Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications

The pharmaceutical industry’s development of therapeutic medications for the treatment of Parkinson’s disease (PD) endures, as a result of the continuing need for better agents, and the increased clinical demand due to the aging population. Each new drug offers advantages and disadvantages to patien...

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Main Authors: Massimo S. Fiandaca, Howard J. Federoff, Krystof S. Bankiewicz
Format: Article
Language:English
Published: MDPI AG 2012-06-01
Series:Pharmaceuticals
Subjects:
Online Access:http://www.mdpi.com/1424-8247/5/6/553
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author Massimo S. Fiandaca
Howard J. Federoff
Krystof S. Bankiewicz
author_facet Massimo S. Fiandaca
Howard J. Federoff
Krystof S. Bankiewicz
author_sort Massimo S. Fiandaca
collection DOAJ
description The pharmaceutical industry’s development of therapeutic medications for the treatment of Parkinson’s disease (PD) endures, as a result of the continuing need for better agents, and the increased clinical demand due to the aging population. Each new drug offers advantages and disadvantages to patients when compared to other medical offerings or surgical options. Deep brain stimulation (DBS) has become a standard surgical remedy for the effective treatment of select patients with PD, for whom most drug regimens have failed or become refractory. Similar to DBS as a surgical option, gene therapy for the treatment of PD is evolving as a future option. In the four different PD gene therapy approaches that have reached clinical trials investigators have documented an excellent safety profile associated with the stereotactic delivery, viral vectors and doses utilized, and transgenes expressed. In this article, we review the clinically relevant gene therapy strategies for the treatment of PD, concentrating on the published preclinical and clinical results, and the likely mechanisms involved. Based on these presentations, we advance an analysis of how the nature of the gene therapy used may eventually expand the scope and utility for the management of PD.
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spelling doaj.art-0f4837bbf88e4b84b22819f11aca29b62022-12-22T00:23:57ZengMDPI AGPharmaceuticals1424-82472012-06-015655359010.3390/ph5060553Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future IndicationsMassimo S. FiandacaHoward J. FederoffKrystof S. BankiewiczThe pharmaceutical industry’s development of therapeutic medications for the treatment of Parkinson’s disease (PD) endures, as a result of the continuing need for better agents, and the increased clinical demand due to the aging population. Each new drug offers advantages and disadvantages to patients when compared to other medical offerings or surgical options. Deep brain stimulation (DBS) has become a standard surgical remedy for the effective treatment of select patients with PD, for whom most drug regimens have failed or become refractory. Similar to DBS as a surgical option, gene therapy for the treatment of PD is evolving as a future option. In the four different PD gene therapy approaches that have reached clinical trials investigators have documented an excellent safety profile associated with the stereotactic delivery, viral vectors and doses utilized, and transgenes expressed. In this article, we review the clinically relevant gene therapy strategies for the treatment of PD, concentrating on the published preclinical and clinical results, and the likely mechanisms involved. Based on these presentations, we advance an analysis of how the nature of the gene therapy used may eventually expand the scope and utility for the management of PD.http://www.mdpi.com/1424-8247/5/6/553convection-enhanced deliveryenzyme-replacement therapygene therapyneurotrophic factorParkinson’s diseaseviral vector
spellingShingle Massimo S. Fiandaca
Howard J. Federoff
Krystof S. Bankiewicz
Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications
Pharmaceuticals
convection-enhanced delivery
enzyme-replacement therapy
gene therapy
neurotrophic factor
Parkinson’s disease
viral vector
title Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications
title_full Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications
title_fullStr Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications
title_full_unstemmed Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications
title_short Gene Therapy for the Treatment of Parkinson’s Disease: The Nature of the Biologics Expands the Future Indications
title_sort gene therapy for the treatment of parkinson s disease the nature of the biologics expands the future indications
topic convection-enhanced delivery
enzyme-replacement therapy
gene therapy
neurotrophic factor
Parkinson’s disease
viral vector
url http://www.mdpi.com/1424-8247/5/6/553
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