Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy

Parkinson’s disease (PD) is one of the most common neurodegenerative disorders, characterized by an initial and progressive loss of dopaminergic neurons of the <i>substantia nigra pars compacta</i> via a potentially substantial contribution from protein aggregates, the Lewy bodies, mainl...

Full description

Bibliographic Details
Main Authors: Elena Paccosi, Luca Proietti-De-Santis
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/11/9547
_version_ 1797597422692597760
author Elena Paccosi
Luca Proietti-De-Santis
author_facet Elena Paccosi
Luca Proietti-De-Santis
author_sort Elena Paccosi
collection DOAJ
description Parkinson’s disease (PD) is one of the most common neurodegenerative disorders, characterized by an initial and progressive loss of dopaminergic neurons of the <i>substantia nigra pars compacta</i> via a potentially substantial contribution from protein aggregates, the Lewy bodies, mainly composed of α-Synuclein among other factors. Distinguishing symptoms of PD are bradykinesia, muscular rigidity, unstable posture and gait, hypokinetic movement disorder and resting tremor. Currently, there is no cure for PD, and palliative treatments, such as Levodopa administration, are directed to relieve the motor symptoms but induce severe side effects over time. Therefore, there is an urgency for discovering new drugs in order to design more effective therapeutic approaches. The evidence of epigenetic alterations, such as the dysregulation of different miRNAs that may stimulate many aspects of PD pathogenesis, opened a new scenario in the research for a successful treatment. Along this line, a promising strategy for PD treatment comes from the potential exploitation of modified exosomes, which can be loaded with bioactive molecules, such as therapeutic compounds and RNAs, and can allow their delivery to the appropriate location in the brain, overcoming the blood–brain barrier. In this regard, the transfer of miRNAs within Mesenchymal stem cell (MSC)-derived exosomes has yet to demonstrate successful results both in vitro and in vivo. This review, besides providing a systematic overview of both the genetic and epigenetic basis of the disease, aims to explore the exosomes/miRNAs network and its clinical potential for PD treatment.
first_indexed 2024-03-11T03:05:52Z
format Article
id doaj.art-a005e9567a6c4f64848f24a6799be344
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T03:05:52Z
publishDate 2023-05-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-a005e9567a6c4f64848f24a6799be3442023-11-18T08:00:32ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-05-012411954710.3390/ijms24119547Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based StrategyElena Paccosi0Luca Proietti-De-Santis1Unit of Molecular Genetics of Aging, Department of Ecology and Biology (DEB), University of Tuscia, 01100 Viterbo, ItalyUnit of Molecular Genetics of Aging, Department of Ecology and Biology (DEB), University of Tuscia, 01100 Viterbo, ItalyParkinson’s disease (PD) is one of the most common neurodegenerative disorders, characterized by an initial and progressive loss of dopaminergic neurons of the <i>substantia nigra pars compacta</i> via a potentially substantial contribution from protein aggregates, the Lewy bodies, mainly composed of α-Synuclein among other factors. Distinguishing symptoms of PD are bradykinesia, muscular rigidity, unstable posture and gait, hypokinetic movement disorder and resting tremor. Currently, there is no cure for PD, and palliative treatments, such as Levodopa administration, are directed to relieve the motor symptoms but induce severe side effects over time. Therefore, there is an urgency for discovering new drugs in order to design more effective therapeutic approaches. The evidence of epigenetic alterations, such as the dysregulation of different miRNAs that may stimulate many aspects of PD pathogenesis, opened a new scenario in the research for a successful treatment. Along this line, a promising strategy for PD treatment comes from the potential exploitation of modified exosomes, which can be loaded with bioactive molecules, such as therapeutic compounds and RNAs, and can allow their delivery to the appropriate location in the brain, overcoming the blood–brain barrier. In this regard, the transfer of miRNAs within Mesenchymal stem cell (MSC)-derived exosomes has yet to demonstrate successful results both in vitro and in vivo. This review, besides providing a systematic overview of both the genetic and epigenetic basis of the disease, aims to explore the exosomes/miRNAs network and its clinical potential for PD treatment.https://www.mdpi.com/1422-0067/24/11/9547Parkinson’s diseasegeneticsepigeneticsexosomesmiRNA
spellingShingle Elena Paccosi
Luca Proietti-De-Santis
Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy
International Journal of Molecular Sciences
Parkinson’s disease
genetics
epigenetics
exosomes
miRNA
title Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy
title_full Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy
title_fullStr Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy
title_full_unstemmed Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy
title_short Parkinson’s Disease: From Genetics and Epigenetics to Treatment, a miRNA-Based Strategy
title_sort parkinson s disease from genetics and epigenetics to treatment a mirna based strategy
topic Parkinson’s disease
genetics
epigenetics
exosomes
miRNA
url https://www.mdpi.com/1422-0067/24/11/9547
work_keys_str_mv AT elenapaccosi parkinsonsdiseasefromgeneticsandepigeneticstotreatmentamirnabasedstrategy
AT lucaproiettidesantis parkinsonsdiseasefromgeneticsandepigeneticstotreatmentamirnabasedstrategy