Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?

Parkinson’s disease (PD) is a multifarious neurodegenerative disease. Its pathology is characterized by a prominent early death of dopaminergic neurons in the pars compacta of the substantia nigra and the presence of Lewy bodies with aggregated α-synuclein. Although the α-synuclein pathological aggr...

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Main Authors: Francesco Cavallieri, Rubens G. Cury, Thiago Guimarães, Valentina Fioravanti, Sara Grisanti, Jessica Rossi, Edoardo Monfrini, Marialuisa Zedde, Alessio Di Fonzo, Franco Valzania, Elena Moro
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/12/5/764
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author Francesco Cavallieri
Rubens G. Cury
Thiago Guimarães
Valentina Fioravanti
Sara Grisanti
Jessica Rossi
Edoardo Monfrini
Marialuisa Zedde
Alessio Di Fonzo
Franco Valzania
Elena Moro
author_facet Francesco Cavallieri
Rubens G. Cury
Thiago Guimarães
Valentina Fioravanti
Sara Grisanti
Jessica Rossi
Edoardo Monfrini
Marialuisa Zedde
Alessio Di Fonzo
Franco Valzania
Elena Moro
author_sort Francesco Cavallieri
collection DOAJ
description Parkinson’s disease (PD) is a multifarious neurodegenerative disease. Its pathology is characterized by a prominent early death of dopaminergic neurons in the pars compacta of the substantia nigra and the presence of Lewy bodies with aggregated α-synuclein. Although the α-synuclein pathological aggregation and propagation, induced by several factors, is considered one of the most relevant hypotheses, PD pathogenesis is still a matter of debate. Indeed, environmental factors and genetic predisposition play an important role in PD. Mutations associated with a high risk for PD, usually called monogenic PD, underlie 5% to 10% of all PD cases. However, this percentage tends to increase over time because of the continuous identification of new genes associated with PD. The identification of genetic variants that can cause or increase the risk of PD has also given researchers the possibility to explore new personalized therapies. In this narrative review, we discuss the recent advances in the treatment of genetic forms of PD, focusing on different pathophysiologic aspects and ongoing clinical trials.
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spelling doaj.art-947854612330497b9de9d0f86362a7442023-11-17T07:27:49ZengMDPI AGCells2073-44092023-02-0112576410.3390/cells12050764Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?Francesco Cavallieri0Rubens G. Cury1Thiago Guimarães2Valentina Fioravanti3Sara Grisanti4Jessica Rossi5Edoardo Monfrini6Marialuisa Zedde7Alessio Di Fonzo8Franco Valzania9Elena Moro10Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS of Reggio Emilia, 42123 Reggio Emilia, ItalyDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, BrazilDepartment of Neurology, School of Medicine, University of São Paulo, São Paulo 05403-000, BrazilNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS of Reggio Emilia, 42123 Reggio Emilia, ItalyClinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, 41125 Modena, ItalyNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS of Reggio Emilia, 42123 Reggio Emilia, ItalyNeurology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, ItalyNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS of Reggio Emilia, 42123 Reggio Emilia, ItalyNeurology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, ItalyNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS of Reggio Emilia, 42123 Reggio Emilia, ItalyDivision of Neurology, CHU of Grenoble, Grenoble Institute of Neurosciences, Grenoble Alpes University, 38700 Grenoble, FranceParkinson’s disease (PD) is a multifarious neurodegenerative disease. Its pathology is characterized by a prominent early death of dopaminergic neurons in the pars compacta of the substantia nigra and the presence of Lewy bodies with aggregated α-synuclein. Although the α-synuclein pathological aggregation and propagation, induced by several factors, is considered one of the most relevant hypotheses, PD pathogenesis is still a matter of debate. Indeed, environmental factors and genetic predisposition play an important role in PD. Mutations associated with a high risk for PD, usually called monogenic PD, underlie 5% to 10% of all PD cases. However, this percentage tends to increase over time because of the continuous identification of new genes associated with PD. The identification of genetic variants that can cause or increase the risk of PD has also given researchers the possibility to explore new personalized therapies. In this narrative review, we discuss the recent advances in the treatment of genetic forms of PD, focusing on different pathophysiologic aspects and ongoing clinical trials.https://www.mdpi.com/2073-4409/12/5/764DJ1geneticGBALRRK2Parkinson’s diseasePINK1
spellingShingle Francesco Cavallieri
Rubens G. Cury
Thiago Guimarães
Valentina Fioravanti
Sara Grisanti
Jessica Rossi
Edoardo Monfrini
Marialuisa Zedde
Alessio Di Fonzo
Franco Valzania
Elena Moro
Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?
Cells
DJ1
genetic
GBA
LRRK2
Parkinson’s disease
PINK1
title Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?
title_full Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?
title_fullStr Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?
title_full_unstemmed Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?
title_short Recent Advances in the Treatment of Genetic Forms of Parkinson’s Disease: Hype or Hope?
title_sort recent advances in the treatment of genetic forms of parkinson s disease hype or hope
topic DJ1
genetic
GBA
LRRK2
Parkinson’s disease
PINK1
url https://www.mdpi.com/2073-4409/12/5/764
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