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帕金森病可能的神经保护疗法。

Possible neuroprotective therapy for Parkinson's disease.

作者信息

Ogawa N

机构信息

Department of Neuroscience, Okayama University Medical School, Japan.

出版信息

Acta Med Okayama. 1995 Aug;49(4):179-85. doi: 10.18926/AMO/30378.

Abstract

Neuroprotective therapy for Parkinson's disease (PD) is a treatment intended to prevent or reduce neuronal degeneration. Since clinical studies to evaluate such an effect would be prolonged, the choice of agents for use as possible neuroprotective therapy is based on the results of in vitro and animal experiments. Free radicals are currently regarded as the most important factor in the progression of PD. One current possible neuroprotective therapy is reduction of levodopa dose, since levodopa is a source of free radical formation. Dopamine (DA) metabolism inhibition, and administration of the DA agonist bromocriptine that eliminates hydroxyl free radicals have neuroprotective effects experimentally. The other candidates for neuroprotective agents are still under development. However, those whose clinical use is permitted should be considered for use, since patients with long-standing PD cannot wait until the neuroprotective efficacy of these agents is confirmed by clinical study.

摘要

帕金森病(PD)的神经保护疗法是一种旨在预防或减少神经元变性的治疗方法。由于评估这种效果的临床研究耗时较长,用作可能的神经保护疗法的药物选择基于体外和动物实验的结果。自由基目前被认为是帕金森病进展中最重要的因素。目前一种可能的神经保护疗法是减少左旋多巴剂量,因为左旋多巴是自由基形成的来源。多巴胺(DA)代谢抑制以及给予可消除羟基自由基的DA激动剂溴隐亭在实验上具有神经保护作用。神经保护剂的其他候选药物仍在研发中。然而,对于长期患帕金森病的患者来说,由于他们不能等到这些药物的神经保护疗效通过临床研究得到证实,所以应考虑使用那些已被允许临床使用的药物。

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