Emerging Treatment Approaches for Parkinson’s Disease

Parkinson’s disease (PD) is the second most common neurodegenerative disease, manifesting as a characteristic movement disorder with a number of additional non-motor features. The pathological hallmark of PD is the presence of intra-neuronal aggregates of α-synuclein (Lewy bodies). The movement diso...

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Main Authors: Thomas B. Stoker, Kelli M. Torsney, Roger A. Barker
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnins.2018.00693/full
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author Thomas B. Stoker
Thomas B. Stoker
Thomas B. Stoker
Kelli M. Torsney
Kelli M. Torsney
Roger A. Barker
Roger A. Barker
Roger A. Barker
author_facet Thomas B. Stoker
Thomas B. Stoker
Thomas B. Stoker
Kelli M. Torsney
Kelli M. Torsney
Roger A. Barker
Roger A. Barker
Roger A. Barker
author_sort Thomas B. Stoker
collection DOAJ
description Parkinson’s disease (PD) is the second most common neurodegenerative disease, manifesting as a characteristic movement disorder with a number of additional non-motor features. The pathological hallmark of PD is the presence of intra-neuronal aggregates of α-synuclein (Lewy bodies). The movement disorder of PD occurs largely due to loss of dopaminergic neurons of the substantia nigra, resulting in striatal dopamine depletion. There are currently no proven disease modifying treatments for PD, with management options consisting mainly of dopaminergic drugs, and in a limited number of patients, deep brain stimulation. Long-term use of established dopaminergic therapies for PD results in significant adverse effects, and there is therefore a requirement to develop better means of restoring striatal dopamine, as well as treatments that are able to slow progression of the disease. A number of exciting treatments have yielded promising results in pre-clinical and early clinical trials, and it now seems likely that the landscape for the management of PD will change dramatically in the short to medium term future. Here, we discuss the promising regenerative cell-based and gene therapies, designed to treat the dopaminergic aspects of PD whilst limiting adverse effects, as well as novel approaches to reducing α-synuclein pathology.
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spelling doaj.art-5f1cb9ec33054e8cb4523bb5d4c69a732022-12-21T23:02:44ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2018-10-011210.3389/fnins.2018.00693419092Emerging Treatment Approaches for Parkinson’s DiseaseThomas B. Stoker0Thomas B. Stoker1Thomas B. Stoker2Kelli M. Torsney3Kelli M. Torsney4Roger A. Barker5Roger A. Barker6Roger A. Barker7John van Geest Centre for Brain Repair, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United KingdomWellcome Trust – Medical Research Council Stem Cell Institute, University of Cambridge, Cambridge, United KingdomDepartment of Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomJohn van Geest Centre for Brain Repair, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United KingdomDepartment of Medicine for the Elderly, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomJohn van Geest Centre for Brain Repair, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United KingdomWellcome Trust – Medical Research Council Stem Cell Institute, University of Cambridge, Cambridge, United KingdomDepartment of Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomParkinson’s disease (PD) is the second most common neurodegenerative disease, manifesting as a characteristic movement disorder with a number of additional non-motor features. The pathological hallmark of PD is the presence of intra-neuronal aggregates of α-synuclein (Lewy bodies). The movement disorder of PD occurs largely due to loss of dopaminergic neurons of the substantia nigra, resulting in striatal dopamine depletion. There are currently no proven disease modifying treatments for PD, with management options consisting mainly of dopaminergic drugs, and in a limited number of patients, deep brain stimulation. Long-term use of established dopaminergic therapies for PD results in significant adverse effects, and there is therefore a requirement to develop better means of restoring striatal dopamine, as well as treatments that are able to slow progression of the disease. A number of exciting treatments have yielded promising results in pre-clinical and early clinical trials, and it now seems likely that the landscape for the management of PD will change dramatically in the short to medium term future. Here, we discuss the promising regenerative cell-based and gene therapies, designed to treat the dopaminergic aspects of PD whilst limiting adverse effects, as well as novel approaches to reducing α-synuclein pathology.https://www.frontiersin.org/article/10.3389/fnins.2018.00693/fullα-synucleinnovel therapiesParkinson’s diseaseregenerative therapiesstem cells
spellingShingle Thomas B. Stoker
Thomas B. Stoker
Thomas B. Stoker
Kelli M. Torsney
Kelli M. Torsney
Roger A. Barker
Roger A. Barker
Roger A. Barker
Emerging Treatment Approaches for Parkinson’s Disease
Frontiers in Neuroscience
α-synuclein
novel therapies
Parkinson’s disease
regenerative therapies
stem cells
title Emerging Treatment Approaches for Parkinson’s Disease
title_full Emerging Treatment Approaches for Parkinson’s Disease
title_fullStr Emerging Treatment Approaches for Parkinson’s Disease
title_full_unstemmed Emerging Treatment Approaches for Parkinson’s Disease
title_short Emerging Treatment Approaches for Parkinson’s Disease
title_sort emerging treatment approaches for parkinson s disease
topic α-synuclein
novel therapies
Parkinson’s disease
regenerative therapies
stem cells
url https://www.frontiersin.org/article/10.3389/fnins.2018.00693/full
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