上腺轴的功能以及影响包括血清素在内的神经递质代谢,诱发或加重抑郁症状和睡眠障碍。目前对它们与前驱期帕金森病非运动症状之间的相关性了解仍不完整,限制了我们制定针对性干预措施的能力。这篇综述旨在研究炎症标志物与前驱期帕金森病非运动症状——尤其是抑郁和睡眠障碍——之间的具体相关性。这些发现可能具有重要的实际应用价值,有可能推动新诊断工具和治疗策略的开发,以管理帕金森病。通过识别和理解这些相关性,医疗保健提供者可以更好地预测疾病进展,并为帕金森病的非运动症状实施更有效的治疗。
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